Bed Wetting with Homeopathy (Enuresis)
It is also known as Enuresis.
Nocturnal enuresis of children may be simply a delay in the establishment of voluntary control over the act of micturition.
Drynight-Bedwetting facts stats Although wetting is normal in infants and children in the first 12 months, about 13% of 6-year-olds and 5% of 10-year-olds wet the bed. Most girls can stay dry by age six and most boys stay dry by age seven Any child having reached the age of 8 years and not having gained full nocturnal control must be subjected to complete investigations. The child itself only is not responsible as considered by the parents since it is beyond his control and if the case is taken up properly and all etiological factors are taken into consideration the child can be cured.
- A small bladder- Your child’s bladder may not be developed enough to hold urine produced during the night.
- Inability to recognize a full bladder- If the nerves that control the bladder are slow to mature, a full bladder may not wake your child — especially if your child is a deep sleeper.
- A hormone imbalance- During childhood, some kids don’t produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
- Urinary tract infection- This infection can make it difficult for your child to control urination. Signs and symptoms may include bed-wetting, daytime accidents, frequent urination, red or pink urine, and pain during urination.
- Sleep apnea- Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child’s breathing is interrupted during sleep — often due to inflamed or enlarged tonsils or adenoids. Other signs and symptoms may include snoring and daytime drowsiness.
- For a child who’s usually dry at night, bed-wetting may be the first sign of diabetes. Other signs and symptoms may include passing large amounts of urine at once, increased thirst, fatigue and weight loss in spite of a good appetite.
- Chronic constipation- The same muscles are used to control urine and stool elimination. When constipation is long term, these muscles can become dysfunctional and contribute to bed-wetting at night.
- A structural problem in the urinary tract or nervous system- Rarely, bed-wetting is related to a defect in the child’s neurological system or urinary system.
Bed-wetting can affect anyone, but it’s twice as common in boys as in girls. Several factors have been associated with an increased risk of bed-wetting, including:
- Stress and anxiety- Stressful events — such as becoming a big brother or sister, starting a new school, or sleeping away from home — may trigger bed-wetting.
- Family history- If one or both of a child’s parents wet the bed as children, their child has a significant chance of wetting the bed, too.
- Attention-deficit/hyperactivity disorder (ADHD)- Bed-wetting is more common in children who have ADHD
Enuresis is defined as intermittent urinary incontinence during sleep in a child at least five years of age.
- Approximately 5% to 10% of all seven-year-olds have enuresis, and an estimated 5 to 7 million children in the United States have enuresis.
- The pathophysiology of primary nocturnal enuresis involves the inability to awaken from sleep in response to a full bladder, coupled with excessive nighttime urine production or a decreased functional capacity of the bladder.
- Initial evaluation should include a history, physical examination, and urinalysis.
- Several conditions, such as constipation, obstructive sleep apnea, diabetes mellitus, diabetes insipidus, chronic kidney disease, and psychiatric disorders, are associated with enuresis.
- If identified, these conditions should be evaluated and treated.
There are 2 types of enuresis (Bed wetting) .
- Primary, in which the child has never been dry at night.
- Secondary, in which the child is dry for a period of months or years and then begins to wet the bed.
Primary Enuresis
Primary enuresis has an organic basis and common causes are
- Delay in maturation of the relevant part of the nervous system.
- Some children acquire control the bladder late.
- Organic causes of Bed wetting:
- In Boys
- Defect in urethral valve.
- Adherent / elongated prepuce
- Phimosis
- In Girls
- Ectopic ureters, which may open in urethral part of vagina. Suspected when the child is able to pass urine normally but dribbles day and night.
- Hooded clitoris.
- In Boys
- Psychological cause of Bed wetting :
- Over enthusiasm on the part of parents regarding the child’s toilet training leads to undue anxiety and enuresis.
- Yelling or spanking the child about his ill-performance or ridiculing him especially in the presence of others has a negative effect on his toilet training.
Secondary Enuresis
Common causes are
Psychological causes
- Worry at home or school has reflex irritation of the bladder resulting in enuresis.
- A move to school to school.
- A move to house to house
- Epilepsy
- Chorea is an exciting cause
Composition of urine
- High acidity of urine.
