\ud83c\udfaf \"My 5-year-old still wets the bed at night. Is this normal or should we go to the doctor?\"<\/p>
Bedwetting in children is a very common condition that worries both families and children. Medically known as enuresis, it means uncontrolled urinary incontinence after a certain age.<\/p>
In this article, you can find answers to frequently asked questions such as at what age it is considered normal, when treatment is required, and what types there are.<\/p>
Enuresis is the involuntary leakage of urine at an age when the child is expected to have gained urinary control. Generally:<\/p>
\u2022 Daytime bedwetting (diurnal enuresis)<\/p>
\u2022 It is classified as bedwetting (nocturnal enuresis).<\/p>
\u23f3 Limits considered normal according to age:<\/p>
\u2022 Daytime urinary control is usually achieved until the age of 4<\/p>
\u2022 Night urinary control is gained until the age of 5<\/p>
\u2022 Bedwetting that continues after the age of 5 may be pathological.<\/p>
Urinary bladder control may not be mature yet.<\/p>
The risk increases if one of the parents had enuresis in childhood.<\/p>
There may be a deficiency of the ADH hormone, which reduces urine production at night.<\/p>
Some children cannot recognize the signal to urinate during sleep.<\/p>
Situations such as the birth of a sibling, divorce, or school change may affect it.<\/p>
Such organic causes should be investigated for bedwetting during the day.<\/p>
\ud83e\ude7a When to Consult a Doctor?<\/p>
\u2022 Bedwetting more than 2 nights a week in a child over the age of 5<\/p>
\u2022 Daytime urinary incontinence<\/p>
\u2022 Incipient bedwetting (if previously dry)<\/p>
\u2022 Burning when urinating, frequent urination, abdominal pain<\/p>
\u2022 History of constipation<\/p>
\ud83d\udc68\u200d\u2695\ufe0f How to Diagnose?<\/p>
\u2022 A detailed history is taken<\/p>
\u2022 If necessary, urine analysis, ultrasound and a voiding diary can be kept.<\/p>
\u2022 After organic causes are excluded, the diagnosis is made as functional enuresis.<\/p>
\u2705 Limit fluid intake in the evening<\/p>
\u2705 Make sure he goes to the toilet before sleeping.<\/p>
\u2705 Use waterproof mattress protectors<\/p>
\u2705 Don't punish, be understanding<\/p>
\u2705 Reward achievements<\/p>
It may not be necessary for every child. However;<\/p>
\u2022 Is over 7 years old and still wets the bed<\/p>
\u2022 If psychological effects have begun<\/p>
\u2022 If there is anxiety in the family<\/p>
\ud83d\udccc A treatment plan may be required. Among them:<\/p>
\u2022 Behavioral treatments (motivational calendar, alarm device)<\/p>
\u2022 Drug therapy (drugs that reduce nighttime urine production, such as Desmopressin)<\/p>
\u2022 If there is an underlying medical cause, its treatment<\/p>
\ud83d\udccc Result<\/p>
Bedwetting can be a temporary developmental step for many children. However, if it continues after the age of 5, especially if it affects the child's psychology, it is important to consult a pediatrician without delay.<\/p>
\ud83e\ude7a If you would like to get support regarding evaluation, treatment plan and follow-up for bedwetting problem in children in Izmir, I would be happy to welcome you in my office.<\/p>\n\n