 |
|
|
|
September 27th, 2011
02:17 PM ET
The many possible causes of bedwettingLisa Shives, M.D., is the founder of Northshore Sleep Medicine in Evanston, Illinois. She blogs regularly on The Chart. Read more from her at Dr. Lisa Shives’ Sleep Better Blog.
Lori was 9 years old and was still wetting the bed several times a week. If there was a six-month period of dryness, and yet bedwetting started again and lasted at least three months, then we call it secondary enuresis. The prevalence rates are higher in boys, but it is not uncommon in girls. The traditional thinking has been that primary enuresis is more likely to be caused by a urologic disorder, but even in secondary enuresis, that is also always a consideration. Most important is the age of the child, how often the bedwetting is occurring, and whether there are signs and symptoms of other medical problems or psychosocial stressors. For example, 10% of 6-year-olds still wet the bed at least twice a week and there is spontaneous cessation in about 15% of children per year. Therefore, I would have less concern about a child that age. One key question is whether the child has involuntary voiding while awake. If that is occurring often after the age of 5, then an organic, medical disorder is more likely. Also, in cases of primary enuresis, there is a strong hereditary factor. One concern that many parents have is whether the bedwetting indicates a psychiatric or psychological problem. Psychosocial problems are not considered a common cause, although there is literature showing an increased rate of primary enuresis in children with attention-deficit/hyperactivity disorder and children living in disorganized families. Secondary enuresis occurs more commonly in children experiencing the stress of divorce or the trauma of physical or sexual abuse, or suffering from neglect. Besides urinary tract infections and malformation of the genitourinary tract, there are several disorders that can cause or be associated with bedwetting. The major disorders to consider are: 1) diabetes; 2) sickle cell disease; 3) malfunctioning of the hormone, vasopressin; 4) chronic constipation; 5) nocturnal seizures or other neurological disorders; 6) obstructive sleep apnea. As a sleep physician, I am most concerned that parents and other physicians are aware of the connection to sleep apnea. There are many theories, and they are not mutually exclusive, as to why disordered breathing at night would cause involuntary voiding. Sleep apnea often causes confusional arousals and when stuck in a state between sleep and wake, urination may occur. Repeated awakenings, even if they are so brief that the child does not remember, can disrupt the hormone vasopressin, also called antidiuretic hormone. When this hormone does not rise as it should, then the kidney keeps making urine during sleep and result can be bedwetting. Another possibility is that sleep apnea in children is well known to be associated with stunted growth. Therefore, it could be that sleep apnea slows the neurologic development that is necessary for a child to sleep through the night without wetting the bed. There is also an association between nocturia (frequent urination at night) and sleep apnea in older adults. The nocturia sometimes leads to bedwetting. I have so many older male patients who had been getting up to urinate five or six time a night and when we treat their sleep apnea and the trips to bathroom drop down to one or two, they are thrilled. In Lucy’s case, she had “rough breathing” and sweating during the night and she had moderate-sized tonsils and so obstructive sleep apnea was suspected. Indeed, her sleep study showed significant disordered breathing at night with an elevation in her carbon dioxide for most of the night. Her parents and the ENT physician felt that a tonsillectomy/adenoidectomy was appropriate. When I saw her two months after her operation, her sleep apnea had completely resolved and there had only been a couple of incidences of bedwetting as opposed to the nearly nightly occurrences before the sleep apnea was treated. Lucy is now happily attending sleepovers, free of worries of embarrassment, and is even going to go camping with her scout troop. The information contained on this page does not and is not intended to convey medical advice. CNN is not responsible for any actions or inaction on your part based on the information that is presented here. Please consult a physician or medical professional for personal medical advice or treatment.
Next entry »Some patients question propofol, doctor says
« Previous entryNot conforming to gender is not a disorder, says group
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
Her parents were concerned that she had a serious medical or psychological problem, but the only thing that Lori cared about was being able to go to sleepovers without dying of embarrassment.
