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Bedwetting

Obstructive Sleep Apnea
Bedwetting may be one sign of another condition called obstructive sleep apnea, in which the child's breathing is interrupted during sleep, often because of inflamed or enlarged tonsils or adenoids. Other symptoms of this condition include:
 
In some cases, successful treatment of this breathing disorder may also resolve the associated bedwetting.
 
Structural Problems
Finally, a small number of cases of bedwetting are caused by physical problems in the urinary system, in children. Rarely, a blocked bladder or urethra may cause the bladder to overfill, and leak. Nerve damage, associated with the birth defect spina bifida, can cause bedwetting. In these cases, the bedwetting can appear as a constant dribbling of urine.
 

Does Bedwetting Improve on Its Own?

While bedwetting can be frustrating for the child and parents, most of the time a trip to the doctor is not needed. If your child is younger than five, don't worry about bedwetting. Many children do not stay dry at night until age seven.
 
The fact is that most children outgrow wetting the bed. This can happen for a variety of reasons:
 
  • Bladder capacity increases
  • Natural body alarms become activated
  • An overactive bladder settles down
  • Production of ADH becomes normal
  • The child learns to respond to the body's signal that it is time to void
  • Stressful events or periods pass.
 
Also, a single episode of bedwetting should not cause alarm, even in an older child.
 
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