- Presence of uric acid crystals.
Skin diseases
- Erythema
- Pruritis
Diet
- Liberal indulgence in saccharine food
- Liberal use of articles rich in sugar or fatty articles
- Lightly use of fruit rich in sugar
- Drinking of too much coffee
Worms
Traumatic
- After circumcision operation
- Catheterization
- These are usually self apparent;
- some children will sleep right through the night and still wet the bed while asleep while others will wake up and then wet the bed.
- There may be symptoms of itching in genitals or anus in some children.
- The physical examination should focus on identifying causes of secondary (non monosymptomatic) enuresis because findings are typically normal in primary enuresis.
- Genital and rectal examinations can help identify genitourinary malformations or constipation. These examinations may be considered if acceptable to the child and family, and if there are concerns for secondary enuresis.
- Neurologic examination should include inspection of the lumbosacral spine for signs of occult abnormalities (e.g., dimple, lipoma, hypertrichosis, sacral agenesis), or signs of spinal cord dysfunction, such as tight heel cords, or hammer or claw toes.
- There should also be an assessment of posturing through stressed gait or mirrored movements to evaluate for central nervous system abnormalities.
- Physical exam. Discussion of symptoms, fluid intake, family history, bowel and bladder habits, and problems associated with bed-wetting.
- Urine tests to check for signs of an infection or diabetes.
- X-rays or other imaging tests of the kidneys or bladder to look at the structure of the urinary tract.
A detailed history along with thorough examination is essential to diagnose the case. All extrinsic causes having been excluded, a full urological investigation will be preferred i.e.:
- Sex: Clinical examination of the external genitals of to rule out any organic defect.
- Urine: Chemical and bacteriological examination of twenty four hours specimen of urine to determine any change in composition of urine or any sediment exerted in the urine
- Stool: Examination for worms, some times repeated tests are required as worms are not detected in 1st and 2 nd stool specimen examination.
- Congenital Malformation: Attention should be paid to find any congenital malformation, folds or flaps of mucus membranes in the urethra, narrowing of the bladder neck etc,
- Psychological Investigation: In whom the most searching investigations fail to reveal any abnormality, they will usually be of a highly nervous disposition; Specifically here a homoeopath will play a role of physician, diagnostician and psychologist as well.
- Urinary tract infections
- Diabetes
- Sickle cell disease
- Sleep apnea
- Neurological problems
- Kidney or bladder abnormalities
- Reduce evening fluid intake- Do not give your child anything to drink in the two hours before bedtime, especially drinks such as tea or sodas that contain caffeine.
- Have your child go to the bathroom before getting into bed.
- Set a goal for your child of getting up at night to use the toilet- Instead of focusing on making it through the night dry, help your child understand that it is more important to wake up every night to use the toilet.
- Make sure the child has easy access to the toilet- Clear the path from their bed to the toilet and install night-lights. Provide a portable toilet if necessary.
- Reward your child for remaining dry- A system of sticker charts and rewards works for some children. The child gets a sticker on the chart for every night of remaining dry. A certain number of stickers earn a reward.
- Consider using absorbent pants at night- Some believe that you should avoid using absorbent pants at home because they can interfere with the motivation to wake up and use the toilet. Others argue that absorbent pants help the child feel more independent and confident. Talk to your child’s doctor to determine what is best for your child.
- Monitor your child’s bowel movements-Constipation can interfere with the complete and efficient emptying of the bladder. Talk to your pediatrician if your child has troubles with constipation.
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- Equisetum: Indicated for bed wetting with a weak bladder, especially during the first part of the night.
- Kreosotum: Useful for involuntary urination during sleep, especially in girls who also experience vaginal irritation.
- Sepia: Recommended for bed wetting in older children with a history of bladder infections and hormonal imbalances.
- Causticum: Beneficial for bed wetting due to a weak bladder sphincter or emotional stress.
- Belladonna: Indicated for sudden, intense urges to urinate during sleep, often accompanied by fever.
- Lycopodium: Suitable for bed wetting in children with a fear of failure and low self-esteem.
