Infant enuresis is the repeated emission of urine in bed or clothes, involuntarily or intentionally. The behavior is clinically significant and manifests with a frequency of 2 times a week for a period of 3 consecutive months. The chronological age from which it is considered a problem is five years in the case of girls and six years in the case of boys, or an equivalent level of development. They are approximate ages since it is considered that organic maturity for toilet training is around three years.
Most children achieve daytime control between the ages of two and three; the nocturnal can take much longer: one in ten does not achieve it before six years of age. From this age on, if the child continues to urinate on the bed, medical advice should be sought. According to some research, approximately 15% of children over the age of 3 wet the bed while sleeping. And it is the boys, more than the girls, who find themselves in this situation.
Bed-wetting can have a number of causes that may be related to a sleeping disorder, slower-than-normal development of bladder control, or the result of emotions and stress that require special attention. It rarely means that the child has a kidney or bladder problem.
Children don't wet the bed on purpose.
- Excessive intake of fluids at night, before going to bed.
- The child has not yet learned to relate the filling of the urinary bladder with the need to urinate.
- The control of the sphincters begins from the age of 3, but it is frequent that many children do not have the muscles strong enough for it.
- Hereditary causes. If the parents also suffered from enuresis, the children have a great predisposition to suffer it.
- Altered sleep rhythms. If children do not sleep well during the day, they often arrive tired at night, making it difficult for them to wake up to urinate.
- Emotional causes: When a young child begins towetting the bed after months or years of not doing it, it is suspected that these symptoms may be caused by new fears or insecurities. This can happen after a child experiences some changes in his life, for example, the transfer of the family to a new environment, the loss of a family member or loved one, the arrival of a new baby in the family , changing schools, stressful situations, etc.
- Physical illnesses. It is the least common factor, but some of them are diabetes, constipation, kidney disease or intestinal worms.
Enuresis may be related to some psychological and affective conflict in the child, with the child's need for attention. It is also caused by tiredness or emotional stress. Another possible cause may be in the family environment in which the child lives, in a family that is overprotective or offers little affection to their children. There are parents who believe that if the child does not control the pee it is because he is lazy and does not pay more attention to the subject, and thus they apply punishments and tease them, which will make the problem grow even more.
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