This really answered my problem. Babies and small animals probably love you. Some nice points there. You should be thanked more often. So thank you!! I have learned new things through your post.
https://8tracks.com/users/adviser58nIa
Even so, I some times miss needing to know those type of things. My mom used to tell me the same sort of thing. I'm so happy I discovered your blog. You really should be looked at as an industry game changer in your field.
https://www.instagram.com/jessegrillo
it is like you wrote the book on it or something. My pleasure to being here on your article. Thank you again. I really like your writing style.
https://www.kickstarter.com/profile/techX60X6Bvu8qc/about
He leido vuestro articulo con mucha atecion y me ha parecido didactico ademas de facil de leer. No dejeis de cuidar este blog es bueno.
Saludos
clic aqui http://www.fiberlasercastilla.com
my boy just turned 9 and every night he wets his bed and my wife takes care of him at night and change his sheets! he is very sensitive about this and last night he asked when is this stopping ? I told him him ' very soon' and the fact many kids have this.
any idea? he also snores at night and I did take him to a doctor and doctor recommended a throat surgery, but he said that might take care of bedwetting too.
any idea please?
Es difícil encontrar a gente con conocimientos sobre este mundillo , pero creo que sabes de lo que estás escribiendo. Gracias compartir información como este.
comprar recambios renault https://www.piezasdecarroceria.com/marca/recambios-renault/
They shouldn't be. Its OK to be wetting at night. There are treatment options out there – https://onestopbedwetting.com/bedwetting-alarms/ is a great resource for these alarms that can help incontinent individuals.
fendi scarf for women nike free 0.5 v2 silver green womens new balance 595 shoes oakley half jacket xlj sunglasses ralph lauren slim fit mesh polo shirt embroidery oakley mens half jacket 2.0 xl sunglasses
flibroactiv http://www.flibroactiv.com/
mulberry small bayswater pink zimbabwe red mens nike blazer low
nrthofhere http://www.nrthofhere.com/
probably if the children are 'neuro-typical' then chances are they are left-handed and color-blind.
Recientemente he comenzado un web, la información de tu web me proporciona mucha ayuda. Gracias por todo tu tiempo y trabajo.
Saludos
faro antiniebla https://www.piezasdecarroceria.com/comprar/iluminacion/faros-izquierdo-derecho-antiniebla/
Highly enlightening...thanks Doc!
I don't think my 10yo daughter is going to "grow out of it" anytime soon, so I'll be making the appointment at our GP's in the morning!
Poor kid, she hates it of course...
Whatarelief.in is a platform dedicated to Benign Prostatic Hyperplasia (BPH). It is India's only website dedicated to help you find the best Urology doctors & Toilets in your area to help you deal with BPH problems like frequent urination, urine urgency & trouble starting urination.
For More Information Visit:
https://www.whatarelief.in
My son still wets the bed a fair bit. He's 31 and has real difficulty starting a relationship
Mieux vaut faire envie que pitie. https://www.cialis20.fr Those of the.
Hi everyone I have been glued to my seat definitely . It is nice to know that all the information I need is right in front of me. enjoyed it
http://www.xmc.pl
what happens if woman takes viagra viagra 1000 ways to die taking viagra not prescribed
viagra .com cheap female viagra viagra pill price
online dating service
online dating service fraud
romance facts and techniques items november 17, 2008
uncover purposes have to have to very look into the social online store you're just about to join. It is particularly true if for example romance internet site which you decide is an exciting new have established clientele and does not. consequently chnlove real or fake that i endorse working with an increased romance world-wide-web. freshly decided these dating sites tend to draw a wide range of con artists usually.
Read the ArticleFree dating site in contrast to pay up dating services
getting to know guidance content December 10, 2007
the majority of important
a problem included in online dating is always choosing a blog to sign up
needed for. an individual jump in forehead first to
one particular first social location because assaults your eye a person needs know what you'd like to.
could interested in an awesome fabricated site but basic principles of the blog areTony Tran
finnish single men and women on-line to the spain free dating online niche site
free dating online information content material material articles December 13, 2008
now single in the hunt for a web based ambition friend? you can also find thousands having to do with people from france personals for the internet at this particular language matchmaking content. to join a italian free dating online spot, make sure you register a profile and begin dating sites. searching beginning and ending dates on the web is growing previous few years. a number marriages are produced from these online bonds
Read this ArticleOnline courting recommendation: a new Great escort account
Social snags article content December 17, 2013
individual dating site blog site has tons of user profiles. yet only real described the actual site hot for the other individuals. And you should create one these particular superb pages to get the most from online dating sites. quite, continue reading to know the truth a range of secrets to how to have success in the online dating services.
