Contributing factors in Bedwetting

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There are a lot of misunderstandings and misconceptions regarding incontinence and the causes of Nocturnal Enuresis (Bedwetting) and Diurnal (Daytime time wetting).
It is not such a simple solution for doctors would resolve these bedwetting issues with kids. They generally say they will naturally outgrow it.


Doctors have an idea of what is going on, but the urinary system is very complex, and they truly don’t understand what went wrong. However, they are generally right that 90% of the time, it is a delayed maturity of the urinary system.



The following are some contributing factors:

Nocturnal polyuria Disorder of sleep arousal, which is common in bedwetting children, does not wake up normally in response to an auditory signal, which confirms a defect in arousal.
Urge Incontinence is Urge syndrome/dysfunctional voiding, also called hyperactive, irritable, or overactive bladder, which is the need to urinate frequently and have a hard time getting to the bathroom time. There are two types:
Idiopathic Detrusor Overactivity (formerly called Detrusor Instability). In this type, the nerves serving the bladder have signaled the brain appropriately that the bladder is full, but the detrusor muscles are unable to be suppressed.
Neurogenic Detrusor Overactivity (formerly called Detrusor Hyperreflexia). With this type, a known neurologic problem impairs the signaling systems between the bladder and the central nervous system, and the brain is unable to inhibit the detrusor muscles controlling urination.
Small nocturnal bladder capacity Undersize Bladder where their bladder is not big enough to make it through the night
The hyperactive bladder is due to bladder irritation which causes strong contractions. Some contributors are carbonated, citrus, and caffeinated juices; cola or chocolate, red dyes, and artificially colored candy.
Genetics Numerous studies report varying but high prevalence of the problem in other family members. The highest reported familial prevalence rates are that 56% of fathers, 36% of mothers, and 40% of siblings experienced a problem with NE. NE is reported in 43% of children of enuretic fathers, 44% of children of enuretic mothers, and 77% of children when both the mother and father had NE. A family history of bedwetting is found in approximately 50% of children with SNE. Chromosome 22 was identified as the site of NE loci in a Danish family in 1995. Subsequent reports link NE in other families to chromosomes 8, 12, and 16
Encopresis & Constipation can contribute to bedwetting by putting pressure on the bladder
Snoring can contribute to bedwetting by reducing the oxygen while sleeping, which makes the nervous system dulled to sensations
The decrease of the hormone ADH is supposed to suppress the Production of urine while sleeping
Psychological Traumatic events in their life overwhelm the urinary nervous system.
Sensory issues where they are not getting the signal to go or the signal is hardly noticeable enough unless they are really paying attention.
Now, before you can solve a problem, you need to correctly identify the problem before trying to solve the issue.
 
@DPCARE Good share of information.

For me, my bedwetting is so random and sporadic that it is hard to narrow causes or contributing factors down. However, over the years I have identified a few triggers that tend to increase the chance of me peeing in the bed for that night.

The first one I want to mention is probably one that many can relate to and that is stress. If I am over stressed about something then there is a higher chance that I'll bedwet during that time. Being over tired is also a potential trigger. Combine the two and I am probably up to a 90% chance I'll wake up wet in the morning.

Another trigger that I have noticed is during heavy pollen season. When the allergies kick in there is a higher chance of having a wet night, but not all the time. The probably increases if I have taken a Benadryl.

In the big picture of my bedwetting pattern the vast majority of incidents have no reason or indicator associated with it. They are just random no reason incidents.

JT
 
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