Treatment Approach: Our experienced homeopathic practitioners conduct thorough consultations to understand the underlying causes and triggers of bed wetting in each individual. We then customize treatment plans incorporating the most suitable homeopathic remedies to address their specific needs effectively. Our holistic approach aims to promote overall well-being and restore balance to the body.
Benefits of Homeopathy Treating bed wetting with homeopathy :
- Natural Healing: Homeopathy offers natural remedies derived from natural sources, minimizing the risk of adverse effects.
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- Holistic Approach: Homeopathy considers the interconnectedness of physical, emotional, and mental well-being, promoting comprehensive healing.
- Long-Term Relief: By addressing the underlying imbalances, of bed wetting with homeopathy aims for sustainable improvement in bed wetting symptoms.
- Safe for All Ages: Homeopathy is safe for children and adults, making it a viable option for individuals of all ages.
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CINNAMON
- Chewing cinnamon bark daily can help to reduce bedwetting tendencies. If child refuse to chew you can fed powdered cinnamon.
AMLA
- Amla is high in vitamin C and antioxidants. It not only helps to build strong immunity but also prevents urinary and intestinal infections.
- It is helpful to control sudden urination while sleeping. Mix amla powder in warm water and sprinkle 2 pinch black pepper powder in it.
- This herbal remedy can slowly cure bedwetting tendency in kids.
OLIVE OIL
- Massage the lower abdomen with warm olive oil everyday. It helps to prevent involuntary flexing of the pelvic muscles which is the main cause of bedwetting.
APPLE CIDER VINEGAR
- It is said that apple cider vinegar reduces the acidic level in stomach that irritates the bowel. Bowel irritation is one of the cause of bedwetting.
- Dilute 2 table spoon of ACV in a glass of water and give it to your kid. to make it less bitter you can add honey.
JAGGERY
- Jaggery helps to keep the body warm which may minimize the bedwetting tendency in kids. Give your kids a piece of jaggery with warm milk everyday. You can prepare any treat with jaggery too.
HIGH FIBER DIET
- In treatment of bedwetting, a healthy diet can go way long towards improvement.
Constipation
is one of the factors responsible for bedwetting. Including fiber rich foods such as whole grains, oats, nuts and seeds, legumes, vegetables and fruits in diet can help to easily flush out harmful toxins from the body and are good to prevent constipation thus stopping or controlling bedwetting.
MAGNESIUM RICH FOODS IN DIET
- According to research children deficient in magnesium might suffer from bedwetting.
- Lack of magnesium makes the nervous system less responsive. Including magnesium rich foods in a kid’s diet can help in treatment of bedwetting and can control or solve this problem. Sesame seeds, avocado, legumes, tofu bananas are some foods that are high in magnesium. (Magnesium for hormone)
- https://www.mayoclinic.org/diseases-conditions/bed-wetting/symptoms-causes/syc-20366685
- https://www.aafp.org/pubs/afp/issues/2014/1015/p560.html
- https://my.clevelandclinic.org/health/diseases/15075-bedwetting#
- https://www.mayoclinic.org/diseases-conditions/bed-wetting/diagnosis-treatment/drc-20366711
- https://www.webmd.com/sleep-disorders/overcome-bedwetting
- https://blog.iyurved.com/5-home-remedies-and-foods-to-cure-bedwetting/
What is Bed Wetting
It is also known as Enuresis. Bed wetting or enuresis refers to the involuntary passage of urine during sleep.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Bed Wetting
- Causticum
- Sabal serrulata
- Kreosotum
- Pulsatilla
- Kali brom
- Equisetum
- Nux vom
- Benzoic acid
- Cina
What are the symptoms of Bed Wetting
Self apparent
- Some children will sleep right through the night and still wet the bed
- While others will wake up and then wet the bed
- Itching in genitals or anus in some children
What are the causes of Bed Wetting
- Delay in maturation
- Defect in urethral valve.
- Adherent / elongated prepuce, Phimosis
- Ectopic ureters, Hooded clitoris
- Worry at home or school
- A move to school to school or house to house
- Epilepsy, Chorea
- High acidity of urine
- Erythema,Eczema, Pruritis
- Liberal indulgence in saccharine food
- Drinking of too much coffee
- Worms
- Catheterization
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