Urinary Incontinence in Children (cont.)

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What causes nighttime incontinence in children?

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Any number of normal and abnormal things can cause nocturnal enuresis in children. Boys are more commonly affected than girls. Most young children who suffer from bedwetting are physically and emotionally normal. Although the exact cause is unknown, the bedwetting is believed to be the result of a number of nonorganic factors, including developmental issues, overproduction of urine, and an inability to respond to the normal physiological signals associated with bladder distension while asleep. Since bedwetting does run in families, experts believe there is a genetic disposition as well and if a parent experienced nocturnal enuresis as a child, there is a 45% risk that their child will also suffer from bedwetting. In addition to nonorganic causes, there are also some less common organic causes including infection, anatomic abnormalities, neurologic abnormalities, and endocrine abnormalities such as diabetes mellitus.

What causes daytime incontinence in children?

Common causes of daytime wetting include voluntary holding of urine, urinary tract infection, constipation, and wetting with giggling. Girls are more commonly affected than boys. Less common causes include more serious issues such as neurological causes (neurogenic bladder), urinary tract anatomic abnormalities, and diabetes. Voluntary holding of urine is the most common cause of daytime wetting in young children. This is often observed in 3- to 5-year-olds who don't want to take the time to use the toilet. They are just too busy to take a break and will often fidget, squirm, and hold on to their perineal areas. Most children grow out of this on their own as they get older.


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Urinary Incontinence in Children - Nighttime Question: Please discuss your child's symptoms of and experience with nighttime incontinence.
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Urinary Incontinence in Children - Treatment Question: What kinds of treatment, therapy, or medication did your child have for his/her urinary incontinence?
Urinary Incontinence in Children - Coping and Prognosis Question: Did you or your child have urinary incontinence? Please share tips for coping or dealing with the problem.

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