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Bedwetting (nocturnal enuresis)

Enuresis nocturna · Noční pomočování (enuréza)

What it is

Wetting the bed beyond the age of 5 — common, inherited and outgrown; the bladder is small at night, sleep is deep, or the night hormone that concentrates urine runs low.

Symptoms & signs

  • Wet beds at night
  • deep sleep, hard to wake
  • daytime urgency in some
  • embarrassment and low self-esteem

🚩 Get help if…

  • see a doctor soon Great thirst and passing lots of urine, or weight loss
  • see a doctor soon Wet by day, or a weak or dribbling stream
  • see a doctor soon Dry for 6 months, then wetting again
  • see a doctor soon Pain or burning on passing urine

Where it strikes

Medical treatment

  • Reassurance, and ruling out constipation, infection and diabetes
  • enuresis alarm (the best lasting cure)
  • desmopressin at night
  • treat constipation

Natural & lifestyle

  • Plenty to drink by day, less in the evening
  • toilet before bed
  • rewards, never punishment

Emerging & experimental

  • Anticholinergic plus desmopressin
  • nerve stimulation (TENS)

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Chiropractic — small trials disagree mixed evidence
  • Acupuncture — small trials help some early / small studies
  • Hypnotherapy — small studies early / small studies
  • Cinnamon or cherry juice — anecdotal anecdotal / traditional

ICD codes