This page will review the causes and treatments for Primary Enuresis.Secondary Enuresis: Children who have been dry at night for a considerable period of time may have occasional episodes of bedwetting.Bedwetting (enuresis) is considered to be PRIMARY if the child has never been dry at night or only is occasionally dry at night.
Most doctors consider a bedwetting child to be any girl older than age four and any boy over age five who wet the bed. About 10% of all six year olds and about 3% of all 14 year olds wet the bed.
In a very small number of cases, bedwetting can continue into adulthood.
Primary Enuresis: This is the main topic for this page and will be considered in depth.
When the problem continues into the school years, appropriate intervention can usually correct the problem.
Also, children with attention deficit disorder, learning disabilities or allergies seem to be more likely to be bed-wetters than children in the general population.
Effect of Bed-wetting on the Child and Family: By the first grade, most children are embarrassed by their bed-wetting condition.
There are two approaches to treatment: Medical or Behavioral.
The medical treatment usually consists of the use of one of two drugs: Imipramine (Tofranil) This drug is a tricyclic antidepressant.
It is thought to either improve the child’s sleeping pattern to improve the functioning of the smooth muscles found in the bladder.