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One reason why some people have the need to urinate at night is an imbalance of the bladder muscles. One possible imbalance is that the muscle that contracts and forces urine out is stronger than the muscle that holds urine in. Another reason people could have the urge to urinate at night is that their bladders are smaller than normal and will not hold a lot of waste. Finally there are several causes of increased urine production such as (1) drinking too much immediately before bedtime, (2) consumption of sodas with caffeine or eating chocolate. BED-WETTING TREATMENTS The shame associated with bed-wetting can be very traumatic for both children and adults. We know that there are physical reasons that can cause PNE, and we also know that the triggering mechanism that should rouse a person from sleep and signal them to wake and go to the toilet does not work the way it is supposed to. So, what do we do with this knowledge? Are there any treatments? There are several solutions for the condition, and some can be used alone or with combinations to produce positive results. Since people are different, we must understand that what works for one person may not apply to another. One type of treatment for bed-wetting includes Behavior Modification. This involves using hypnosis, positive imaging and motivational programs to heighten bed wetting alarms. Physical therapies can affect the muscles that retain urine and release it. There are also medications available. The latest medication on the market for the treatment of bed wetting is called DDAVP and comes in tablet form. The manufacturer can be reached at www.aventis.com if you need information on how to find it. Or, ask your family doctor for more information regarding medications for the condition.
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Nothing is more frustrating for children and parents to deal with than the problem of bed-wetting. Primary Nocturnal Enuresis, the medical name for the condition of children who can control their bladders during the day, but who have had "accidents" within a six months period at night, is estimated to affect over five million children in the United States each year. Children who suffer from the condition develop low self-esteem and anxiety that does not make things any easier for them. Parents often wonder whether or not they have "done something wrong" that has caused the condition. Making matters worse are "old wives' tales" and advice from friends or relatives that simply exacerbate the problem. Probably the most troubling aspect of the condition is that it affects the entire house and creates a tremendous strain and anxiety level for each family member. Even in this day and age it is interesting that most people believe (wrongly) that bed-wetting is caused by either emotional problems. In fact, PNE is one of the most common developmental stages that children go through physically. Not every child needs to urinate at night, but children with PNE have to. When we are infants we urinate around-the-clock, as we grow older, our bodies make an adjustment and we go to the bathroom only during waking hours. Some of us, however, continue to have a need to urinate at night. |
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