Bed wetting or enuresis is more common in boys, especially first born children or children who have experienced stress in early life or children of lower social classes.
Bed wetting is mostly at night and never had a single dry night. This is the true bed wetting.
In secondary or acquired bed wetting it starts before the age of 5 and who had been previously dry at night for at least 12 months.
Genetic factors play an important role in the causation – boy with nocturnal enuresis, has a 75% chance of having the first-degree relative who wets the bed even after five years of age.
Due to some chronic illness or inadequate training or due to maturational delay or due to small bladder capacity bed, wetting may occur.
In certain diseases like diabetes mellitus or diabetes insipidus also causes enuresis.
It may also occur as a symptom of psychological ill health with the presence of an organic disease.
Investigations
Urine routine examination for glucose and blood.
USG to rule out anatomical abnormality of urinary tract.
Management
Counseling and training
The child should be trained to empty the bladder before going to bed. All kinds of punishment should be avoided.
Fluid restriction after evening.
Bladder capacity training. Here during the daytime ask the child to hold the urine as possible and gradually increase the time before voiding.
Homeopathic treatment.
If the cause is due to any illness, the aim is to treat the cause. This should be done by considering the present pathological symptoms, and a suitable remedy is selected. This is followed by a constitutional remedy. If it is purely psychological, then homeopathic medicines equally act very well. For these, as homeopathic philosophy says the mental aspect of the child should be studied correctly and the physical impact or mental impact if any should be given importance.
Homeopathic medicines are highly recommended in bed wetting of children, and the result is very good.
Medicines like Cina, Sepia, Natrum mur, Causticum are the important remedies.
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