BedWetting
BedWetting
Bed wetting is
generally a normal part of child's development. Normally before the age of 5 it
is not concern. If it is continues then treat the problem with patience and
understanding. If a small child pass urine during night on bed after the age of
5 at least twice a week for three months then it is considered as disease
called Bed wetting or Nocturnal enuresis. In ayurveda, it is known as
Shayyamutra.
SYMPTOMS
BED WETTING IS INVOLUNTARY
URINATION DURING ASLEEP. THE SYMPTOMS INCLUDE:-
Passing urine
during day or night sleep.
CAUSES
THE MAJOR REASONS OF BED
WETTING INCLUDE:-
·
Urinary bladder has not enough strength to hold urine for whole night.
·
Delayed bladder maturation
·
Lack of co-ordination between bladder and brain
·
Excessive intake of fluids during evening or night
·
Psychological problems like Stress, anxiety and other emotional problems
·
Constipation
·
Intestinal worm infestation.
·
Excessive sleep
·
Some diseases like diabetes or urinary tract infection can also cause
bed wetting
·
Genetic factors
COMPLICATIONS OF BED WETTING
BED WETTING MAY CAUSE SOME
ISSUES FOR CHILD INCLUDES:
·
Guilt and embarrassment which can lead to self esteem
·
Loss of opportunities for social activities
·
Rashes on child's bottom
DIAGNOSIS AND TESTS
DEPEND UPON CIRCUMSTANCES
CHILD MAY NEED PHYSICAL EXAM OR TEST:
·
Urine test to check for signs of any infection or any disease like
diabetes
·
X-Ray or other imaging test- to check the structural problem of bladder
or kidneys
·
Medicinal history of child
AYURVEDIC VIEW OF BED WETTING
In ayurveda bed
wetting is known as Shayyamutra. The process of urine formation is aided by
Prana, Vyana and Apana vata and Avalambaka Kapha with the overall control of
mind. Micturition is one of the functions of normal Apana Vata. The activities
of Apana are regulated by Prana and Vyana vata. The Apana facilitates active
secretion of urine, motion; semen etc. After attaining a level of developmental
maturity, there develops a control over these activities initiated by Prana and
Vyana. But in this condition the overall control of activities of Apana is not
developed resulting in vitiation of which in turn loss of control of
micturition. The vitiation may also be due to encircling (avarana) of apana by
Kapha which accelerates the excretion of urine. Brain plays an important role
in both physiological as well as pathological process of body. It functions
constantly even during sleep. According to ayurveda, when it is mask by tama
and kapha, sleep is caused. This may happen in day time also, but in night,
loss of control of Prana and Vyana over Apana and encircling of apana by Kapha
and tama happens together and the child unknowingly urine in the bed.
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HOME REMEDIES
There are some home
remedies can be used before the use of medicines that may be helpful to treat
bed wetting such as:-
·
Limiting the use of liquids in evening
·
Make sure that child go toilet before going to sleep
·
Reassure that child has everything is okay.
·
If these measures don't help alone then bedwetting alarm often
recommended that help to train a child to wake when bladder is full
·
Treat constipation
·
Give your child a piece of jaggery (20 gm) early in the morning. After
an hour let he /she have ½ teaspoon of celery seeds (ajwain) with pinch of rock
salt. Repeat this once a week for 4 weeks. This helps in deworming child. If
child has bedwetting problem due to worm infestation then it should relieve
from this problem.
·
One teaspoon of black sesame twice daily.
·
Make a combination of amla powder and ashwagandha powder in egual
amount. Give once teaspoon of this powdered mixture daily till problem is not
cured.
·
1 pinch (100 mg) of turmeric and 2 pinch (200 mg) of amla (gooseberry)
powder taken together and administrated along with honey twice a day.
MEDICATION
If these remedies
don't help then medication can be used. There are three main medication used to
treat bed wetting as described below:-
·
Desmopressin: It is a synthetic
version of hormone regulates the urine production called Vasopressin. It
provides short term relief from bed wetting.
·
Anticholinergics: Another option is used a
combination of desmopressin and an anticholinergic named oxybutin. It works by
relaxing bladder muscles that help to improve its capacity and reduce the urge
to pass the urine during night.
·
Imipramine: If above medication doesn't
work then imipramine may be recommended. It also relaxes the bladder muscles.
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