Friday, August 2, 2013

The causes for bedwetting by Dr. Sagie

The conventional train of thought among both parents and many pediatricians is that bedwetting is a medical or psychological problem. Often, the patient undergoes a comprehensive and unnecessary medical assessment with no findings. However a medical, neurological or urological, problem is only the primary diagnosis among 2% of enuretics. A psychological cause, such as family problems, social adjustment, or fears is a factor among an additional 20-25% of the patients.
In fact, the majority of enuretics (75-80%) do not have either anatomical or psychological problems. For most enuretics the primary source of the issue is unusually deep sleep.  These are normal, healthy children who have not learned to activate the appropriate reflex system during sleep. Typically, when a person sleeps and pressure is built up inside the bladder, a signal is sent to the brain. Among enuretics, the signal is not recognized by the sub-conscious reflex system and instead of contracting the sphincter muscle, the circular muscle that keeps the bowel closed, the child relaxes the muscle and urinates during sleep.

No comments:

Post a Comment