Enuresis: Bedwetting
Navigating Through Enuresis: Insights and Solutions from Dr. Thabile Gcaba, Specialist Pediatrician in Morningside, Durban
Introduction
In the heart of Morningside, Durban, families often seek guidance on a common yet distressing concern in children’s health – enuresis, or bedwetting. As a specialist pediatrician dedicated to the health and wellbeing of children in Morningside and surrounding areas, I, Dr. Thabile Gcaba, aim to shed light on this sensitive topic, differentiating between primary and secondary enuresis, and providing effective strategies for management.
Understanding enuresis: Primary vs Secondary
Enuresis, commonly known as bedwetting, is a prevalent issue in pediatric health. It is categorised into two types:
- Primary enuresis: This occurs in children who have never achieved consistent nighttime dryness. It's more common and often linked to developmental delays in bladder control.
- Secondary enuresis: This type refers to bedwetting that begins after at least six months of nighttime dryness. It's often triggered by emotional stress or a medical condition.
Causes of Enuresis
Enuresis can stem from various factors:
- Genetic Predisposition: A family history of enuresis can increase the likelihood.
- Bladder Issues: A small bladder or inability to recognise a full bladder can contribute to bedwetting (for example a spinal cord injury).
- Hormonal Factors: Low levels of the hormone ADH can lead to increased urine production at night.
- Stress and Anxiety: Especially relevant in secondary enuresis, emotional factors play a significant role.
- Sleep Patterns: Deep sleepers may not wake up to the sensation of a full bladder.
Investigating Enuresis in Children
A thorough approach is vital:
- Medical history Investigation & Review: Thorough history taking of the presenting problem including psychosocial factors.
- Physical Examination: To rule out any physical abnormalities that may be contributing to the problem e.g. neurological disorders.
- Urine Tests: To check for infections or diabetes.
- Bladder Function Tests: In some cases, to evaluate bladder health and function.
- Ultrasound: Ultrasound of the bladder and kidneys.
Management Strategies (treat the underlying cause):
Treatment of enuresis involves several strategies:
- Behavioural Techniques: Such as bladder training and moisture alarms.
- Lifestyle Modifications: Including fluid management and regular bathroom schedules.
- Medication: In certain cases, medication may be prescribed.
- Support and Reassurance: Providing emotional support and reassurance to the child is crucial.
Conclusion
As a Paediatrician in Morningside, Durban, I am committed to providing comprehensive care for children facing the challenges of enuresis. Understanding the impact of this condition on both the child and family, I offer a compassionate, holistic approach to treatment. For more information or to schedule a consultation, please contact my practice to treat this treatable condition to help your child lead a happy childhood.
Navigating Through Enuresis: Insights and Solutions from Dr. Thabile Gcaba, Specialist Pediatrician in Morningside, Durban
Introduction
In the heart of Morningside, Durban, families often seek guidance on a common yet distressing concern in children’s health – enuresis, or bedwetting. As a specialist pediatrician dedicated to the health and wellbeing of children in Morningside and surrounding areas, I, Dr. Thabile Gcaba, aim to shed light on this sensitive topic, differentiating between primary and secondary enuresis, and providing effective strategies for management.
Understanding enuresis: Primary vs Secondary
Enuresis, commonly known as bedwetting, is a prevalent issue in pediatric health. It is categorised into two types:
- Primary enuresis: This occurs in children who have never achieved consistent nighttime dryness. It's more common and often linked to developmental delays in bladder control.
- Secondary enuresis: This type refers to bedwetting that begins after at least six months of nighttime dryness. It's often triggered by emotional stress or a medical condition.
Causes of Enuresis
Enuresis can stem from various factors:
- Genetic Predisposition: A family history of enuresis can increase the likelihood.
- Bladder Issues: A small bladder or inability to recognise a full bladder can contribute to bedwetting (for example a spinal cord injury).
- Hormonal Factors: Low levels of the hormone ADH can lead to increased urine production at night.
- Stress and Anxiety: Especially relevant in secondary enuresis, emotional factors play a significant role.
- Sleep Patterns: Deep sleepers may not wake up to the sensation of a full bladder
Investigating Enuresis in Children
A thorough approach is vital:
- Medical history Investigation & Review: Thorough history taking of the presenting problem including psychosocial factors.
- Physical Examination: To rule out any physical abnormalities that may be contributing to the problem e.g. neurological disorders
- Urine Tests: To check for infections or diabetes.
- Bladder Function Tests: In some cases, to evaluate bladder health and function.
- Ultrasound: Ultrasound of the bladder and kidneys.
Management Strategies (treat the underlying cause):
- Behavioural Techniques: Such as bladder training and moisture alarms.
- Lifestyle Modifications: Including fluid management and regular bathroom schedules
- Medication: In certain cases, medication may be prescribed.
- Support and Reassurance: Providing emotional support and reassurance to the child is crucial.
Conclusion
As a Paediatrician in Morningside, Durban, I am committed to providing comprehensive care for children facing the challenges of enuresis. Understanding the impact of this condition on both the child and family, I offer a compassionate, holistic approach to treatment. For more information or to schedule a consultation, please contact my practice to treat this treatable condition to help your child lead a happy childhood.