‘Bed – wetting’ or ‘enuresis’ refers to involuntary passage of urine in sleep, which is usually at night and then is termed as nocturnal enuresis. This is a common problem in children up to the age of five years, but it can occur in children up to the age of fifteen years or more. Women may become incontinent after hysterectomy or after numerous pregnancies (due to the weakened pelvic muscles). An enlarged prostate is often responsible for enuresis in the males. Bedwetting in a child occurs either because of genetic inheritance or because the nervous system is not yet mature enough to control the bladder; but the usual causes of bedwetting in a child is some kind of fear, stress, anxiety or some other emotional or psychological disturbances. About 5- 10% of the cases can result from some pathology like childhood diabetes, paralysis of the spine, epilepsy, urinary tract infections, threadworms, etc. treating the cause of the enuresis is of utmost importance to stop the habit completely.
Reduce the amount if fluid just before the child goes to bed. Make the child urinate before he goes off to sleep and also wake him up in the middle of the night to urinate. Do not punish the child or be too overanxious about the problem. Whipping the child or punishing him is no solution to the problem. He should not be humiliated in front of other family members since that will only increase the problem. The child doesn’t do it in purpose and has often no control over this problem. He should be shown affection and an atmosphere of friendship should be created amongst his brothers and sisters. The child should be talked to and taken for a walk by the parents every