“If tomorrow morning I discover that you wee-wee again on your bed, I’ll follow you to your class and tell everyone that a big boy like you still pee on his bed and I’ll ask them to sing for you. Do you hear me?” Juliana asked sternly, as she stood at the entrance of the room of her eldest son, Julius.
The 10-year-old, visibly shaken, could only nod his head.
“So you can’t use your mouth again Jay?” She barked at him, with her voice slightly raised in pitch.
“Yes, Mommy” He replied, with his voice equally shaken.
However, as his mom left, he took the decision to try as much as possible not to sleep.
Fast forward to 2 weeks later, and his mom was seated opposite his headteacher, with the young man charged with sleeping in class.
Upon being pressed for possible reasons, There and then, he confessed that the fear of being ridiculed in front of his classmates made him stay up all night, and made him fall asleep in class during the day…
His mother could only look into space, to the confusion of both the headteacher and her son, who thought he was going to be in “hot soup” as she usually said before she spanked him…
Little Jay was only suffering from what was no fault of his, known as Enuresis or simply bed-wetting.
Bed-wetting could occur both during the day (diurnal bed-wetting) or at night (nocturnal bed-wetting) which is more common of the two. A child could experience both, and may or may not be an intentional act.
Enuresis is not diagnosed as a problem unless a child is 5 years or older, which is usually the age where children are expected to be fully toilet-trained. Research studies estimates suggest that 7% of boys and 3% of girls age 5 have enuresis. These numbers drop to 3% of boys and 2% of girls by age 10.
Repeated daily bed-wetting
Wetting at least twice a week for approximately three months.
1. The child may have a small bladder
2. Not trained to identify a full bladder
3. Hormonal Imbalance
4. Urinary tract infections
5. Urinogenital developmental anomalies
1. Gender: commoner in males
2. Stress: School, new sibling
3. Family history.
Clinical diagnosis with some laboratory tests done to confirm the diagnosis and to rule out or confirm other associated or underlying causes.
Mild cases don’t need treatment as the affected children eventually outgrow it.
However, treatment may be needed if behavioral affectations are noticed:
1. Alarm system:
2. Bladder training:
3. Reward system:
1. Guilt, and embarrassment, and low self-esteem for the child.
2. Loss of opportunities to mingle with peers, in activities such as sleepovers, camps, etc
3. The decline in academic performances.
1. Fluids limited in the evenings
2. Double voiding before bed should be enforced
3. Encouraging regular toilet use during the day.