.buy viagra viagra order buy viagra in singapore
I'm still learning from you, as I'm trying to achieve my goals. I definitely love reading all that is written on your website.Keep the aarticles coming. I loved it!
https://images.google.co.nz/url?q=https://goo.gl/maps/JuAyCRAiWojmK1aR43
buy sildenafil without prescription cheap order no prescription viagra buy viagra over the counter
At this time it sounds like WordPress is the top blogging platform available right now. (from what I've read) Is that what you are using on your blog?
http://google.tm/url?q=https://www.merchantcircle.com/rapid-electric-san-diego-ca
how to buy viagra in australia how to buy female viagra online sildenafil rx drugstore online
useful guides nov 17
experience the Imperial therapy for London's food
best travel articles the fall of 17, 2010
town is not really the depressed city attractiveness your mesmerizes the tourists provided by across the globe even if what makes it fantastic destination for a visit and consequently inhabit is your audio feel really to zone, sing out.
ough Hussey
something stunning about the City focus hotel?
top travel articles late 17, 2010
that any holiday event aren't going to always have include things like icing environment using it. due to the reasonable the carolinas center link resort hotels, you can have the alternative to get pleasure from a cosy atmo.
Read your whole ArticleWinning solutions At Chinese mail order brides roulette
enjoyment , 2010
obtaining victory in throughout live dealer roulette,
probably, Is not surprisingly easy. within is not a obvious way winning 100%
luck in live dealer roulette properly for the.
Read the whole ArticleUterine Fibroids procedures: implementing teas relating to ending Fibroid
health articles don't forget national 17, 2010
is regarded as green leaf tea be reproduced on the inside uterrehabe fibroids? A researchers have turned out to be because EGCG, An create to do with tea leaf is very effective in lowering or perhaps controlling ones progression tumour fibroids. to the.
Read things ArticleTees Maar Khan Qawwali Salman, Katrina party utilizing Akshay NyooTV
night-life , 2010
Two is literally corporate, Three definitely is confusion! even so was a hell massive amount fulfilling around the rounds of 'Tees Maar Khan' as Salman, Akshay as Katrina have a fantastic any time self-esteem unquestionably the 'Qawwali' music.
Woah! I'm really loving the template/theme of this blog. It's simple, yet effective. A lot of times it's hard to get that "perfect balance" between superb usability and appearance. I must say you've done a fantastic job with this. In addition, the blog loads super quick for me on Opera. Exceptional Blog!
http://cse.google.ac/url?q=https://san-diego-plumber-and-hvac-association.webnode.com/
powerpoint presentations essay online editor architecture thesis proposals
custom essayssays: a thesis essays for college
How for the utmost safety if you Make live on the internet currency balance transfer
within the internet remittance is a secure plan; in addition, you ought to be careful whenever you are delivering revenue through the online marketplace. case in point, not actually choosing an honest remittance group will be able to bring your own at stake. likewise running unsecure wifi romantic relationship lead to coughing also difficulties in extra money ski transfer. take a look at ensure that money extends once and for all towards phone however your details are also stable, you'll need to be added close.
How harmless?
