why do some adults still wet the bed
Bedwetting (also known as sleep enuresis and urinary incontinence) is a fairly common condition in young children and is seen as a sign of an immature, developing bladder. It is estimated that 15% of children over three, and 10% over five wet the bed occasionally. In fact, most doctors don't consider bedwetting in children to be a sign of a problem unless the child is older than seven years old, or the child has begun wetting the bed again after six months of maintaining overnight bladder control. However, when adults wet the bed it is often an indication of an underlying illness, disease, or a symptom of other untreated medical conditions. For adults, wetting the bed can not only be a devastatingly embarrassing condition, but it is often a sign of other medical troubles. If you're an adult who frequently wets the bed, it's a good idea to discuss your symptoms with your primary care provider to find the root cause of your problem. Here is a list of common causes of sleep enuresis. Genetics. One of the first places to look for causes of urinary incontinence is whether there is a family history of bedwetting.
Stress, anxiety, fear, and other psychological issues
Discovering the cause of bedwetting can be tricky as it is often an underlying cause of another medical condition. When seeking treatment for your nocturnal enuresis you can expect one or more of the following routine tests To help your doctor better determine the causes of your troubles, it's recommended that you keep track of important bedwetting information such as: Types of fluids ingested and whether they contain caffeine or alcohol. Make urinating a routine. Set a schedule to make sure to urinate every one to two hours during the day In many cases controlling nocturnal urinary incontinence comes down to treating underlying medical conditions. However, there are some prescribed medications that have been shown to help. Bedwetting is often a symptom of sleep apnea in children, but bedwetting in adults is much less common. However, there is a small number of adults ( ) that begin to experience sleep enuresis as their sleep apnea symptoms worsen.
For these patients, symptoms of bedwetting often resolves once introduced to treat sleep apnea. For those living in Alaska and experiencing urinary incontinence that may be associated with worsening sleep apnea symptoms, contact the Alaska Sleep Clinic for a free 10-minute phone consultation with one of our sleep specialists to see if a may be right for you. Although bed-wetting is fairly common in children, who usually grow out of it, it's much less common in adults. That said, doctors from the Mayo Clinic estimated in a paper published nine years ago that as many as 1. 5 to 3 percent of the adult population had ''persistent nocturnal enuresis," or chronic nighttime bed-wetting. An adult who wets the bed only occasionally and has no other voiding problems is unlikely to have anything seriously wrong with his or her urinary tract, said Dr. Dianne Sacco, a urologist at Massachusetts General Hospital. Occasional bed-wetting often occurs at a time of ''excessive emotional stress," she added.
If the problem becomes persistent or the person has voiding problems during the day, too, it's wise to see a doctor. The potential causes of bed-wetting, in kids and adults, are many. Some researchers think it's a psychological problem. Others note that bed-wetting runs in families, suggesting a genetic trigger. Still others believe it's caused by sleeping too deeply, especially in children, or by reduced bladder capacity, urinary tract infections, neurological abnormalities (in which nerves to the bladder fire too often), or a decrease in the secretion of so-called anti-diuretic hormone, which regulates the amount of urine made. In older adults, other conditions may also trigger bed-wetting, including congestive heart failure and sleep apnea. If you have a bed-wetting problem, try training yourself to wake up with a bed-wetting alarm, available on the Internet. You can also try drugs such as Tofranil, DDAVP or Ditropan, Detrol, Vesicare, Sanctura, or Enablex. But bed-wetting may recur if the drugs are stopped. E-mail health questions to.
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