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Bedwetting in infants and elderly

July 22nd, 2010 | 67 views | Posted in Health | 7 Comments »

Generally, bed-wetting, which in medical terms is called enuresis, is a habit that is less fun for the parents was more prevalent in boys than girls. Probably due to factors other activities more boys.

Wetting or enuresis is divided into two types, namely primary enuresis and secondary enuresis. Primary enuresis is bedwetting habits without a pause. This habit continues, no dry phase. While there jedanya secondary enuresis. According to him, normally a child will stop wetting after the age of five years or to enter preschool.

From the results of the study, bed-wetting habit of stopping in the afternoon at the age of 1 ½ – 2 years, and at age 2 ½ – 3 years to stop wetting the bed at night.

Habit of wetting can be caused by:
1. Psychological disorders such as stress, depression, feeling aggrieved, etc. less attention.
2. Organic disorders such as urinary tract infection, obstruction, etc..
3. Delayed maturation of the brain that control urination.
4. Sleep disturbance. Usually they include a sleeping very soundly and ngompolnya can happen at any moment in his sleep.
5. Impaired anti-diuretic hormone deficiency (= hormone anti urine) at night, so at night, excessive urine production.
6. Genetic disorders on chromosome 12 and 13 which is a gene regulator and the urinary disorders have a family history of bedwetting.
7. Snoring, due to enlarged tonsils and adenoid gland.

Besides emotional factors can also cause bedwetting habits in children, such as:
1. Expression rather than changes in the child caused by too quickly trained in toilet training too hard and early (when the child is still small).
2. Exercise is not routinely practiced.
3. Over protection mother, because the assumption is still too small or too weak to be trained.
4. Most important is the child is trying to seek the attention of parents (especially mother) because more mothers to give attention to the new kid brother or sister again obtained.

Bedwetting can also be caused by organic factors, which is a disease that is diabetes insipidus in which the disease is characterized by frequent urination (polyuria), so that the child always wet the bed when asleep, also accompanied by a desire to continue drinking (palidipsia). Other signs of this disease are children irritable, very tired, and there is a lack of good nutritional condition such as obesity (obesity) or very thin (cachexia).

Child’s bedwetting habit rather than from food as triggering factors, the possibility of excessive drink diwaktu factors play in school or with friends at home because a lot of kids activities such as playing ball sweat.

And no less important to always be reminded of early hygiene before boarding place to sleep with the bathroom to urinate and wash his limbs and sleepwear that is not too thin so that the child was not cold when sleeping.

Countermeasures
To overcome bedwetting children can be taken the following steps:
1. Limit the number of drinks at night.
2. Parents should not punish children who wet because it can cause psychological problems will only aggravate the bedwetting.
3. Wake the children after a few hours sleep and taken to the bathroom to urinate.
4. Install an alarm on the bed, so that when the child wet, wet, the alarm sounds, so that the child woke up and the child was disturbed by the sound of the alarm and becomes wet again. In this way parents know what time the child is usually wet, so it can wake up and tell the child urinate a few moments before the alarm sounds.
5. Psychological treatment to seek and overcome psychological factors are thought to be the cause of bedwetting.
6. Use drugs only if absolutely necessary.
7. When children sleep snoring because there is enlargement of tonsils and adenoid glands, so he should be sent to the ENT specialist for possible surgery tonsil and adenoid removal.

Bedwetting in the Elderly
Bedwetting is not only occurs in children. Elderly people (elderly) can also experience it. In fact, on their activities incontinence (urinary incontinence) is not only happening in bed, but also when on the move.

Many people think incontinence in the elderly associated with the weakening of the organs of the body. Thus, they think that as something natural. Yet it is precisely not be underestimated.

Based on the causes, incontinence in the elderly is divided into four types. Namely, the type of stress, urgency, over flow, and functional.

Type of stress occurred due to weak pelvic floor muscles that pinch the urethra. When abdominal pressure, pelvic floor muscles could not contain the entire contents of the bladder so the contents spill.

Type of urgency caused by various disorders. Both the disturbance of consciousness, infection, stroke, or dementia. These types are marked by feelings could not withstand excessive urination. Urine hurried out before reaching the bathroom.

Type of attack over flow of people affected by prostate tumors. In such cases, the tumors that clog the urethra prevents urine flow. Like a balloon, bladder that holds urine gradually enlarge and eventually not fit to hold urine.

More types of functional limitations caused by motion. That could happen because of paralysis or weak body so unable to the bathroom.


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7 Responses to “Bedwetting in infants and elderly”

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  6. I feel more in the patients who suffer in this disease normally bed wets due to tiring too much when a child plays a lot and gets tired then there are greater chance to bed wet because in this condition he became totally unconsciousness and wets the bed. this is actually one of the reasons also.

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