What Help Is Available
If you are concerned about your problem and it is starting to affect your day-to-day life make an appointment to see your doctor, continence nurse or specialist physiotherapist. A continence nurse and specialist physiotherapist are healthcare professionals who specialise in bladder and bowel problems.
It would be a good idea to keep a record of your bladder activity for a few days before your appointment with your doctor or nurse. You would need to keep a record for at least 3 days and filling in a bladder diary is a simple way of doing this. Please visit our Bladder Diary/Retraining page for more information.
A urine dipstick test may be done to rule out a urinary tract infection. The doctor may also arrange for you to go to a hospital for special tests on your bladder, these tests are called Urodynamics.
Can Bedwetting Bed Be Cured What Are The Psychological Effects In Children
Bedwetting can damage the child’s self-image and confidence. The best way to prevent this is to be supportive. Parents should reassure the child that bedwetting is a common problem and that they, the parents, are confident that the child will overcome the problem. If there is a family history of bedwetting , the child should be informed to help lessen any stigma.
Every year, a significant percentage of school-aged children who wet the bed become dry without specific treatment.
It is difficult to estimate the effectiveness of treatment, but cure rates range from 10%-60% with drugs to 70%-90% with alarms and parent awakening.
- Nearly all bedwetting problems can be cured with single or combination therapy.
- Some people do, however they will need long-term drug therapy.
What Else Might Cause Peeing While Sleeping
There are other external factors that may contribute to bedwetting, such as bladder irritants. These include alcohol and caffeine, and some medications such as those for insomnia.
These products can stimulate the muscles of your bladder, called detrusor muscles. The detrusor muscles, when overactive, cause your bladder to contract more frequently, which in turn causes the urethra to open.
You can discuss concerns about bladder irritants you may be taking in your medicine with your doctor or other healthcare providers.
Additionally, several medical issues can sometimes cause bedwetting in adults, such as urinary tract infections, diabetes, and prostate cancer.
Tests for these medical conditions involve simple urine analysis, so dont hesitate to discuss getting tested with your doctor if you believe that they could be a cause.
Its also possible that your bedwetting is related to psychological factors, such as stress and anxiety. Stress during the day, including stress about wetting the bed, can lead to dreaming of wetting the bed, which can trick your bladder into contracting.
Taking steps to manage your daily stress can have the additional side effect of reducing your nighttime bedwetting.
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Ways You Can Help Yourself At Home
If there isnt a pressing medical need, such as an infection, causing your bedwetting, then there are several things you can do to manage your bedwetting without seeking out extra medical care.
Though it is important to stay hydrated during the day, try to avoid drinking as many fluids in the evenings, and be sure to go to the bathroom and empty your bladder before you go to sleep.
It is advisable that you avoid caffeinated beverages, such as coffee, tea, and soda, before bed, as they can irritate the bladder and overstimulate your detrusor muscles. Alcohol is another bladder irritant that you can avoid before bed.
Its also possible to train your body and bladder to wake up and pee at certain times. Consider setting an alarm clock for a couple of hours after you go to bed, to wake yourself up so you can go to the bathroom and avoid wetting the bed.
If you do this, be sure to set the clock for different times, so that your bladder does not get in the habit of emptying at that time whether you have gotten out of bed or not!
You might also want to train your bladder to hold more urine at once, by going to the toilet less frequently during the day. This is a difficult task and should be approached with caution since holding in urine for too long can lead to other urinary problems.
Heres a video going into more detail about peeing while sleeping.
How Is Enuresis Treated
Doctors can do several things to treat bedwetting, depending on what’s causing it. If an illness is responsible, which is not very common, it will be treated.
If the history and physical exam do not find a medical problem and the urine tests are negative, several behavioral approaches can be used for treatment:
If you’re worried about enuresis, the best thing to do is talk to your doctor for ideas on how to cope with it. Your mom or dad can also give you tips on how to cope, especially if he or she had the problem as a teen.
The good news is that it’s likely that bedwetting will go away on its own.
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When Will My Child Stop Bed
Most children outgrow bed-wetting. However, it is hard to say when bed-wetting will stop. Every child is different. An estimated five to seven million children in the United States wet their beds. One out of five 5-year-olds are affected by this condition. By age 10, only one in 20 have this problem. Some children may be very upset by their problem and even have feelings of personal failure. They may fear sleep-overs and having friends find out about their bed-wetting.
