Bed Wetting: Symptoms, Causes, and Treatment

Bed Wetting

It is an involuntary urination process while asleep. Bedwetting before the age of 7 is not a concern before this age a child’s bladder might be too small or the amount of urine produced the whole night can be more than the bladder can hold. Some children take a longer time to learn bladder control. In other words, bedwetting is urination without control while sleeping which is also known as nocturnal enuresis(in adults).
According to Ayurveda, bedwetting is known as SHAYYAMUTRA. It is a manovaha shrotas{nervous system}and mutravahashrotas{urinary tract} disease and all the three doshas involve in this vata (apana vayu), pitta(pachak pitta), kapha(avlambaka kapha) along with manas dosha(tama guna). 
Mainly the cause can be not able to holding the urine for the entire night, not waken condition when the bladder is full, production of a large amount of urine during night hours, by ignoring the urge of urination, stress, night terror, overactive bladder, UTI’s, fear or insecurity, neurological disorders, hormonal imbalance, small bladder.

Bed Wetting Symptoms

  • Hesitancy
  • Urgency frequency
  • Wetting during day time
  • Frequent urination about 10-12 times a day
  • Wetting in the cloths too
  • Bedwetting in repeat mode

When to See Your Doctor for Bed Wetting Disease?

  • Bedwetting after the age of 7
  • Shyamutra along with red or pink urine, painful urination, hard stool, snoring
  • Complain of bedwetting again after staying dry for a while
  • Emotional distress after the age of 6

Causes and Risk Factors of Bed Wetting

Risk Factors

  • Family history or bladder
  • ADHD(attention deficit hyperactivity disorder)
  • Small bladder
  • Weak pelvic floor
  • Cancer
  • Diabetes mellitus
  • Sleep disorder
  • Parkinson’s disease
  • Stones(kidney or bladder)
  • Anatomical changes in the urinary system

Preventions of Bed Wetting

  • Cover the mattress with plastic covers
  • Use absorbable and thick underwear at night
  • Avoid long term use of disposable underwear
  • Support and encourage your child
  • Consult a pediatrician for dealing with stress
  • Be patient with the child during training 

Bed Wetting Diagnosis

  • Physical examination
  • Urine test
  • X-rays
  • Other urinary tests
  • Urinalysis

General Tips for Bed Wetting

  • Limiting fluid intake in the evening (avoid if your child participates in sports practice or games during evening time)
  • Prevent rashes
  • Encourage urination every two hours or so
  • Urinate at the beginning of the bedtime
  • Bladder stretching exercise
  • Yoga and meditation to control stress

Home Remedies to Avoid Bed Wetting

  • Alarm setting at night or middle of the night to prevent bedwetting
  • Monitor fluid intake
  • Early bedtime
  • No to punishment 
  • Encourage and help them
  • Support and assure your child
  • You can reward your children for dry nights
  • Avoid water intake before sleep
  • You can have a decoction of roots of chameli
  • Eranda taila with milk [2-3 drops] in case of bedwetting with constipation
  • Reassurance is must to a child 
  • Black sesame one tbs twice a day
  • Mix amla powder with ashwagandha powder in equal amounts, one tablespoon daily.
  • Turmeric one pinch{100mg} and 2 pinches of amla{200mg} powder mix them and take this with honey twice a day.
  • A piece of jaggery at morning 20 gm. Take Ajwain seeds {half tbs}after one hour of having jaggery with a pinch of rock salt. Repeat this once a week for four weeks.
  • Half a cup of milk with sarshsap powder and give this to your child before bedtime

What to Avoid

  • Caffeine
  • Alcohol
  • Sugary drinks
  • Artificial sweeteners
  • Avoid fluid intake after evening
  • Chocolates, brownies, ice creams, hot chocolates, coke
  • Soups, yogurt, high water intake
  • Dairy products
  • Avoid melon, strawberries, grapes, antichokes in the evening
  • Drinks high in sugar

What to Eat

  • Bananas, salmon
  • Legumes
  • Avocados, nuts, pumpkin seeds
  • Whole grains, leafy greens 
  • Apples, plums, peaches, lettuce

Questions and Answers

Q1. What causes bedwetting?
no as such cause but more urine production overnight because of having more fluid, avoid the urge to go, small bladder, stress factor, night terror, overactive bladder, UTI’s, fear or insecurity, neurological disorders.

Q2. What are the emotional changes in child ren complaining about bedwetting? 
Yes. Bedwetting affects self-esteem in children i.e. low self-esteem, always encourage your child don’t punish because this is not the child’s fault, don’t blame the child instead of blaming help them to understand that this is a normal part of growing up.

Q.3 How can I deal with my child facing bedwetting
limit water intake before bedtime set a bed routine of going to the toilet every day at the same time before bed, support your child and 
Be patient.

Q.4 when does bedwetting become a problem?
 When your child is more than 7 years old and still wet themselves at the day time too, those ones complaining recurrent UTI’s, when bladder is small or not able to hold the urine and increased frequency of urination during night time.

Disclaimer - The aim of the article is just to convey information to you. Use any medicine, therapy, herb or fruit please do it under the guidance of a qualified Ayurveda doctor.