Treatment FAQ

what kind of doctor is best for treatment bedwetting

by Prof. Davion Mante I Published 2 years ago Updated 2 years ago
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You're likely to start by seeing your child's pediatrician. However, he or she may refer you to a doctor who specializes in urinary disorders (pediatric urologist or pediatric nephrologist).Oct 26, 2017

Common Causes

Be sure to talk to your healthcare provider about any medications prescribed and their side effects. Stress or anxiety can sometimes cause people to wet the bed. As for secondary nocturnal enuresis, there is plenty of research that suggests an underlying health issue is at the root of the bedwetting.

Related Conditions

It is an FDA-approved treatment for bed-wetting. DDAVP comes as a nasal spray or pill and is taken before bedtime. The dose is adjusted until effective. Once it is working, the dose is tapered, if possible. Side effects of DDAVP are uncommon but may include:

Should I talk to my doctor about bedwetting?

Discussion of symptoms, fluid intake, family history, bowel and bladder habits, and problems associated with bed-wetting X-rays or other imaging tests of the kidneys or bladder to look at the structure of the urinary tract Other types of urinary tract tests or assessments, as needed Most children outgrow bed-wetting on their own.

What is the best treatment for bedwetting?

With reassurance, support and understanding, your child can look forward to the dry nights ahead. You're likely to start by seeing your child's pediatrician. However, he or she may refer you to a doctor who specializes in urinary disorders (pediatric urologist or pediatric nephrologist).

What tests are used to diagnose bed-wetting?

What kind of doctor should I See for my child's dry night?

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What type of doctor do you see for bedwetting?

Pediatric urologists are surgeons that specialize in the urinary tract. They are experts in bedwetting and spend a lot of their time helping children become dry. Urologists are particularly skilled helping children with complicated types of wetting.

What is the most effective treatment for bedwetting?

PHARMACOLOGIC TREATMENT Desmopressin (DDAVP) and imipramine (Tofranil) are the primary drugs used in the treatment of nocturnal enuresis.

When should you see a urologist for bedwetting?

Bedwetting and Bladder Issues “Every child is different. But as a general rule, if your son or daughter is not dry through the night by age six, you may want to have a consultation with a pediatric urologist,” Dr. Hannick says.

Is there a medicine to stop bed-wetting?

The two drugs approved by the FDA specifically for bed-wetting are DDAVP and Tofranil. Other medications that are sometimes used to treat bed-wetting include Ditropan and Levsin. Drug therapy does not work for everyone, and these medications can have significant side effects.

How can I stop bedwetting permanently?

To combat bedwetting, doctors suggest:Shift times for drinking. ... Schedule bathroom breaks. ... Be encouraging and positive. ... Eliminate bladder irritants. ... Avoid thirst overload. ... Constipation may be a factor. ... Don't wake children up to urinate. ... An earlier bedtime.More items...•

How do you treat adult bedwetting?

Lifestyle treatmentsMonitor fluid intake. Try to slow your fluid intake in the afternoon and evening. ... Wake yourself at night. Setting an alarm for the middle of the night can help you prevent bed-wetting. ... Make regular urinating a part of your routine. ... Cut down on bladder irritants.

What will a urologist do for bed wetting?

Tests and More Tests For primary nighttime wetting — when accidents mostly happen in bed and at night — the examination is straightforward. “The doctor will conduct a physical to make sure there are no underlying problems and will do a urinalysis to make sure there are no problems with infections or diabetes,” says Dr.

How do I stop my 20 year old from wetting the bed?

How Do You Treat Bed-Wetting?Don't drink right before bed. That way, you won't make as much urine. ... Use an alarm clock. Set it to wake you up at regular times during the night so you can use the bathroom.Try a bed-wetting alarm system. ... Take medicines. ... Bladder augmentation. ... Sacral nerve stimulation. ... Detrusor myectomy.

Can chiropractor help with bedwetting?

