Enuresis (Bedwetting)

Enuresis, commonly known as bedwetting, is repeated involuntary urination during sleep in children aged 5 years or older.

Enuresis (Bedwetting)

Enuresis, commonly known as bedwetting, is repeated involuntary urination during sleep in children aged 5 years or older. While occasional accidents are normal in younger children, persistent enuresis can affect self-esteem, social functioning, and family dynamics. Most cases are primary (child has never achieved consistent dryness) rather than secondary (bedwetting develops after a period of dryness). In Saudi Arabia, enuresis is often stigmatized, and children may feel shame, leading parents to hide the issue or attempt punitive measures, which can worsen anxiety. Awareness that enuresis is often a medical or developmental issue rather than willful misbehavior is essential.

What constitutes Enuresis?

  • Recurrent urination into bed or clothes, involuntary or intentional
  • Occurs at least twice per week for three months or causes clinically significant distress
  • Age 5 years or older
  • Not due to a medical condition or substance

Symptoms and warning signs

  • Frequent bedwetting at night (nocturnal)
  • Less common: daytime urination accidents (diurnal)
  • Emotional signs: embarrassment, anxiety, low self-esteem
  • Distress for child and family

Causes and risk factors

  • Delayed maturation of bladder control
  • Genetic factors (family history of enuresis)
  • Sleep disturbances or deep sleep patterns
  • Stressful life events (starting school, family changes)
  • Medical conditions (urinary tract infection, diabetes, constipation)

Treatment approaches

  • Behavioral interventions: enuresis alarms, bladder training, scheduled voiding
  • Positive reinforcement: reward systems for dry nights
  • Medication: desmopressin may reduce nighttime urine production in select cases
  • Addressing stress: family support and reassurance
  • Education: informing parents that enuresis is common and treatable

Why Act Center for Enuresis (Bedwetting) in Jeddah, Saudi Arabia?

Our experienced pediatric therapists in Jeddah, Saudi Arabia provide effective, non-punitive treatment for children, using behavioral and medical approaches.

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