A lot of people think that kids are the only ones who wet the bed, but adults can also have this problem. If you wake up to wet sheets, you might feel bad, but it’s not your fault. It could be because of a health problem, a medicine you’re taking, or a problem with your bladder. There are numerous solutions.
Causes
See a doctor if you start wetting the bed as an adult. People may call your problem “nocturnal enuresis,” which is what the medical term is. Some of the possible reasons why it’s happening to you:
Your kidneys are making a lot more urine than usual. Your kidneys make less urine because of a hormone called ADH. You make less of this hormone at night. When you have problems with bedwetting, you might not make enough of this hormone or your kidneys might not respond well to it.
Diabetes insipidus, a type of diabetes, also affects ADH levels, making you have to go to the bathroom more.
You can’t hold enough urine in your bladder. If your bladder is too full, urine can leak out.
Overactive bladder (OAB). When you need to go to the bathroom, your bladder muscles usually get tight. When you have OAB, these muscles squeeze too often or at the wrong times.
Medicine. Some drugs, like sleeping pills or antipsychotics like Clozapine (Clozaril, FazaClo, Versacloz), can make your bladder feel itchy (Risperdal)
You may also wet the bed because of health problems that make it hard for your body to store urine. It can be caused by things like bladder cancer and prostate cancer. Also, diseases of the brain and spine, like epilepsy, multiple sclerosis, and Parkinson’s disease, can make it hard to walk.
Some Other Causes Could Be:
◾ Urine tube clogged (the tube that carries urine from the bladder)
◾ Constipation
◾ Obstructive sleep apnea and diabetes
◾ Pelvic organ prolapse
◾ Structure problems with your bladder or other urinary organs.
◾ Prostate growth
◾ Stones in the urinary tract or an infection
How Are Kids Who Wet The Bed Diagnosed?
Your doctor will check you out and ask you about your symptoms and past health. Keep a journal so you’ll know what to say when they ask. Write things down like:
◾ How Often Do You Wet The Bed And What Time It Happens
◾ How Much Pee Do You Make? (A Lot Or A Little)
◾ What you drank before bed and how much
◾ Have you had any other symptoms?
Your doctor will do tests to figure out what’s wrong, like:
◾ Urinalysis. It looks at a sample of your urine to see if you have an infection or other problems with your urinary tract. Kidneys, ureters, the bladder, and the urethra constitute the urinary tract.
◾ Urine culture. Your doctor sends a small amount of your urine to a lab, where workers put it in a special dish with nutrients. This test checks your urine for bacteria or yeast. It can figure out if you have a urinary tract infection.
◾ Uroflowmetry. You pee into a special funnel to measure how much urine you make and how fast it flows out.
◾ Post-void residual urine measurement. This test finds out how much urine is still in your bladder after you go to the bathroom.
How Do You Help A Kid Who Wets The Bed?
Your doctor may tell you to start by making a few changes to how you spend your days and nights:
◾ Try bladder retraining. At set times during the day and night, go to the bathroom. Slowly lengthen the time between trips to the bathroom, like by 15 minutes at a time. By doing this, your bladder will learn to hold more liquid.
◾ Don’t drink right before bed. Thus, you will need to urinate less often. Don’t drink coffee or alcohol, which can make your bladder work harder.
◾ Use a clock to wake up. Set it to wake you up at regular times during the night so you can go to the bathroom.
◾ Try an alarm for bedwetting. You can put it on your underwear or a bed pad. It will let you know when you start wetting the bed.
◾ Take your pills. Several things can help kids who wet the bed. The amount of urine your kidneys make goes down when you take desmopressin (DDAVP).
Other medicines can calm bladder muscles that are too active, such as:
◾ Darifenacin (Enablex) (Enablex)
◾ Imipramine (Tofranil) (Tofranil)
◾ Oxybutynin (Ditropan) (Ditropan)
◾ Tolterodine (Detrol) (Detrol)
◾ Trospium chloride
◾ Fesoterodine fumarate (Toviaz)
◾ Solifenacin (VESIcare) (VESIcare)
If drugs and other treatments don’t work, your doctor may suggest one of the following:
◾ Bladder augmentation. It’s a surgery that makes your bladder bigger, which means it can hold more urine.
◾ Sacral nerve stimulation. It slows down a bladder that is too active. Your doctor will put a small device into your body that sends signals to nerves in your lower back. These signals help control the flow of urine.
◾ Myotomy of the detrusor. It is a major surgery that is done to treat a bladder that is too active. Your surgeon cuts away some or all of the muscles around your bladder to stop them from contracting at the wrong times.
How To Deal With Being Wet
Take these simple steps to deal with bed-wetting until you can get it under control:
◾ Cover your mattress and sheets with a waterproof pad or cover to keep them dry.
◾ Use pads or underwear that can soak up the liquid.
◾ To keep your skin from getting irritated, use special clothes and lotions to clean it.
If one treatment doesn’t work, you should see your doctor again. Finding the right way to stop wetting the bed can take a few tries.
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