Chiropractic care keeps lines of communication open and helps struggling children overcome bed wetting issues. Improving movement and alignment in the spine ensures that the bladder can properly send alarm signals to the brain and help kids contract muscles and wake up before losing bladder control.

Is there surgery for bedwetting?

The InterStim device is surgically implanted under the skin. It sends mild electrical pulses to a nerve in the lower back called the sacral nerve, which influences the bladder and surrounding muscles that manage urinary function. The electrical pulses can eliminate or reduce enuresis in some children.

Why does my 17 year old still wet the bed?

Secondary enuresis in older children or teens should be evaluated by a doctor. Bedwetting in this age group could be a sign of a urinary tract infection or other health problems, neurological issues (related to the brain), stress, or other issues.

Do you need a prescription for desmopressin?

Desmopressin is similar to a hormone that is produced in the body. It acts on the kidneys to reduce the flow of urine. This medicine is available only with your doctor's prescription.

What is it called when you are tired and not peeing before bed?

New bedwetting after more than 6 months of dryness is called secondary enuresis. It may have a more complicated cause.

What to do if your child has dry nights?

If your child has had 6 months of dry nights, then suddenly starts having nightly accidents, make a special appointment to rule out new medical conditions such as diabetes or urinary tract infections.

Can you stop bedwetting after starting a new medication?

Family history-genetics play a role in bedwetting; children may stop bedwetting at about the same age as their affected parent.

Is bed wetting a cure for bedwetting?

bed wetting cure bedwetting causes bedwetting information bedwetting solution bedwetting treatment medication. Bedwetting is normal in children as they are potty-training and in the pre-school age child. Your health care provider may ask how toilet training is going during yearly visits, but not focus on nighttime dryness until your child is 5 or 6.

Does medication help with bedwetting?

Medication does not cure bedwetting ; it decreases the urine produced the night it is taken. Bedwetting usually resumes when the medication is stopped. Bedwetting Alarm -research proven to be the most effective cure for bedwetting. The alarm sounds when urine is sensed so parents and child know when wetting happens.

How many chances do you have of becoming a bedwetter?

One study has shown that someone with two bedwetting parents has a 77% chance of becoming a bedwetter. When one parent wet the bed as a child, his son or daughter was found to have a 40% chance of becoming a bedwetter. These probabilities carry into adulthood as well.

How many people have sleep enuresis?

ADULT BEDWETTING (Sleep Enuresis) For many adults, it is hard to even talk about something that they often think of as a “kid thing," but the truth is that 5,000,000 Americans struggle with adult bedwetting, also known as sleep enuresis. There's no shame in recognizing that you have a problem with adult bedwetting.

How effective is anticholinergic medication for enuresis?

Anticholinergic Medications. These prescription medications are effective for treating enuresis with detrusor overactivity, demonstrating success in 5-40% of cases.

What causes nocturnal enuresis?

Overactive Bladder Muscles. If the muscles of the bladder, known as detrusor muscles, are overactive, nocturnal enuresis can occur. In fact, an overactive bladder muscle has been found in up to 70-80% of adult bedwetting patients. Bladder irritants, such as alcohol and caffeine, can contribute to detrusor instability.

What are some products that protect the bed?

Mattress Covers - A variety of products exist to protect the bed including vinyl, waterproof, and absorbing mattress covers or even sheet protectors, which can make cleanup easier. Absorbent Briefs - These products are a form of modified underwear designed to absorb liquid, therefore preventing leakage.

Can hypnotics cause bedwetting?

Medications are also known to increase bedwetting in adults. Side effects from hypnotics, insomnia medications, and psychiatric medications such as thioridazine, clozapine, and risperidone can increase your risk. Be sure to talk to your healthcare provider about any medications prescribed and their side effects.

Is nocturnal enuresis your fault?

And while that might not remove the embarrassment, you must know that nocturnal enuresis is involuntary and not your fault. To fully understand why you may be experiencing adult bedwetting, a quick anatomy refresher course could be helpful.

