Please read the disclaimer at the bottom of this page.** The range of problems related to nocturnal enuresis in children is very wide... Children are usually trained to go to the toilet between two and four years old... But some children cannot keep their bed dry all night and need to be a few years older to be able to fully control the bladder... Sometimes a child who previously had nocturnal enuresis until the morning suddenly has a fear of nocturnal enuresis and has problems in the family environment. It reduces in children and almost all children say goodbye to this embarrassing problem by the teenage years or much earlier.... Most children who go to school and wet their seats have early nocturnal enuresis and have never been able to control the bladder at night....urinates at night... When should enuresis be treated? Whenever you are worried about this problem, you can consult a pediatrician... But if your child has no history of bedwetting and it happened suddenly, be sure to see a doctor quickly... The doctor will examine the child to make sure that the cause of bedwetting is not a serious problem... such as heartburn or if the urine is bloody, see a doctor quickly... Bedwetting in children has three main reasons: - The bladder is not stretched enough to hold all the urine during the night.... - A lot of urine is produced at night.... - It does not wake up when the bladder tells the brain that the bladder is full.... Nocturnal enuresis can also be hereditary. If one of the parents has an unpleasant memory of their childhood nights, there is a 40% chance that their child will also experience this problem... Now if both parents have nocturnal enuresis, this probability increases to 70%. find.. ### Constipation Constipation causes the intestines to fill with feces.... The fullness of the intestines puts pressure on the bladder and the space necessary to stretch and fill it is limited.... As a result, the child feels that he has to empty the bladder more and often goes to the bathroom to empty a small amount of urine.... Therefore, constipation can also cause incontinence day or night.... #### An overactive or overactive bladder sends a message to the brain to empty the bladder immediately before it fills up. An overactive bladder usually holds a smaller volume of urine. Symptoms of an overactive bladder include: - Urinating frequency (more than 8 times a day) and feeling the need to empty the bladder immediately - Smaller spots of urine on the bed are a sign that the bladder is emptying more and in less volume.. The vasopressin hormone tells the kidneys to produce less urine at night.... If not enough vasopressin is produced during sleep, the kidneys produce more urine than the bladder can hold.... There is no test to check the extent of vasopressin deficiency, but the following symptoms are signs of this hormone.. Frequent urination, sometimes more than Once during the night - The first case of nocturnal enuresis occurs a few hours after sleep.... - It is unlikely that the child will wake up and if the diaper is closed, the diaper is very heavy and will push the urine back.... If the child does not have a diaper, the urine spots will be large and pale yellow and do not smell bad... Some children do not wake up when they are too full or do not wake up too early... They start to urinate, the alarm sounds... The child learns over time that After the bladder is full, wake up and go to the bathroom... ### Urinary tract infection (UTI) UTI symptoms are noticeable during the day and affect the child's ability to keep the bed dry during the night. UTI symptoms include: - The urine smells like fish, is cloudy and has streaks of blood in it... - The child has a fever... - Vomiting - The child urinates uneasily and with difficulty.... - The problem of incontinence during the day and also at night.... ### Anxiety and stress Children who do not have a history of bedwetting also suddenly wet themselves at night due to stress and anxiety caused by illness, going to school, moving house, the birth of a new sibling, examination or any other major change in life.. Other tissues that create a barrier from the pubic bone to the coccyx... The pelvic floor supports the genitals and abdomen and helps control the bladder and bowels.. Pelvic floor dysfunction refers to a wide range of problems that cause weakness or cramping of these muscles.. It can... The problem of bedwetting in most children will be solved over time, there are many ways to treat bedwetting to solve this problem... Make sure that your child has drunk enough fluids during the day. Bedwetting in children is not something a child can control, so don't base your reward on whether or not the bed is wet...instead, encourage your child with the following excuses: - Drink plenty of fluids throughout the day - To urinate before sleep ### Recommendations Follow the recommendations below to manage bedwetting in children: - Make sure that the child has easy access to the bathroom during the night.... For example, if the bed is bunk, let the child sleep in the lower bed.... You can also leave the bathroom light on and place the child's toilet seat in the right place.... - Cover the child's mattress and blanket with waterproof covers... They want to grow up... Rehabilitation A clinical examination is performed to examine the muscles of the abdomen, legs, back and other areas related to bedwetting in children. This examination is performed in the presence of parents and on clothes. Investigation and treatment of behavioral problems related to the problem. Currently, the treatment of bedwetting in children includes the following: - **biofeedback**, surface electromyography (labels or external electrodes) - Changing diet and modifying behavior - Soft tissue mobility, myofascial release and deep tissue massage if necessary - Cold and heat therapy - Stretching and strengthening exercises suitable for rehabilitation of surrounding muscles and pelvic floor - Relaxation techniques - Bladder retraining - Retraining leg muscles **Footnote:** This general information is a limited summary of diagnostic, therapeutic and/or drug information. This information is not exhaustive and should be used as a tool to assist the user in understanding and/or evaluating possible diagnostic and treatment options. This information does not include all information about conditions, treatments, drugs, side effects or risks that may apply to a particular patient.. It is intended that medical advice or a substitute for medical advice, diagnosis or treatment should be based on the doctor's examination and evaluation of the specific and unique condition of the patient.. It is safe, effective or approved for the treatment of a particular patient.. I, Dr. Mehdi Afshari, disclaim any warranty or liability related to this information or its use... > * Among the medical services provided in the office are periodical examinations of children, periodical monitoring of children's growth and physical development, treatment of various infectious, digestive and respiratory diseases in children and adolescents, nutritional counseling, education and periodical care of premature babies, monitoring and treatment of all periodical problems during infancy, periodical mental and physical evaluation of children. > *special services of Dr. Mehdi Afshari: specialized office circumcision, home visit and online consultation* > > *Practice address: No. 193, South Mehrabad, Southern Air University, Tafarsh East, Tehran > > *Contact number: 021-66602506*