Treating Nocturnal Enuresis In Grownups

By Jocelyn Davidson


The inability to control urination at night in adults causes a lot of discomfort but there is a solution. The problem may sometime have its genesis in childhood and therefore appear difficult to treat. The first stop when seeking treatment is a visit to your primary health care provider for preliminary assessment. The recommended solutions are simple, cheap and long lasting. They restore your esteem, comfort and the ability to live a normal life.

There are genetic linkages to the disorder, but this does not mean that a solution is inevitable. Behavioral therapy in treatment of nocturnal enuresis requires that the patient monitors his fluid intake during the day. This should be minimized in the late afternoon and evening. The aim is to reduce production of urine in the night.

Reducing fluid intake could be detrimental to your health if it is done drastically. The best approach is to take normal amounts earlier in the day. It allows normal metabolic processes to proceed. Bladder volume training is an effective treatment option that does not require change in fluid intake. You are required to take large amounts of water during the day and restrain yourself from passing urine. It will enhance bladder control and increase its volume so that it can contain more urine at night.

There is a bed wetting alarm system that wakes you up when you get wet from the first drops. The device is attached to the underwear or pad used when sleeping. The alarm will wake you up so that you can proceed with urination in the lavatory.

A lot of motivation and commitment is required from patients using the alarm system. It will take a number of days to get used to it. The disadvantage is reduction in bladder volume since it is not be given a chance to hold more. This means that you will wake up more often at night.

Medical options are used alone or combined with behavioral therapy. The challenge of using medicines is the fact that you become dependent on them. The only night you will not wet the bed is when you have taken the medicines. The opinion of your health care provider must be sort before commencing on any medicine. It gives him a chance to review possible side effects and advise you on dosage.

Surgery is the last option if all others have failed. The idea is to utilize the non invasive options as far as possible. Any surgery should commence after a detailed discussion of side effects. The surgeons alter the orientations of tissues surrounding the bladder in order to regain normal functions.

There are various options for managing bed wetting even as you undergo treatment. There are numerous mattress cover options to make cleaning easier. They range from absorbing mattresses to waterproof and vinyl options. There are sheet protectors that can be used with instructions to ensure comfort during the night and avoid reacting with the skin.

Patients may opt for absorbent briefs which are under wears with special features. The features are professionally designed to prevent leakage. There are disposable and reusable versions of the briefs. A patient with a sensitive or easily irritated skin is advised to use the disposable briefs. The market has provided numerous skin products that protect you from irritation. They come in the form of skin cleaning agents, soaps and lotions.




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