Nighttime Urination In Children
In childhood the nighttime urination is a very common problem.
Enuresis is the most common form of primary nighttime urination in healthy children older than 5 years. According to data from the literature, every fourth child at the age of 5 has enuresis, and after starting school every tenth has nighttime urination.
Enuresis in children with bladder function is normal, emptying the bladder completely and happens without the will of the child at night.
During the day the child is dry and has no urinary infections.
Reasons for nighttime urination:
The most important reasons are: genetic factors, solid sleep, increased formation of urine during sleep or relatively small capacity of the bladder.
If both parents had nighttime urination the likelihood of their children to have the same problem is even 75%.
In the last ten years we have identified several genes responsible for nighttime urination.
The dream of these children is very strong, and it is very difficult for the parents to wake up the child.
Many children have increased formation of urine during the night because of the secretion of vasopressin which secretes the level of the brain that acts on the kidneys and regulates the quantity and density of urine while sleeping.
Children with enuresis should be treated.
Enuresis is a result of psychological problem of a child and it is necessary to begin the treatment in time to prevent the development of emotional and social disorders. Children with enuresis are trying to hide the problem from the environment, to withdraw, feel uncertainty, and avoid contact with friends.
Enuresis is a problem for the whole family, which is why early treatment is necessary to maintain harmony in the family.
Children need to be taken to pediatric nephrologists who will do some tests to determine what type of enuresis is it and then start treatment.
The optimal time to start treatment is before the child goes to school (5-6 years old).
The choice of treatment depends on the nature of the primary disorder leading to enuresis and contemporary therapy is based on the recommendations of the World Health Organisation.
The treatment is carried out by regular checks with a pediatrician.