What to do if your child keeps wetting the bed?

If there is no medical explanation for why your child continues to wet the bed, there are many treatment approaches to try, including behavioral modifications, medications, and even surgery for children with anatomical problems .

How long does it take for bedwetting alarms to go off?

Up to 70%-90% of children stop bedwetting after using these alarms for 4-6 months. The principle of bedwetting alarms is that the wetness of the urine bridges a gap in a sensor located on a pad on the bed or attached to your child's clothes. When the sensor gets wet, an alarm will go off.

Is bedwetting a medical condition?

First Step. Behavioral Modifications. Warning. Bedwetting treatment may or may not be necessary. While bedwetting can create embarrassment and anxiety in the child (and the parents), it usually isn't caused by a serious medical problem. If your child is younger than age 5 and has no other symptoms, the doctor will likely suggest taking a 'wait ...

What is the best medication for bedwetting?

The two drugs approved by the FDA specifically for bed-wetting are DDAVP and Tofranil. Other medications that are sometimes used to treat bed-wetting include Ditropan and Levsin. Drug therapy does not work for everyone, and these medications can have significant side effects. Talk to your child's doctor to determine if drug therapy is right ...

What causes bedwetting in children?

What Causes Bedwetting? When Bedwetting Suggests a Problem. Bedwetting Medication. If no underlying medical condition is causing your child's bed-wetting, there is no real medical need to treat them. Bed-wetting tends to go away by itself. However, if after talking to your child's doctor you decide to treat your child with medications, ...

Causes

Nocturnal enuresis, or involuntarily urinating during the nighttime, happens when a person's bladder doesn't respond to signals that it needs to empty while sleeping. There are several possible reasons this may occur.

Diagnosis

Adult bedwetting can be a symptom of other underlying health conditions, such as diabetes or a urinary infection. This is why it's important to uncover the root cause of your enuresis and get a proper diagnosis.

Treatment

After other underlying medical conditions have been ruled out, a healthcare provider can recommend a treatment plan for nocturnal enuresis that works for you. There are several effective treatments available based on your individual needs and preferences.

When To See a Provider

Because enuresis can be the result of another underlying medical condition, experts recommend that all adults experiencing nighttime bedwetting see a healthcare provider as soon as possible.

Summary

Bedwetting (nocturnal enuresis) is an issue commonly associated with young children. But when it happens as an adult, it could be the sign of an underlying condition, such as sleep apnea, a UTI, or overactive bladder muscles. Depending on the cause, treatment options can include lifestyle modifications, medication, and, in serious cases, surgery.

A Word From Verywell

If you're experiencing bedwetting as an adult, know that you're not alone. Nocturnal enuresis is estimated to occur in up to 2% of adults in the U.S. 10 And that number may actually be even higher, as some experts suspect adult bedwetting isn't accurately reported due to feelings of embarrassment or shame.

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Diagnosis

The involuntary loss of urine that occurs only at night.

Common Causes

Nocturnal enuresis is not always related to an underlying condition. It may be caused by:

  • Slow development of brain- bladder control
  • Smaller bladder capacity
  • Alcohol intoxication
  • Stress
Related Conditions
Sometimes nocturnal enuresis may signify an underlying health condition. These conditions include:

Treatment

Lifestyle and Home Remedies

Coping and Support

  • Depending on the circumstances, your doctor may recommend the following to identify any underlying cause of bed-wetting and help determine treatment: 1. Physical exam 2. Discussion of symptoms, fluid intake, family history, bowel and bladder habits, and problems associated with …
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Preparing For Your Appointment

  • Most children outgrow bed-wetting on their own. If treatment is needed, it can be based on a discussion of options with your doctor and identifying what will work best for your situation. If your child isn't especially bothered or embarrassed by an occasional wet night, lifestyle changes — such as avoiding caffeine entirely and limiting fluid intake in the evening — may work well. Howe…
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