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Bedwetting (Nocturnal enuresis)

Bedwetting could affect the self-esteem of your children and need to be treated.

Bedwetting is a common condition that can cause substantial psychological distress and negative effects on emotional development and social relations building in children with the condition.

 

 

If bedwetting continues after 5 years old, it could be diagnosed with Nocturnal enuresis.

If a child reaches 3 years old, bedwetting should be stopped. But if the symptoms below are continued after 3 years old, it could be nocturnal enuresis. The symptoms will not disappear by itself. It needs to be treated.

  • The bedwetting frequency of my child, who is over 5 years old, is more than twice per month.
  • The bedwetting frequency was 3~6 times in the last three months.
  • The bedwetting frequency has significantly increased after the recent changes, such as having his/her siblings or starting to go to kindergarten.
  • My child still wets the bed after age 6 more than once per month.
  • My child did not recognize his/her bedwetting last night.

*If one of the symptoms lasts more than 3 months, consult with us.

 

The following factors cause bedwetting

  • Organic causes: A physical problem in the urinary tract causes the symptoms./Increased amount of urination due to diabetes, diabetes insipidus, diuretic medicine usage/ chronic obstructive uropathy/ chronic renal failure/ kidney problems.
  • Functional causes: Reduced volume of the urinary bladder, genetic predisposition, arousal disorder, stress, delayed development in the nervous system, allergic reactions, changes in antidiuretic hormone, improper pee training, and physical tiredness.
  • Asian medicinal point of view for causes: Weak functions of the kidneys, weak functions of the lungs, and heat cumulated in the liver and heart due to circulatory disturbances are the causes of bedwetting.

 

Research that confirms the efficacy of acupuncture treatment for the symptom.

Research that confirms the efficacy of acupuncture treatment for the symptom.

“After treatment, diurnal urinary symptoms, such as increased frequency of urination, urgency, and incontinence, were dramatically improved. And the number of wet nights decreased with nocturia and delayed wetting time. Compared to pre-treatment findings, wet nights decreased by 80% or more.”

Three cases report about enuretic children treated with electro-acupuncture on Zhongji(CV3), Guanyuan(CV4), oh, Jooyoung, Kim, Jang-Hyun, , J Pediatr Korean Med. 2005;19(1):103-115

“Acupuncture treatment of bedwetting has confirmed its efficacy.”

 

Acupuncture Efficacy in the Treatment of Persistent Primary Nocturnal Enuresis, AJNT 2013 Sep;6(3):173-6, pp. 173-6

 

Lifestyle management

Bedwetting is managed by considering psychological factors and pee training to expect the best treatment effects. Therefore, it is critically required that family members provide emotional support and training to help a child who has the symptoms.

  • Pee training: Do not put diapers on a child to go to bed at night. Practice your child peeing in the restroom after completely waking up. Ask your child to hold peeing while lying down for one minute whenever the child wants to pee.
  • Thing to avoid: Any drinks or food that contain diuretic effects, such as caffeine, should not be served. Do not let your child drink water at least two hours before sleeping at night.
  • Improving your child’s self-esteem: Do not scold the child as you find he/she wet the bed. When your child wet the bed, check and count the bedwetting number on the calendar. If your child is old enough to wash their clothes and bedding, ask the child to do the laundry to clean his/her clothes and bedding.