Enuresis – There’s no Single Approach to Treating Enuresis

Enuresis – There’s no Single Approach to Treating Enuresis

Most medical practitioners that help treat enuresis in their patients tend to agree that there is no single approach to treatment. From children as young as two or three years old to the elderly, treatment is geared to the individual and their circumstances. Most children successfully make the transition from nappies to becoming dry overnight. For the very small minority that do suffer incontinence during their sleeping hours, it can become a very distressing problem if it remains as they become older and more self aware.

Drug therapy

Female doctor writing prescription

Adult enuresis  can occur at any time during a lifetime although it tends to follow on from an illness, can be stress related or indeed as a result of injury. It can be treated by drug therapy; however, the drugs which are prescribed often have side effects and/or can cause issues with the patient’s general health according to the NHS website.

Self help therapy

In all cases there is of course the potential of self-help therapies which can help ease the condition. In many cases self-help therapy will allow the sufferer of enuresis to maintain control of their bladder during their sleeping time. One method which is easy to apply and monitor is to control fluid intake. This works well in children in most cases but there is always a small minority that do not respond to treatment. The number of patients who do not respond to this treatment increases pro rata with age.

Reward schemes

This is a good one with younger children but does not address the issues with adult patients. In the case of children it should be about reward for success and encouragement if the treatment takes time to deliver results. Any punishments which are doled out tend to have a negative response. In the case of some children it can cause them to regress back to a point which may have been left behind with treatment.

Enuresis alarms

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Enuresis alarms work on the simple premise that the brain needs to be trained to recognise that bodily function has to be controlled, or that control has to be regained. In older patients these small alarm units can help to re-train the brain.

The small alarm unit is attached to a sensor which is deployed in the underwear of the sufferer. As soon as the sensor becomes moist as urination in the sleep commences, the alarm is sounded and wakes the patient. This action will, over time, train the brain to take automatic control of the bladder. In over 90% of cases where other treatments have been unsuccessful, the patient is able to gain or regain full control over their bladder during sleep.