Bed-wetting, also referred to as nocturnal enuresis in the medical science, is a health condition in which persons wake up to find that they have urinated on themselves while asleep. It does not only happen to kids, but to adults also. For instance, I had a friend while at the university who complained to me that her roommate, who lay on the upper bunk of their hostel bed, consistently bed-wetted every night thus getting her soaked with urine as the liquid leaked through the mattress upon her on the lower bunk. The result was a quarrel and the patient became depressed out of shame and eventually withdrew from the university.
The condition has also caused marriages to be broken; and can cause some very emotional persons to mull suicidal ideas. It ought not to be taken to that level of seriousness as it is not incurable.
Causes of Adult Bed-wetting
- The condition can be a result of the bladder making more urine than it ought to normally do. The hormone ADH is the regulator of the quantity of urine made by the bladder. When the body does not make enough of this hormone, or the kidney does not respond to the hormone adequately, bed-wetting results. Diabetes insipidus, a kind of diabetes also affects the level of ADH produced by the body and causes the body to make more urine.
- When the bladder lacks enough capacity or room to hold the amount of urine produced by the body, urine leaks, leading to bed-wetting.
- Bed-wetting can also be caused by overactive bladder (OAB). There is always a squeeze of the bladder at the readiness to pee. If, therefore, the bladder is squeezed too often and at the wrong times, it can result in bed-wetting.
- Some drugs taken can affect the bladder and its capacity to withhold urine. Such drugs include antipsychotics like Clozapine and Risperidone as well as sleeping pills. These can irritate the bladder and result in bed-wetting.
- Other causes of bed-wetting are diseases such as prostate cancer and bladder cancer. Seizure disorder, Parkinson’s disease and multiple sclerosis can also cause bed-wetting, among many others.
Diagnosis of Bed-wetting
Patients of nocturnal enuresis need to see qualified physicians for diagnosis. The doctor will carry out some examination. He will make inquest into the symptoms as well as medical history of the patient and open a diary to record the frequency and time of occurrence; the quantity of urine released, how much liquid drank before bed, and so on.
Some tests the physician may run as well include urinalysis, uroflowmetry, post-void residual urine measurement and urine culture.
Treatment of Bed-wetting
- Draw a plan to go to the toilet at set times in the day and in the night, with a deliberate increase of the amount of time between toilet visits in order to train the bladder to hold more liquid.
- Work with an alarm device to wake you up at regular intervals to use the toilet.
- Avoid drinking before you go to bed.
- Take drugs. Certain drugs like Desmopressin reduce the amount of urine the bladder produces. Other medications like Darifenacin, Oxybutynin, Trospium chloride, Imipramine, etc. sooth overactive muscles.
There are also several other methods your physician may employ to overturn the challenge of adult bed-wetting. It is curable, therefore, there is no need to lose self esteem or to contemplate suicide.
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