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The Straight Truth

Drying Up Bedwetting Myths

By Kelly Burgess

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Similarly, it's not an issue of poor parenting when a child wets the bed, and there's no reason for a parent to feel at fault or to try to change their parenting style.

What Causes Bedwetting?

Although experts now realize behavioral problems don't cause bedwetting, they don't know what does cause it.

There is, however, overwhelming evidence that primary nocturnal enuresis is both genetic and hereditary. There is even a growing body of research into the possibility that it's part of an underlying sleep disorder. Other possibilities include the fact that a child may have a small bladder, may just manufacture more urine than their bladder can hold or their urinary system is simply not developed enough to control urination.

Other factors that may contribute include sleep arousal problems or underlying attention deficit or anxiety disorders, but there is no general agreement on one single cause.

Secondary enuresis can be caused by a stressful situation, such as a death in the family, divorce or a move. It can also be caused by the onset of a medical problem. Much more rarely, it can be a symptom of some sort of abuse.

Nevertheless, the first step in determining the "reason" for a child's bedwetting is a complete medical examination to rule out any underlying physical factors such as kidney or bladder problems.

Recognizing the Problem

Some parents point to the notion that "it isn't a problem at all" is a major misconception. Many doctors may have the attitude that it's not a big deal, but to the children and parents who are dealing with it is a big deal, especially when it comes to social events like sleepovers and camp.


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