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by Dr Umang Khanna (BHMS)
Eneuresis / Bed Wetting / night time incontinence / nocturnal enuresis ― means passing urine without intending to while asleep. This happens after the age at which staying dry at night can be reasonably expected.
Soggy sheets and pajamas — and an embarrassed child — are a familiar scene in many homes. But don’t get upset if your child wets the bed. Bed-wetting isn’t a sign of problems with toilet training. It’s often just a typical part of a child’s development.
Generally, bed-wetting before age 7 isn’t a concern. At this age, your child may still be developing nighttime bladder control.
If your child continues to wet the bed, treat the problem with patience and understanding. Lifestyle changes, bladder training, moisture alarms and sometimes medicine may help lessen bed-wetting.
Apis is often indicated for enuresis when there is frequent urination with a burning sensation or inflammation of the urinary tract. It is also helpful when the child or person experiences restless sleep and may be sensitive to warmth.
Key Symptoms: Bed-wetting occurs with restlessness, irritability, and thirstlessness. Urine may be scanty, and the person might feel better after urinating.
Kreosotum is often recommended for children who have a strong urge to urinate and wet the bed frequently. The urine may be offensive, dark, or have a strong odor. It can be used when enuresis occurs due to an overactive bladder.
Key Symptoms: Bed-wetting usually occurs in the early part of the night or towards morning. There may be a sense of urgency to urinate and incomplete emptying of the bladder.
Equisetum is used for children or adults who experience frequent, involuntary urination during sleep, often due to a weak bladder. It is also helpful when there is dribbling of urine or a sensation of incomplete bladder emptying.
Key Symptoms: Bed-wetting occurs frequently, with a sensation of urgency or incomplete emptying. The person may wet the bed during the first part of sleep.
Pulsatilla is often used for emotional causes of enuresis, especially in children who are very sensitive, clingy, and easily influenced by changes in their environment (e.g., parental separation or moving to a new place). The symptoms may worsen when the child is upset, anxious, or crying.
Key Symptoms: Bed-wetting occurs during the night, and the person may experience disturbed sleep or anxiety. The child may also feel better when comforted and consoled.
Belladonna is indicated for enuresis when the child experiences sudden, involuntary urination, often associated with vivid dreams or a feeling of restlessness. This remedy is also helpful when there is an acute onset of bed-wetting.
Key Symptoms: Bed-wetting may occur suddenly with no prior warning, often accompanied by a dry mouth or flushed face. The child may be very active or experience restlessness at night.
Causticum is often used for enuresis when there is an inability to control urination, especially during sleep. It is particularly effective for children who have a deep sense of guilt or fear, and for those who wet the bed in the early part of the night or early morning.
Key Symptoms: Bed-wetting occurs involuntarily, often during sleep. There may be associated symptoms of weakness in the bladder or fear of being punished for the bed-wetting.
Nux Vomica can be helpful for enuresis in children who are sensitive, irritable, or anxious. It is particularly effective when the bed-wetting is linked to stress, too much excitement, or overindulgence in food or drink.
Key Symptoms: Bed-wetting may occur during deep sleep or after being overly tired. The child may also have digestive issues or irritability, often with a desire to urinate frequently.
Sulphur is often indicated when enuresis is linked to a general sense of restlessness, irritability, or poor hygiene. Children needing Sulphur may be prone to late-night accidents and tend to be forgetful or mischievous.
Key Symptoms: Bed-wetting may occur with frequent urination at night, and the child may have a tendency to feel hot or have a sense of weakness in the bladder.
This remedy is recommended when the enuresis is associated with a frequent urge to urinate and a burning sensation. Terebinthina is often indicated for enuresis due to bladder irritation, which may be worsened by cold weather.
Key Symptoms: Bed-wetting occurs during sleep with a constant urge to urinate. There may also be pain or burning during urination.
Silicea is often used when there is weakness or a lack of control over the bladder, particularly in children with a tendency toward insecurity, timidity, or fearfulness. It may also be indicated when there is a lack of bladder tone or if the child has a history of delayed development.
Key Symptoms: Bed-wetting is frequent, especially if the child is shy or suffers from a lack of confidence. There may be difficulty with bladder control, and the child might have a tendency to urinate during deep sleep.
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This clinic is not about giving medicines. This clinic is about curing with medicines rapidly, gently and permanently to the whole extent in the shortest, most reliable and most harmless way.