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Many children wet the bed until they are 5 or even older. A child's bladder might be too small. Or the amount of urine produced overnight can be more than the bladder can hold. Some children sleep too deeply or take longer to learn bladder control. 

Children should not be punished for wetting the bed. They don't do it on purpose, and most outgrow it. Until then, bed-wetting alarms, bladder training and medicines might help.

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  1. 1. Fitango Education Health Topics Bedwetting
  2. 2. OverviewMany children wet the bed until they are 5 or evenolder. A childs bladder might be too small. Or theamount of urine produced overnight can be morethan the bladder can hold. Some children sleep toodeeply or take longer to learn bladder control. 1
  3. 3. OverviewChildren should not be punished for wetting thebed. They dont do it on purpose, and mostoutgrow it. Until then, bed-wetting alarms, bladdertraining and medicines might help. 2
  4. 4. CausesWhen children wet the bed more than two timesper month after age 5 or 6, it is called bedwettingor nocturnal enuresis.More than 5 million children in the United Stateswet the bed at night. 3
  5. 5. CausesAlthough the problem goes away over time, manychildren continue to have bedwetting episodes.There are two types of bedwetting 4
  6. 6. Causes-- Primary enuresis: Children who are neverconsistently dry at night. This usually occurs whenthe body makes more urine overnight than thebladder can hold and the child does not wake upwhen the bladder is full. The childs brain has notlearned to respond to the signal that the bladder isfull. It is not the childs or the parentsfault.Secondary enuresis: Children who were dryfor at least 6 months start bedwetting again. Thereare many reasons that children wet the bed afterbeing fully t 5
  7. 7. TreatmentMost children grow out of bedwetting. If youchoose to get professional help for your childsbedwetting problem, consider the followingmedications: 6
  8. 8. Treatment **Desmopressin Acetate (DDAVP)**DDAVP does not cure bedwetting, but it does helpto treat the symptoms the child is exhibiting.Numerous studies report reduction in the numberof wet nights. DDAVP should be given at bedtime.Because it works immedietly, it does not need tobe given every day to work. 7
  9. 9. Treatment **Desmopressin Acetate (DDAVP)**DDAVP is a man-made copy of a normal chemicalfound in the body that controls urine production.The benefit of DDAVP might be due to a reductionin the overnight production of urine. 8
  10. 10. Treatment **Desmopressin Acetate (DDAVP)**The drug can be taken as a nasal spray or tablet. Ifyour child is capable of swallowing pills, the tabletis more discreet for sleepovers and otheroccasions. Additionally, the tablet has reported abetter response rate. The nasal spray can beaffected by a stuffy nose from colds or allergy.**Imipramine** 9
  11. 11. Treatment **Desmopressin Acetate (DDAVP)**How this drug works is not completely understood,but the main purposes are to:-- change the childs sleep and wakening pattern-- affect the time a child can hold urine in thebladder-- reduce the amount of urine produced 10
  12. 12. Treatment **Desmopressin Acetate (DDAVP)**Success rates for imipramine have been found tobe higher in older children, and so the drug isgenerally not given to children younger than 7.**Anticholinergic**Anticholinergic drugs, like oxybutynin (Ditropan) orhyosyamine (Levsinex), reduce or stop bladdercontractions and increase the bladders capacity. 11
  13. 13. Treatment **Desmopressin Acetate (DDAVP)**DDAVP and Anticholinergic drugs are often usedtogether because DDAVP reduces night time urineoutput while the anticholinergic increasesnighttime bladder volume. Together, these drugswork to prevent bed-wetting by keeping thebladder from becoming full during the nighttime. 12