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What is bedwetting?

Urination during sleep is scientifically called “urinary incontinence,” which is the involuntary release of urine from the bladder through the urethra outside the body at night, while this problem can occur when a person sleeps during the day, and it is often associated with children. However, some research indicates that this problem can occur in adults as well, but in smaller proportions, and that it is not limited to children only.

Causes of bedwetting in children

One of the most important causes of bedwetting is the small size of the bladder. لكن توجد بعض الأسباب الأخرى Which are as follows:

• Psychological factors:
  Such as exposure to a certain trauma, stress, psychological problems, or emotional problems that may be a cause of involuntary urination, which include psychological and physical causes.

• Small bladder:
  The small size of the child's bladder may prevent him from retaining the amount of urine collected during the night.

• Failure to realize that the bladder is full:
  When a child does not have the nerves that control the bladder, he loses alertness when it is full, especially if he sleeps deeply.

• Urinary tract infection:
  It is an infection that affects the urinary system and makes it difficult for the child to control the bladder. One of its most important symptoms is unintentional urination in the bed, whether during the day or at night. The color of the urine is pink or red, accompanied by pain during urination.

Causes of urination in adults

There are several types of involuntary urination in adults, and they differ according to the causes. والتي تتمثل فيما يلي:

1- Stress involuntary urination

Urinary incontinence occurs when pressure is placed on the bladder and is greater than the strength of the urethral muscle, which controls the exit of urine. When pressure occurs, such as coughing, urine may leak. The most important reasons for this type are:

• Increased pressure in the abdominal area, which occurs as a result of pregnancy or obesity, as natural birth increases the possibility of urine output compared to a cesarean section.
• Bladder damage during surgery.
• Some medications may lead to some side effects that cause urine to exit the body, and these medications include the treatment of enlarged bladder and neurological diseases such as: multiple sclerosis and Parkinson's paralysis.

2- Urgent involuntary urination

This type of involuntary urination is known as overactive bladder and a sudden urge to urinate. It occurs by relaxing the bladder muscles, which are filled with urine and then contract after it leaves the body. However, in some cases, it causes difficulty in controlling urine. Among the reasons that lead to urine output are:

• Not consuming a sufficient amount of fluids and thus highly concentrated urine accumulates, which irritates the bladder and leads to symptoms of hyperactivity.
• Excessive caffeine intake.
• Urinary tract infection.
• Use of certain medications.
• Neurological disorders.
• Bladder problems such as tumors.

3- Mixed involuntary urination

This type occurs when urge and stress urinary incontinence combine.

4- Overflowing involuntary urination

When urine is not completely eliminated from the bladder, it leads to persistent and frequent urine leakage. The reasons include the following:

• Bladder muscle weaknessThis occurs as a result of chronic diseases or nerve damage.
• Bladder obstructionThis occurs as a result of the presence of stones in the bladder or an enlarged prostate.

5- Functional involuntary urination

This type occurs when a person has a disability, whether mental or physical, and it is difficult to reach the toilet, such as: cases of dementia and paralysis.

Bedwetting treatment

Bedwetting alarms are one of the primary methods that the doctor uses with the child, and they give great benefit and success in reducing this problem in the long term compared to medications, which take 6 to 8 weeks. They are recommended for children from 7 years of age, and this depends on their physical ability and maturity. In the case of hearing-impaired children, a vibrating alarm can be used.

Children must have a response to the sound of the alarm and turn it off themselves. For this treatment to be successful, the child must be awake during the process of urinating and going to the bathroom.

During treatment with alarm, the child must be rewarded when he wakes up and goes to the toilet, and if the child shows signs of response after 4 weeks, treatment must be continued until two weeks are reached.

There is also drug treatment and the use of some medications determined by the specialist doctor, and this is used in the event that the problem is not resolved with the alarm system.

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Important tips for bedwetting

One of the most important things that must be done to help treat the child faster after visiting the doctor is to talk to the child calmly about this problem and his fear and embarrassment. The doctor must be consulted if symptoms of involuntary urination appear when the child is seven years old and cannot control his urine. There are also some tips provided by Al Mousa Health Hospital that parents should take into consideration: They are as follows:

• Do not punish your child when he urinates on his bed and the importance of being kind to him and disciplining him better.
• It is necessary to limit the fluids that the child consumes and reduce them three hours before bedtime, especially diuretic drinks such as: soft drinks andالشاي.
• Encourage your child to change the bed when it gets wet, and do not make it a punishment for him, but rather treat it as a form of responsibility to clean the wet bed.

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Frequently asked questions

Is bedwetting related to mental illness?

Obstructive apnea leads to distortion in brain signals resulting from obstructive apnea, which leads to signals sent to the bladder.

What is the nerve responsible for urination?

The nerve responsible for urination is a mixture of the sacral nerves, which transmit signals to the brain and muscles that drive urination.

What are the causes of the bladder filling quickly?

It is consuming a lot of fluids, especially soft drinks, urinary tract infections, pregnancy, diabetes, and excess weight.

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ختامًا…We have explained the causes and treatment of involuntary urination, and it is worth noting that Al Mousa Health Hospital It has the best doctors to solve this common problem, determine the cause, whether for children or adults, and choose the appropriate treatment, because each case has a different treatment, and it seems to many that the problem is complex, difficult, or embarrassing, but the treatments are different and available.