Night time Incontinence (Nocturnal enuresis)
At around four or five years old, most children gain control of urine at night. However, bedwetting may still occur in 15% of children six years old. This can occur for a variety of reasons, including increased urine production while asleep, inability to store enough urine through the night and unstable bladder contractions. Bedwetting will usually subside at a rate of 10% per year as children grow towards adolescence. During this period of time, there are treatments that we can provide to help control the problem. It is best managed with a combination of behavioral changes (decreasing fluid intake later in the day, controlling for underlying constipation, and use of a “bed alarm”) in conjunctions with medications (DDAVP and/or imipramine). The good news is that patients will invariably grow out of this condition and that there is rarely a serious underlying problem.