What Are The Causes Of Urinary Incontinence In Children? How is it Treated?, We have compiled some information you need to know about the causes of urinary incontinence in children.
What Are The Causes Of Urinary Incontinence In Children? How is it Treated?
In children, recurrent urinary incontinence during the day or night is called nocturnal enuresis. It is also known as bedwetting at night. It is one of the most common urinary system, or excretory system, problems of childhood. In the content of our article, you can access detailed answers to the questions we have prepared for you, our valued friends, about causes of urinary incontinence in children and symptoms of urinary incontinence in children. So What are the causes of urinary incontinence in children?
Most children manage to hold their urine both during the day and at night between the ages of 2 and 4, both as a result of the effect of toilet training and the development of bladder capacity. Bedwetting at night is often a result of delayed bladder development. Therefore, its frequency decreases with age. While 40% of 3-year-old children wet their beds, this rate drops to 20% at age 5 and 10% at age 6. Boys experience bedwetting more frequently than girls. Families start to deal with this problem around the age of 5 to 6 and usually start to seek help from doctors around the age of 7 to 8. In our country, it is known that 16% of boys and 11% of girls between the ages of 7 and 11 have bedwetting problems. The causes of urinary incontinence can be physiological or emotional. If the problem is not solved with changes such as restricting fluid intake and staying away from carbonated drinks, expert support should be sought for other underlying causes.
What are the Causes of Urinary Incontinence in Children
Urinary tract infections, chronic constipation, sleep problems or excessive stress can lead to this condition. Enuresis can occur during the day or at night. Although it is worrying for families, it is very important to be patient and remember that this situation is not your child’s fault. The child does not consciously leak urine and there are many ways to prevent this situation. Children may feel ashamed or guilty and anxious because of bedwetting. Remember that your child does not consciously wet the bed and cannot prevent it without your help. Do not scold or blame your child. Make sure that their friends or other family members do not make them feel bad about this. You can reach more detailed information about urinary incontinence in children by continuing our article.
What are the symptoms of urinary incontinence in children?
Causes of urinary incontinence in children
– Urinary tract infections,
– Not being able to feel that the bladder is full while sleeping,
– Small bladder,
– Overactive bladder syndrome,
– Obstructive sleep apnea syndrome,
– The body not secreting enough antidiuretic hormone during sleep,
– Diabetes,
– Constipation putting pressure on the bladder,
– Attention deficit and hyperactivity disorder,
– Being pressured during toilet training,
– Emotional problems or excessive interest, accidents or shocks,
– Kidney and structural problems in the urinary tract,
– Excessive fatigue or drinking too much fluid before bed,
– The child’s bladder muscles are not yet mature,
– A mother or father has urinary incontinence problems,
– Stress and anxiety problems.
A large group of children who wet their bed at night are grouped under physiological bedwetting. It is reported that these children do not feel their bladder fullness during sleep at night, their bladder capacity is small and their sleep depth is high. Diabetes, kidney diseases and bladder diseases are seen in 2% to 3% of children who wet their bed. The reasons are usually an important factor. If one of the parents has a bedwetting history, the child will have a bedwetting problem at a rate of 45%, and if both parents have a bedwetting history, it will be 77%. Urinary incontinence is more common in children who have constipation problems, do not have regular toilet habit, have differences in physical development and have anxiety problems. Due to the stressful situation caused by urinary incontinence, psychological problems such as anxiety and self-confidence due to enuresis also occur. Getting expert support when necessary negatively affects your child’s physiological and mental health.
Symptoms of Urinary Incontinence in Children
What Causes Urinary Incontinence in Children
Urinary incontinence itself is not a disease, but rather can show symptoms of different diseases. For this reason, it is important to consult your doctor to evaluate the underlying causes if your child has such a complaint.
How is Urinary Incontinence Treated in Children?
What Causes Urinary Incontinence in Children
The first treatment for urinary incontinence in children is usually related to changing daily habits. To do this, it is necessary to avoid behaviors such as putting pressure on the child, being overly meticulous, blaming or scolding, and to be supportive. Alarm treatment or drug treatment can be started for children who do not benefit from behavioral and lifestyle changes. Devices that go off when the child wets the bed are used in alarm treatment.
For this, the child should be waited until he/she turns 8 and the treatment should be continued for 2 to 3 months. With this treatment, there is a 70% to 85% improvement in children. The risk of recurrence is around 10% at the end of alarm treatment. The aim of drug treatment is to prevent involuntary bladder contractions and to enlarge the bladder. Drug treatment can last an average of 1 year or more. Common side effects of drugs are dry mouth, blurred vision, facial flushing, increased body temperature, irritability and poor academic performance. If urinary incontinence is due to reasons such as constipation or urinary tract infections, these problems should be treated first.
How to Prevent Urinary Incontinence in Children?
– Behavioral changes such as supporting the child’s self-esteem may also be recommended by your doctor.
– Encouraging the child to take responsibility for staying dry,
– The child’s toilet should definitely have a seat and a step appropriate for their height should be placed under their feet.
– Regular daily toileting.
– Children who go to school should definitely urinate every other break.
– Urinating every 2 hours on average.
– Avoiding fried foods, fizzy drinks, and colored candies.
– Waking your child up to urinate at night on a specific schedule.
– Facilitating access to the toilet.
– Going to the toilet without going to bed.
– Avoid caffeinated foods and drinks.
– Especially not giving water 2 hours before going to bed.
– Reducing the amount of fluid consumed at certain times of the day and at night.
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