Urinary incontinence is a certain type of medical conditionwhich can be characterized by a complete loss of control over one’s bladderwhich results in involuntary urination. In some cases, this medical conditionis also referred to as enuresis. There are numerous different types of factorswhich can be characterized for the onset of urinary incontinence. When itoccurs in infants and toddlers, in most cases it can be characterized as acompletely normal thing. The main elements of the urinary system include the urethra,the bladder, the ureters and the kidneys. The kidneys produce the urine whichgets transported to the bladder by means of the ureters. The urine gets storedby the storage tank until it gets expelled through the process of urination.There is a significant amount of coordination between the muscles, nerves andthe brain which needs to take place so that the urination may get carried out.The sphincter and the detrusor are the two main muscles required for the urination.The sphincter contracts in order to keep the urine in the bladder while thedetrusor gets contracted for the squeezing of the urine out of the bladder. Theflow of urine is controlled by rather careful balances of these two muscles.Urinary control may be compromised if either of these muscles does not functionproperly. The urethra is the canal through which the urine flows from thebladder.
Children with Urinary Incontinence
Urinary incontinence in children or childhood enuresis caneasily be divided into two distinct groups. Diurnal enuresis occurs duringdaytime, while nocturnal enuresis takes place while the child is asleep atnight. Nocturnal enuresis is in most cases also called bedwetting and it is actuallythe most commonly occurring type of urinary incontinence. It is consideredquite normal for children who are up to 7 years old. Diurnal enuresis is muchmore problematic and it can be associated with some serious health issues. Thetiming of symptoms is another way of categorizing urinary incontinence inchildren. Primary enuresis is the term used for urinary incontinence whichoccurs continuously, without any dry nights. Secondary enuresis is the termused for urinary incontinence which occurs after a period of six months of drynights. According to numerous statistics, urinary incontinence in children is aquite common thing. Every fifth child ofup to 5 years of age experiences urinary incontinence. The same can be said forevery tenth child who is 7 years old. Out of all those seven year olds whoexperience problems with urinary incontinence, every fifth child experiencesdiurnal enuresis. It is an interesting fact that diurnal enuresis occurs moreoften in girls than in boys, while the nocturnal enuresis occurs in boys muchmore often than it does in girls. Secondary enuresis is in most cases connectedwith anxiety or some other sort of psychological stressor.
Causes of Urinary Incontinence in Children
The exact cause of nocturnal enuresis in children is largelyunknown, but in most cases it is associated with certain types of factors suchas overproduction of urine, developmental issues and inability to respond tobladder distention during sleep. There is a also a slight genetic disposition,and it is a scientifically proven fact that nocturnal enuresis may behereditary. There are also several other less common causes of nocturnal enuresisin children and those may include neurologic abnormalities, anatomicabnormalities, infections and different types of endocrine abnormalities. Themost common causes of daytime incontinence include wetting with giggling,constipation, urinary tract infections and voluntary holding of urine. Certainother factors which do not occur that often include diabetes, anatomicabnormalities and different kinds of neurological causes. Most cases of daytimeincontinence usually disappear on their own as the child grows out of it.
Treatment Options for Children with Urinary Incontinence
Fortunately enough, in most cases of urinary incontinence inchildren the medical condition naturally fades away all on its own, as thechild grows out of it. The stressful periods ten to pass, the child simplylearns how and when to react to the body’s signals that it is time to void,excessive activity of the bladder gradually settles down and the overallcapacity of the bladder gets increased with time. There are also certain typesof medicaments which can be used in some cases of urinary incontinence inchildren. These include the synthetic version of ADH hormones which may bepurchased in the form of nose drops, nasal sprays or pills. Imipramine is alsoused for the treatment of urinary incontinence in children as it affects boththe bladder and the brain. Different types of anticholinergics may be used aswell, because they are very effecting in controlling the muscle spasmsassociated with cases of overactive bladder. Bladder training, decreasedconsumption of fluids before sleeping and the development of routines forwaking up can also be helpful. Some people tend to use moisture alarms to helptheir children with urinary incontinence.