What Are The Causes Of Enuresis
Determining the exact causes of bedwetting as an adult can be extremely difficult, as enuresis is an indication of an underlying medical condition. The reasons range from genetic predisposition to medical conditions. Psychology, stress and anxiety can also play an important role in adult bedwetting.
Possible causes include:
Underlying conditions that can lead to enuresis include:
- Urinary stones
- Type I and type II diabetes
- Urinary tract infection
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What Does Nocturnal Enuresis Mean
Nighttime incontinence, bedwetting in adults, bladder weakness at night all terms used to describe nocturnal enuresis. Involuntary leakage of urine during the day i.e. when awake is called urinary incontinence according to the definition of the International Continence Society 1. If this involuntary urination occurs during sleep i.e. mostly at night experts referred to it as enuresis or nocturnal enuresis.
Bedwetting does not only occur in children and adolescents many adult women and men have also experienced uncontrolled emptying of the bladder during sleep. However, if a person is bedwetting this does not mean they are necessarily incontinent. Occasional, uncontrolled urination during sleep is not a cause for concern. From a medical point of view, enuresis is only diagnosed in people over the age of 5 if nocturnal enuresis occurs twice a month for at least a period of three months2,3 or regular urine leakage during sleep.
Nocturia constant urge to urinate at night is not urinary incontinence
How To Talk To Your Doctor About Adult Bedwetting
Before a treatment can be prescribed, your physician will want to zero in on the cause of your nocturnal enuresis. A bedwetting diary is one of the most useful tools for a healthcare provider.
Take care to note when you void during the day and night:
When accidents occur
Amount of urine voided
What you drink
Nature of the urinary stream
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What To Expect At Your Office Visit
Your provider will perform a physical exam and ask questions such as:
- When did the problem start and has it changed over time?
- How often do you urinate each night and how much urine do you release each time?
- Do you ever have “accidents” or bedwetting?
- What makes the problem worse or better?
- How much fluid do you drink before bedtime? Have you tried limiting fluids before bedtime?
- What other symptoms do you have? Do you have increased thirst, pain or burning on urination, fever, abdominal pain, or back pain?
- What medicines are you taking? Have you changed your diet?
- Do you drink caffeine and alcohol? If so, how much do you consume each day and when during the day?
- Have you had any bladder infections in the past?
- Do you have a family history of diabetes?
- Does nighttime urination interfere with your sleep?
Tests that may be performed include:
- Blood sugar
Types Of Nocturnal Enuresis
Persistent Primary Nocturnal Enuresis is a condition which starts during childhood, where night time dryness has not been achieved for longer than six months. About 2 3% of adults over 18 years of age have this type of nocturnal enuresis. Adult Onset Secondary Enuresis is defined as nocturnal enuresis in which night time dryness has been achieved at some point in life. Dryness may have occurred for many years but then night time wetting suddenly begins at an older age.
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Dream That You Cant Pee
When you dream of not being able to pee, you might wake up feeling anxious and afraid. However, this bodes well for your life. This dream comes to say that in a short time, your problems and worries will end.
You might be having a hard time at this stage, but the future will be happier for you. So you have to try to protect yourself emotionally well. Try to do good things because there is no doubt that you can enter this new phase that will cheer you up.
Products To Manage The Problem At Night
High-quality incontinence products should give you a peaceful and dry nights sleep. It should be noted that there are several special features that an incontinence product has to contain fluids especially for the night:
During the day, we are mostly in an upright or sitting position, whereas in bed we sleep in a horizontal lying position. When lying down, the absorbent pad of the product is no longer supported by gravity, which makes it difficult to absorb urine when lying down. Therefore, incontinence products for the night should ensure that no urine leaks out at the sides. This is achieved by leakage protection and quick absorption. Ideally, the materials used should be made of soft materials since those affected are lying on the product all night, rough materials can significantly impair wearing comfort.
Our daytime outfit is not the same as our nighttime garment. When going out to work or shop for groceries we may wear several layers of clothing. Incontinence pads, for example, are often held in place by an adhesive strip in the underwear. An additional pair of trousers offers supportive hold with their thicker, firm fabric. This scaffolding is not given when wearing pyjamas or underwear. The product used should ensure that it does not slip when turning and moving during sleep.
The right incontinence product for the night
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What Natural Remedies Can Treat Bedwetting At Home
Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful.
- Reduce evening fluid intake. The child should try to not take excessive fluids, chocolate, caffeine, carbonated drinks, or citrus after 3 p.m. Routine fluids with dinner are appropriate.
- The child should urinate in the toilet before bedtime.
