By Dr. Dhananjay K Mangal , Pediatrics
Persistent waking up and urinating at night before you can reach the bathroom can lead to bed-wetting. This is a common problem for many children, and it may even continue into adulthood, albeit in a more sporadic manner. Most kids naturally gain bladder control eventually, and many of them do so at varying ages. Read on to know more about bedwetting and when you should see a doctor about this habit in your child.
Causes: This often frustrating problem may be due to faulty genes, more than anything else. This is an inherited problem that comes from the chromosomes 8, 12 and 13. Many people believe that this problem can come from laziness on the part of the child, yet persistent events of bedwetting turns into a problem of sorts. Therefore, it is not true that a bedwetting problem is due to laziness. It merely happens before the child can control it.
- Delayed bladder maturation: Around a certain age, the child’s brain and the bladder begin to communicate with each other. For some children, this process may be delayed. This is generally known as delayed bladder maturation. In case your child is going through bed-wetting for many months, and even a couple of weeks or months every year well into the double digit age, then you may want to get the problem of delayed bladder maturation diagnosed by a doctor.
- Low ADH: ADH or anti-diuretic hormone is responsible for creating less urine in the kidneys. This hormone basically conveys signals to the kidneys so that it does not produce too much of urine. When there is less production of this hormone, the child may not be able to respond to the urge on time. If this becomes a persistent problem that leads to bed-wetting more than once a night, for a prolonged time, then it is time to see a doctor so that this particular hormone may be tested and medication may be employed accordingly.
- Small functional bladder: While the child’s bladder may have a normal size, it may send the signal to the brain that it is full, which may lead to bed-wetting during sleep. This problem can also be diagnosed by a doctor if the bedwetting becomes a persistent problem and the hormones levels are normal.
- Constipation: This is another cause that may lead to bed-wetting in children. If your child is suffering from constipation and is wetting the bed regularly, then you may want to ask the doctor about getting medication to treat the constipation. This is due to the fact that constipation causes low bladder control and uncontrolled contractions of the bladder.
- Deep sleepers: Finally, deep sleepers go through this problem. This can be treated by a doctor, so that the brain gets the signal that the bladder is full.