Involuntary urination in children is a problem for children and parents alike, as it makes children feel shy of themselves and tend to is isolated, as it represents a great physical and psychological burden for parents.
The Association of Scientific Medical Associations in Germany said that involuntary urination (night urinary incontinence) is diagnosed when children, who are over 5 years old, urinate at least twice a month for 3 months.
Symptoms
The Association explained that the intensity of involuntary urination greatly varies from accidental night incidents to almost daily urination, and common symptoms include:
- Involuntary urination during sleep, usually without waking up.
- Not feeling the need to urinate, as the child does not realize the fullness of the bladder in a timely manner.
- Psychological stress, where many children affected by feelings of shame, social introverted or unsafe.
Physical and psychological factors
For its part, the professional association of pediatricians in Germany said that involuntary urination may be due to various physical and psychological factors, and several factors usually meet:
- Delayed maturity: The ability to control the bladder slowly develop.
- Deep sleep: Do not notice the desire to urinate during sleep.
- Genetic readiness: is common in the family.
- Psychological pressure: for example due to family changes or pressure.
- Hormonal imbalance: ADH deficiency increases night urine production.
- Low bladder capacity: The bladder is filled quickly before the child wakes up.
Ways for treatment
The Professional Association of Pediatricians in Germany indicated that the treatment is designed individually, depending on the age of the child, the severity of urination and his potential reason, and the goal is to reduce pressure and direct the child gently towards dehydration.
1- Behavioral therapy (basic procedure)
- Liquid management: Drink a lot of fluids during the day, while reducing fluid intake from late in the afternoon.
- Pigeon entry routine: regular visits to the bathroom, especially before bed.
- Motivation and reward: for example a calendar with dry nights.
- Bladder training: The child learns to hold the bladder for a longer period and increase its capacity.
2- Behavioral therapy using devices
Alarm devices (bell bell pants): It is issued an alarm when wetting to awaken the child and enhance his awareness of the need to urinate, and success is usually noticed after several weeks of continuous use.
3- Medicines
Medicines can provide temporary comfort, for example, while staying at home throughout the night or during periods of severe tension, but they are not a permanent solution, and examples of medicines:
- Desmoprisin: Reduces night urine production. It works quickly, but on the condition of continuing to eat it.
- Anti -choline: relaxing the bladder muscles and is used to treat hyperplasia.
4- Psychological support
If there are signs of emotional reasons such as family pressure or exhausting life events, it may be useful to consult a psychiatrist for children.