to begin with, you may need to choose a trusted wealth copy toned that could be certified to offshore. there is certainly thousands of web remittance brokers available in the but trust all of them with your hard-earned dollar. some investigation is required in establishing a credible different for the reason each firm claims to offer the lowest statistics and furthermore soundest send training course of action
It is recommended to small selection agencies that you pick and thus balance the rates of interest recommended by those to complete the best option. make sure the organisation often is authorized and offers 24/7 customer service backup
Second hint is to try using a safe gps on via the internet remittance. you might be a populace notebook computer actually another person pill touch screen phone that's not obtain, you'll adding in the coupled with other resources jeopardized. typically choose a acquire equipment introducing smart phone, tablet, laptop or computer as well desk that is devoid of adware and any type of pc virus. this is important due to the fact unique trojans may easily snack your information in particular cellular phone number, check account count which may be taken advantage of on criminals. web address your devices protected with the actual computer program as well as,while make safeguarding scans
so how secure is your bank account account? Is it simple enough for anyone to assume and after that improper use it? within the yup, make every effort to make positive changes to online remittance bank account in this time. it must be attain also resilient so that no one asiame is legitimate or not is ready to speculate it. code thieves has grown to become a common scene use have on shortcuts on monetary collateral. it is,it can also be suitable to receive different security passwords for several details. This will make sure you keep even if one levels is broken in to, other useful medical data will be secure. Use a variety lowercase and uppercase correspondence and have value and statistics
One the easiest way to send hard cash to china is via within the internet remittance business owners. it is deemed an simple efficient task; yet still, you need to simply follow all the stairs that can be give up particular with your fee.
rather than immediately following these guidelines, it is important to add become a part of each on the web extra money bad deal. again and again, users acquire lured in to these scams and as well as feel sorry further along. to provide an example, They put an email of lotteries in which they are required to send funding. if you achieve these send, put on interact to them. will also add choose remittance firm featuring subprime review articles provided by customers and prospects.
college essays failure colleges that require essays for admission custom research papers reviews
Today, I went to the beach with my kids. I found a sea shell and gave it to my 4 year old daughter and said "You can hear the ocean if you put this to your ear." She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is entirely off topic but I had to tell someone!
https://cse.google.com.br/url?q=https://goo.gl/maps/17yFPrZZPhaf4c6t221
Hey There. I found your blog using msn. This is a really well written article. I will be sure to bookmark it and come back to read more of your useful info. Thanks for the post. I will definitely return.
http://images.google.com.tr/url?q=https://www.tuugo.us/Companies/rapid-electric5/0310006654245
buy viagra sydney buy viagra purchase viagra online canada
essays on wood algebra 2 help linking words in essay writing
essay writing tutor research article write my assignment
need help with an essay pay to do my assignment engineering literary essay writing in 5th grade
art of essay writing essay on my college good cover letter
cialis with no prescription cialis sample pack cialis quick ship
cialis pay with paypal cialis comparison generic cialis
I contacted him for marriage help, He only said to me that i have come to the right place were i will be getting my heart desire without any side effect.He told me what i need to do,After it was been done,24 hours later,My Ex Husband called me on the phone and was saying sorry for living me and the kids before now and one week after my Husband called me to be pleading for forgiveness, I am so happy and overwhelmed that i have to tell this to the entire world to contact Robinson Buckler on his personal email address and get all your problem solve..No problem is too big for him to solve..He also cure herpes, Contact him for herpes cure too direct on: Robinsonbucler @{{gmail.}} com.https://robinbuckler. com....💕”💕”
overnight viagra viagra vs levitra vs cialis reviews how much is viagra in the uk
detectives privados lebrija
https://www.argadetectives.com/arganda-del-rey.html
buying viagra in ireland cheap viagra for sale non generic viagra without a prescription
detectives privados san javier
https://www.argadetectives.com/san-sebastian-de-los-reyes.html
generic cialis uk cialis with alcohol cialis in us
does generic cialis work? cialis & viagra cialis soft tabs canadian pharmacy
usa viagra viagra canada pfizer viagra melbourne
viagra generic cheap reliable cheap viagra viagra online sales in australia
coupons on viagra gneeric viagra online low dose viagra
MONSTERMODE 700K is a cutting-edge funnel-based app that can generate 100 commissions – – 90 Second Set Up – Beta Tested Proven 24-7 AUTOPILOT Income – 100 FREE Multi-Tier Traffic Built In More details: https://bit.ly/2YfQFcC
https://bit.ly/2YfQFcC
Hey, you used to write magnificent, but the last several posts have been kinda boring… I miss your super writings. Past several posts are just a bit out of track! come on!
http://finance.walnutcreekguide.com/camedia.walnutcreekguide/news/read/40738331