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Turkey iHealth – subwetting, which is observed in 5-10 percent of 5-year-old children and 3-5 percent of 10-year-old children, that is, in medical parlance, enuresis nocturna is considered a social medical problem.

Enuresis nocturna disease, colloquially known as ‘bedwetting’ or ‘subwetting’ and one of the most important problems of childhood, and it can occur for 3 different reasons, Genetic, Physiological and Psychological.

What is subwetting (enuresis)?

Repeated involuntary subwetting of the child after the age of 5, when the child should reach biological maturity, where he will control his urine day and night in normal development, is called enuresis. It is more common at night. If the child wets the bottom twice a week within three months after the age of 5, this is considered a wetting problem.

There are two types of bottom wetting: In primary bottom wetting, the child continues the bottom wetting behavior until the bottom wetting behavior is considered a problem. If the child is in the secondary soaking, the child begins to wet the bottom again after it has been dry for at least more than a year. Bottom wetting problems is generally genetic.

Causes of bottom wetting

Bottom wetting behavior occurs for 3 different reasons:

– Genetic causes

It has been determined that 70% of the children’s parents also wetted their bottom during their childhood years. If both parents experienced this disorder in their childhood, this figure rises to 75%. Studies conducted on twin children also show that genetic factors are a strong reason for the occurrence of this disorder.

– Physiological causes

They are qualitative and functional problems that arise in the relevant organs depending on the development of the child. The child’s inability to receive wake-up signals related to bladder overflow due to deep sleep, the capacity of the bladder is below average, and the hormone that reduces water excretion from the kidney is not secreted enough, forcing the bladder as a result of constipation are the main physiological causes that cause it to get wet. Due to these reasons, the ingress of excess fluid into the body facilitates subwetting.

– Psychological Reasons

Secondary bottom-wetting behavior often occurs due to psychological factors. Changes in the family order and at school, such as divorce, new sibling, loss of parents, teacher change, deeply affect the child. The child has difficulty adapting to the new situation. With this strain, it may show a wetting behavior. In addition, the pressure exerted on the child, lack of love, and Decadence in getting a toilet habit can also be cited as the causes of this disorder.

How is the treatment for sub-wetting?

Wetting the bottom is a problem that can usually be fixed as a result of treatment. As a strategy during treatment in young children, actions that will discourage the child should first be avoided. Behaviors such as punishing the child, mocking him, and domestic conflict make treatment difficult. Restricting fluid intake before bedtime and taking the child to the toilet 2-3 hours after the child goes to bed can help the child spend the night dry. For older children, the child should be motivated to stop wetting his bottom.

The rewarding process can be useful in this sense. In addition, a physician-controlled program can be applied for muscle exercises aimed at bladder control. If, despite all the efforts, no success has been achieved, it may be necessary to use an alarming tool and medication without wetting the child’s bottom. The alarm system provides 75% success in the treatment of this disorder.

In recent years, it has been possible to achieve 60-70% success after 3 months of treatment with drugs that can dissolve in the tongue and have a low risk of side effects for children who get wet in bed. Despite all this, the urinary bladder (bladder) of patients who do not improve despite all this should be evaluated by pressure studies called urodynamics. If a disorder occurs as a result of this, urination training (urotherapy) and, in some cases, surgical interventions may be required.

Children who show signs of getting wet should definitely be taken to the appropriate specialists. According to their age, children can be taken to a Turkish pediatrician and a specialist in psychiatry and urology.