- Set a goal for the child of getting up at night to use the toilet. Instead of focusing on making it through the night dry, help the child understand that it is more important to wake up every night to use the toilet.
- A system of sticker charts and rewards works for some children. The child gets a sticker on the chart for every night of remaining dry. Collecting a certain number of stickers earns a reward. For younger children, such a motivational approach has been shown to provide significant improvement in most children with a low relapse rate .
- Make sure the child has safe and easy access to the toilet. Clear the path from his or her bed to the toilet and install night-lights. Provide a portable toilet if necessary.
- Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. Others argue that pull-ups help the child feel more independent and confident. Many parents limit their use to camping trips or sleepovers.
The parents’ attitude toward the bedwetting is all-important in motivating the child.
What Are Risk Factors For Bedwetting
Risk factors for the development of enuresis include
- male gender and family history
- medical conditions such as abnormal anatomy or function of the kidneys, bladder, or neurologic system
There is no medical test that can pinpoint the cause of primary enuresis. Secondary enuresis more commonly reflects underlying pathology and thus warrants laboratory and possibly radiologic evaluation.
- A routine urine test usually is performed to rule out any urinary tract infection or kidney disease.
- An X-ray or ultrasound of the kidneys and bladder may be done if a physical problem is suspected. Occasionally, MRI examination of the lower spine/pelvis is indicated.
Generally, medical professionals divide bedwetting into uncomplicated and complicated cases.
Children who have complicated bedwetting may be referred to a specialist in urinary tract problems for further evaluation.
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Medications & Bed Wetting
Several different types of medications have been widely used to treat bed-wetting. Medicines may have some side effects and are generally not recommended before conditioning techniques such as the use of moisture alarms with behavioral modification have been used first without success. The few existing studies that compare conditioning techniques with medications have shown the conditioning to be significantly more effective. Speak to your doctor about whether these medicines would be right for your child. Your doctor may recommend a combination of medications and other treatment methods. Not all children respond to these medications.
Dream Of Peeing In Front Of People
When you dream that you are urinating in public, this symbolizes the lack of privacy in personal matters. In this case, the meaning of urine indicates that you are trying to establish boundaries that mark your territory. You feel that people are always watching your every move, including what you want to keep.
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What Medications Can I Give My Child To Help With Bedwetting
The following medications may be used alone or in combination with behavioral techniques to treat bedwetting:
- Desmopressin: This is the man-made version of the hormone vasopressin, which causes the kidneys to produce less urine. It is effective in about half of all cases, with better results in older children who have normal bladder capacity. The drug can lower sodium levels in children who take it, so you should limit the amount of fluids your child drinks after dinner.
- Oxybutinin: This medication is used to treat overactive bladder by reducing bladder contractions. It can be used along with desmopressin or the enuresis alarm method. It may be effective for children who wet the bed more than once each night and who also have daytime wetting.
- Imipramine: This drug is effective in 40% of cases, but it must be used with caution because of the risk of serious side effects.
What Causes Bedwetting
There are many causes of bedwetting and others remain unclear. Usually people produce less urine when they are sleeping. However, some people produce larger amounts of urine during the night, which may explain why the bladder needs emptying then.
So why dont you wake up when you need to go to the toilet? Unfortunately, there is no clear cut answer to this question.
Research has shown that nocturnal enuresis can occur due to a genetic link. Though this is not true for everyone, evidence has shown that bedwetting is hereditary. One study showed that someone with two bedwetting parents has a 77% chance of also becoming a bedwetter. When one parent wet the bed as a child, then their child was found to have a 40% chance of becoming a bedwetter.
Another cause put forward for primary nocturnal enuresis is a smaller than average bladder. This does not mean that the actual size of the bladder is smaller in nocturnal enuresis patients, rather that their functional bladder capacity is a smaller volume. The FBC is the amount of urine the bladder holds before sending a signal to the brain to indicate the need to void. The overactivity of the detrusor muscle indicates that the muscle is never fully relaxed during the filling phase and therefore the bladder capacity is not as large.
An infection in the urine can sometimes cause bed wetting. Stress or anxiety can also cause the problem, which might last long after the stress has gone.
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What Is Enuresis
The medical name for not being able to control your pee is enuresis . Sometimes enuresis is also called involuntary urination. Nocturnal enuresis is involuntary urination that happens at night while sleeping, after the age when a person should be able to control his or her bladder.
Most of us think of bedwetting as something that happens with little kids. But this problem affects about 12 out of every 100 teens.