Involuntary urination in children
Urinary incontinence in children is defined as the involuntary passing of urine during the day or during sleep, after the stage of learning to use the toilet.
Involuntary urination is one of the common problems in children between the ages of four and seven, as studies have shown that nearly 20% of children at the age of five suffer from the problem of involuntary urination, and 10% of children at the age of seven.
And it should be noted that most cases of involuntary urination It is not due to pathological problems in one of the organs, and it disappears with the age of the child without the need for treatment, and the doctor can be consulted to make sure that there is no health problem that leads to the child being infected with involuntary urination, and it is necessary for the parents to be patient and understand the condition of their child, in order to solve this problem.
Causes of involuntary urination in children
The problem of involuntary urination during the day is more common in females, while involuntary urination during sleep is more common in male children, and the main cause of involuntary urination has not yet been determined.
Which occurs without a health problem as mentioned previously, but it should be noted that the percentage of The incidence of bed-wetting in children increases if one of the parents suffers from this health problem in his childhood, by up to 45%, which indicates a link between heredity and bed-wetting, and the reasons that may lead to bed-wetting in children are as follows:
- Excessive urine production.
- Suffering from constipation.
- Suffering from a growth problem.
- Having diabetes.
- Detention of urine voluntarily by the child.
- An infection in one part of the urinary system.
- Suffering from a congenital anomaly, such as urethral stricture and urethral obstruction.
- The brain’s failure to respond to some of the normal physiological signals emanating from the bladder.
- Suffering from a neurological problem, such as spina bifida, or other congenital neurological malformations.
- Vesicoureteral reflux, which is a pathological condition that leads to the reflux of urine from the bladder to the kidneys.
- Attention deficit hyperactivity disorder, or ADHD for short.
- Suffering from obstructive sleep apnea, which leads to sleep apnea.
Symptoms of bedwetting in children
Unintentional urine output is one of the main symptoms of involuntary urination, and this leads to noticing the presence of urine on children’s underwear, or on the bed, and with regard to the symptoms that may appear in the event of another health problem that leads to involuntary urination during the day, we mention the following:
- Urinating more than eight times per day.
- Not completely emptying the bladder when using the toilet to urinate.
- Reducing the number of times of entering the bathroom and emptying the bladder, to between 2-3 times a day, as the number of normal urination times per day for children ranges between 4-7 times.
- Noting that the child makes some unusual movements, such as cramping or confusion, squatting, and folding the feet, in order to avoid urine coming out involuntarily.
As for night involuntary urination, it is one of the common problems in children, and is not often accompanied by any health problems, especially if it is a common problem among family members at a young age, and the symptoms that may indicate the presence of a health problem that leads to the occurrence of night involuntary urination:
- Wetting the bed during sleep 2-3 times per week for more than three consecutive months.
- Wetting the bed while sleeping on a daily basis.
- The recurrence of the involuntary urination problem after a six-month hiatus.
In the event of fear of involuntary urination or causing embarrassment to the mother or child, the doctor can be consulted to ensure that there is no health problem, or to ensure that the problem is normal at the child’s age, and there are some other cases that require a doctor’s review as well, including the following:
- Weakness of the child’s urinary system, and urine coming out in the form of drops, which may indicate a congenital problem in the urinary system.
- The involuntary urination problem started during the day after it was restricted to the night while sleeping only.
- Observe the child’s snoring during sleep at night.
- Continuing the problem of involuntary urination during sleep after reaching the age of seven or more.
The appearance of symptoms of infection in the urinary system, and it should be noted the need to consult a doctor immediately if these symptoms are observed on the child within a period not exceeding 24 hours, in order to avoid the occurrence of serious health complications, and the following is a statement of some of the symptoms that may appear on the child in the event Having a urinary tract infection:
- Frequent urination.
- Fever without an obvious cause.
- Insomnia and confusion of the child.
- Baby crying while urinating.
- Feeling pain in the lower abdomen or back.
- Feeling of pain or burning during urination.
- Dark or cloudy urine, or blood in the urine.
- Note the exit of foul odor with urine.
- An intense urge to urinate, with only small amounts of urine passing during urination.