It is a disorder in children after the fourth year of life and is characterized by the inability to control the onset of urination during sleep (in a dream). Despite the fact that it comes to a disturbed urination all organs of the genitourinary system are healthy and function normally.


How does the child react to this disorder?

This disturbance causes permanent frustration and a sense of shame. At that moment, it is important for them (children) that their peers do not know about their problem. They become genuine masters in hiding their problems from their peers, and in some cases by their parents themselves. Smaller children, often trying to hide the moist underwear. The elderly, the wash their soiled panties and pajamas discreetly. Some children are indifferent to their situation, while others become depressed.About 15% of children wet in bed after the third year, and it is one and a half to two times more common with male than it is with female children, and usually, occurs in families in which at least one member had the same symptoms when he was a child.
Occasional nighttime bedwetting can come especially at a time when the child is ill. The majority of children wet once a night, but some wet more than once. Nighttime bedwetting divides into primary and secondary. Primary includes day and night bedwetting that have not stopped from birth, while in secondary nighttime bedwetting (or acquired), which is less common, occurs after the so-called periods of “purity” or “dry” period.

What is the cause of nighttime bedwetting?

In most cases, night urination occurs due to the poor development of childhood bladder. Also, there are numerous cases in which nighttime bedwetting occurs when the child is emotionally disturbed. Children can feel insecure or afraid of many reasons:
– Due to moving into a new home,
– Due to the divorce of the parents,
– Due to the loss of a close family member or another dear person.
– Due to the birth of a brother or sister….

How to solve the problem of nighttime bedwetting?

Parents should keep in mind that children rarely or almost never wet their beds at night on purpose. Instead of criticizing the child, or threaten him with a beat, it is better to encourage him, to give him positive support and confidence that he will soon cease to wet the bed.
It is necessary that parents adhere to some guidelines. Particular attention should be paid to the consumption of fluids before bedtime, the child should be encouraged to urinate before bedtime, and to compliment the same if it wakes up “dry” in the morning. Avoid any form of punishment, wake the child at night to go to the bathroom, consult with the doctor and psychologist more often, carry out the prescribed therapy by an expert medical practitioner.


Diagnosis and treatment:

Beside doctors also psychologists, defectologists, tutors, psychiatrists and other specialists deal with this problem. Successful treatment requires a multidisciplinary scientific approach. Because, health problems are the inflammation of the genitourinary tract, psychological difficulties are a feeling of guilt, insecurity, and depression, while the social hindrances are that the child avoids sleeping out of his home, for fear of not wetting someone else’s bed. In addition to these difficulties, there are also pedagogical difficulties that arise from the departure of the child to school, going to recreational classes, summer or winter trips with their peers or friends.
In scientific circles, nighttime bed-wetting is tolerated by the fifth year of life. If after this the child reluctantly wets his bed at sleeping, and it is not conditioned by organic disorders, then it is necessary to take serious steps in treatment and healing. Very rarely, in some children, there is also a daily wetting, that manifests itself by leaking drops or just moistening the panties, and then it is a daytime wetting or enuresis diurnal.

The most common manifestation of nighttime bedwetting is strong sleep. Parents describe it like this – the child sleeps like a “canon”, and it is clouded if you wake it up, it’s hard for the child to get around the room and it wets itself dreamily. Usually, children do not complain about anything, except they say that they did not feel anything, and even tomorrow morning they notice that their bedding is wet.

Parents and even some experts with insufficient experience mistakenly believe that the problem of nighttime bedwetting will stop by itself with time or at least until puberty. In my long-standing medical practice, I had patients of 7, 15, 20, and even older. The causes of nighttime bedwetting are numerous, and these are the most common:
• Congenital or acquired damage (malformation) of the urogenital system,
• Epilepsy,
• Diabetes (diabetes),
• Spina bifida
• Cystitis, infection (bacterial, fungal, rarely viral),
• Phimosis,
• Epispadias,
• Psychological disorders followed by fear, nervousness, physical punishment, hyperactivity, overload due to school and other responsibilities, conflicts between parents, separation of the child from the parents due to lack of time, war, starting school, and so on. In addition to the listed obstacles, there are other habits disorders:
• Avoiding food,
• Excessive overeating (bulimia),
• Night fear in children (pavor nocturnus).

It is prohibited:
• Chocolate, candies, juices with sugar,
• Strong spices,
• Excessive insertion of artificial additives,
• Carbonated drinks, especially those of the “cola” group,
• Coffee and white coffee,
• Alcohol,
• Potatoes, and especially fries,
• Milk and dairy products,
• “C” vitamin,
• Aspirin.

Natural remedy against nighttime bedwetting:
 It is a mixture of several plants (herbs): Yarrow grass, the leaf of birch, stem, St Johns-wort, willow bark, knotweed and valerian root. Mix one tablespoon of the tea with 2 dl. Boiled water. Leave it closed for 60 minutes, and then drain it in a glass.  Drink one cup before breakfast, and one before lunch. Do not drink the tea at night and before going to bed.  Consult experts for acupuncture. There are certain acupuncture points that are treated each day (one session) with a specific duration of 10-15 sessions. Repeat the therapy after a break of 10 days.