Written by Editorial Team
All children have wetting mischances at some point of time. Urologic issues in children are of a worry to the parents especially when their trained child still wets the bed and is subjected to daytime accidents frequently. If these accidents happen in spite of trying hard to help a child to make it to the toilet, and realizing other children of same age have attained bladder control, parents get anxious. No doubt this delayed bladder control hinders with the toilet training of the child.
Most of the time these worries are in vain as the age at which kid’s brain picks up control over their bladder is different for different kids. Though most, yet not all, kids will pick up this control by 4 years old.
Even around the age of 4 years, if your child does not attain bladder control at all, then the matter needs some concern. Left untreated, and if it continues far beyond the toilet training age, this can lead to behavioral, psychological, or even developmental issues of the child.
The bladder resembles an inflatable inside the body that tops off with pee. Envision yourself holding a filled inflatable. The fingers on one hand hold the neck of the inflatable close. These fingers are acting like a sphincter. The other hand lays close by the inflatable simply like the bladder muscles (called the detrusor muscles). To exhaust the inflatable in an ideal way you unwind the fingers holding the neck of the inflatable close and in the meantime press down with the other hand. To unwind one hand and crush down with the other hand takes some coordination. This is exactly what the sphincter and bladder ought to do when your child urinates-the sphincter unwinds in the meantime the bladder muscle contracts.
Infants do not have this control at all. The reflex in the spinal cord makes the sphincter muscle relax. As the child gets older, the bladder stretches effortlessly as it loads with pee. It doesn’t contract or increment in weight as it fills to a certain level. He or she will learn to block reflexes from the spinal cord through the signals from the brain. This sort of mind control of the bladder is the way kids ought to end up potty prepared. Any problem related to the filling of the bladder or emptying the bladder can lead to enuresis in the children. (Also adults).
Enuresis is the term that refers to the involuntary urination in kids (otherwise healthy, who are old enough to have bladder control), due to the inability to control their bladder, repeatedly during day or night or both.
Children ought not to be named enuretic unless consistent (more than twice every week) wetting holds on past the age of five years.
One curious fact is that the boys are found more likely to have enuresis than girls.
Depending on when the wetting occurs enuresis can be either diurnal enuresis or nocturnal enuresis.
Enuresis can be divided into two groups based on causes:
Overactive bladder is a state in which the expansive bladder muscle (detrusor) contracts automatically, creating urinary recurrence, urinary urgency as well as uncontrollable urge to urinate followed by leakage. Whereas enuresis is a condition in which the involuntary urination of children occurs due to the inability to control the bladder
Thus, though enuresis is a symptom of overactive bladder, both overactive bladder and enuresis are not the same.
There are several factors that can lead to delayed bladder control in children.
Smaller the bladder lesser will be the holding capacity. The average production of urine is not reducing creating high pressure in the bladder which is beyond the little sphincter muscle to handle.
Larger the size of the bladder, the bladder will fail in sending enough signal to the brain as in the normal case. This is because,even though the body of the child produces a normal quantity of urine, as the bladder is larger, the signals can be overlooked. By overlooking these signs over a drawn out stretch of time, a few bladders get to be stretched. Kids with bladders like this may not see that they have to go to the lavatory until the bladder is stretched to the point that it can’t hold any more pee. By then it might be passed the point of no return for the kid to get to the restroom, thus, resulting in ‘accidents’.
Treatment of the delayed bladder control varies with the cause.
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