Management & Treatment

Management & Treatment

How is Bedwetting Treated?

The treatment for nocturnal enuresis depends on the underlying cause and may involve various approaches, including:

How is Bedwetting Treated?

The treatment for nocturnal enuresis depends on the underlying cause and may involve various approaches, including:

Behavioral Changes

Implementing behavioral changes as part of the bedtime routine can be helpful in managing bedwetting.
These techniques do not involve medication and may include:

Avoid giving your child any fluids at least two hours before bedtime. Encourage them to consume an adequate amount of fluids during the day. While this may not always prevent bedwetting, it can reduce the amount of urine produced at night.

Ensure your child visits the bathroom and empties their bladder before going to bed. Even if they don’t feel the urge to urinate, encourage them to try for a few minutes to ensure the bladder is as empty as possible.

Avoid making a big deal out of bedwetting, as this can alleviate any unnecessary pressure or stress. Remind your child that bedwetting is a common issue among children.

Enuresis alarms are devices that trigger a loud noise or vibration when wetness is detected. This helps awaken the child, allowing them to finish urinating in the bathroom. Over time, the child becomes more aware of the sensation of a full bladder, ultimately helping them sleep through the night without needing to urinate. It may take several months for this technique to be effective.

This approach gradually increases the bladder’s capacity by gradually lengthening the time between bathroom visits during the day. This helps expand the bladder’s ability to hold more urine.

Behavioral Changes

Implementing behavioral changes as part of the bedtime routine can be helpful in managing bedwetting.
These techniques do not involve medication and may include:

Avoid giving your child any fluids at least two hours before bedtime. Encourage them to consume an adequate amount of fluids during the day. While this may not always prevent bedwetting, it can reduce the amount of urine produced at night.

Ensure your child visits the bathroom and empties their bladder before going to bed. Even if they don’t feel the urge to urinate, encourage them to try for a few minutes to ensure the bladder is as empty as possible.

Avoid making a big deal out of bedwetting, as this can alleviate any unnecessary pressure or stress. Remind your child that bedwetting is a common issue among children.

Enuresis alarms are devices that trigger a loud noise or vibration when wetness is detected. This helps awaken the child, allowing them to finish urinating in the bathroom. Over time, the child becomes more aware of the sensation of a full bladder, ultimately helping them sleep through the night without needing to urinate. It may take several months for this technique to be effective.

This approach gradually increases the bladder’s capacity by gradually lengthening the time between bathroom visits during the day. This helps expand the bladder’s ability to hold more urine.

Medications

In some cases, medications may be prescribed alone or in combination with behavioral techniques to treat bedwetting. These medications include:
Desmopressin
This synthetic hormone mimics vasopressin, which reduces urine production by the kidneys. It is effective in about half of all cases, with better results in older children with normal bladder capacity. It’s important to limit fluid intake after dinner as this medication can lower sodium levels in children.
Anticholinergics

Medications such as Oxybutynin, Tolterodine, Solifenacin, and Trospium chloride are used to treat overactive bladder by reducing bladder contractions. They may be used in combination with desmopressin or enuresis alarms. Anticholinergics can be effective for children who experience bedwetting multiple times during the night and also have daytime wetting.

Beware of "cures"

It’s important to be cautious of treatment programs or devices claiming to “cure” bedwetting, as many of them make false promises and can be costly. Consult with your child’s doctor before starting any treatment program, as they are the best source of advice.

Medications

In some cases, medications may be prescribed alone or in combination with behavioral techniques to treat bedwetting. These medications include:
Desmopressin
This synthetic hormone mimics vasopressin, which reduces urine production by the kidneys. It is effective in about half of all cases, with better results in older children with normal bladder capacity. It’s important to limit fluid intake after dinner as this medication can lower sodium levels in children.
Anticholinergics

Medications such as Oxybutynin, Tolterodine, Solifenacin, and Trospium chloride are used to treat overactive bladder by reducing bladder contractions. They may be used in combination with desmopressin or enuresis alarms. Anticholinergics can be effective for children who experience bedwetting multiple times during the night and also have daytime wetting.

Beware of "cures"

It’s important to be cautious of treatment programs or devices claiming to “cure” bedwetting, as many of them make false promises and can be costly. Consult with your child’s doctor before starting any treatment program, as they are the best source of advice.

Beware of "cures"

It’s important to be cautious of treatment programs or devices claiming to “cure” bedwetting, as many of them make false promises and can be costly. Consult with your child’s doctor before starting any treatment program, as they are the best source of advice.

Stay Positive

Don't be discouraged if one treatment method doesn't work. Some children may respond better to a combination of treatments.
Emotional support from family and healthcare professionals can also be beneficial during the management process.

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