bedwetting

Bedwetting

What is bedwetting? Enuresis refers to the inability to control urination even after the age of three, resulting in leakage. While it can occur during the daytime as well, it is mostly observed only during nighttime sleep. Bedwetting is considered a pathological condition in which a child is unable to properly store urine during sleep and then urinate after waking. Bedwetting at least once a month after the age of five is considered bedwetting. The causes of bedwetting are complex, involving physiological functions, constitution, psychological, and environmental factors. Bedwetting can occur without the child's awareness. Never get angry at the child for what has happened, but be patient and wait for them to grow out of it. Bedwetting occurs in approximately 10-15% of five-year-olds and 7% of ten-year-olds, with boys being two to three times more likely at all ages. There are two types of bedwetting: primary, which occurs from infancy, and secondary, which occurs after a period of absence but then recurs due to some trigger. Most cases are primary.

When to see a doctor if you experience urinary incontinence during sleep at night

Supervised by: Bedwetting Refreshing Committee (partially modified)

As a guideline for when to see a doctor, if your child is 8 years old or older, it is recommended that you see a doctor regardless of the frequency of bedwetting. If your child is younger than that and the frequency is high, please consult your local doctor first. In many cases, not only bedwetting but also daytime leakage of urine or feces can be cured by reviewing lifestyle habits such as limiting fluid intake and setting urination times, but if there is no improvement, we recommend seeing a doctor even if you are young.

classification

Nocturnal enuresis is classified into three types:

1. Massive enuresis: Large amounts of urine are produced overnight and the bladder has sufficient capacity.
2. Bladder type: Nocturnal urine output is low, concentrating ability is normal, but bladder capacity is low.
3. Mixed type: A combination of 1 and 2

Our treatment policy

treatment

The three principles for dealing with bedwetting children are: don't panic, don't get angry, and don't wake them up.

Treatment consists of lifestyle guidance, medication, and alarm therapy. At the first visit, urine tests, abdominal ultrasound, urinary flow measurements, and blood tests are performed to check for any complications other than bedwetting. X-rays, cystography, and other tests may also be performed. During the first visit, a nurse will interview you and review your lifestyle habits to provide guidance on reducing bedwetting. You will be asked to keep a bedwetting diary, and after approximately one month, you will return to the outpatient clinic to see how well you did. Depending on your child's symptoms, we will then select follow-up, medication, or alarm therapy. Our department operates by appointment only. Please be referred by a local doctor or call us.

Progress

More than 4,000 children with bedwetting have visited our department to date, and almost all of those who have continued treatment have been cured. Some are cured quickly, while others take longer, but the average period of treatment is about one and a half years.

Public relations and publications

• [Roundtable Discussion] Primary care for bedwetting
  The July 2009 issue of "Pediatric Clinical" featured an article entitled "Panel discussion: Treating bedwetting as primary care," which included comments from Dr. Atsuko Haneda, head of the pediatrics department at our hospital.
• Featured in the newspaper Medical Renaissance Bedwetting <3> Use an alarm to train your bladder March 7, 2016
• My child can't stop wetting the bed. Ask a popular specialist for solutions
• Worried about your child's persistent bedwetting? 3 causes and solutions

Related Sites

• No More Bedwetting! Project Committee
• Say goodbye to bedwetting! Project For children and families suffering from bedwetting

This website provides accurate information about bedwetting and its treatment to patients and their families. Dr. Atsuko Haneda, head of the pediatrics department at our hospital, also serves as an executive committee member.

First consultation for bedwetting and daytime urinary incontinence

About reservations

• Appointments for bedwetting and daytime urinary incontinence are accepted for children aged 5 and over.
• Reservations are required.
• Appointments are accepted for morning outpatient appointments from 9:30 AM to 11:00 AM, and afternoon outpatient appointments from 1:30 PM to 3:00 PM.
• If you have an overnight event coming up, please make your appointment at least four months in advance.
• To make a reservation, please call the 2nd floor B Block office reception at 06-6312-8827.

Outpatient charge table

Pre-inspection

• If you are 7 years old or older, please arrive one hour before your appointment as there will be a pre-screening.
• For children aged 5-6, there is no pre-examination, so please arrive 30 minutes before your appointment. (Examinations will be conducted as needed after the consultation.)

For patients who have difficulty visiting the hospital

For patients who have difficulty visiting the clinic due to reasons such as not wanting their child to miss school or living far away, we offer home training.

• Read the book and understandA guide to bedwetting and wetting that you can do at home(Author: Dr. Atsuko Haneda)
• Check for bedwetting with your smartphone

If this does not improve your condition, please come to the outpatient clinic.