What Is Secondary Bedwetting?

Although most cases of bedwetting among children are caused by delays in maturation of the nervous system, there are some children who experience enuresis because of other medical conditions. This is called secondary bedwetting. Only about 2 to 3 percent of all children with bedwetting conditions are most likely secondary in nature.

Secondary bedwetting is caused by a variety of conditions such as urinary tract infections, metabolic disorders such as diabetes, external pressure on the bladder, and even neurological disorders of the spinal cord.

What cause a secondary bedwetting?

Urinary tract infections, metabolic disorders, external pressure on the bladder, as well as neurologic disorders of the spinal cord must be considered among the causes of secondary bedwetting.

A consultation to the physician or pediatrician should be done first in order to diagnose whether the child is suffering from secondary bedwetting. A physical examination is does in order to provide initial evaluation of the child, then followed by a urinalysis and urine culture tests. Once the doctor is certain that the child has secondary enuresis, further laboratory tests and radiological studies should be done in order to find how to solve the problem.

Treatment for secondary bedwetting

Secondary bedwetting is usually treated using therapy directed at the primary cause that provokes the symptom of urination during sleep. Cure rates vary from child to child. In the meantime, parents should provide preventive measures to their child such as restriction of liquids before sleep, setting up urine alarms, as well as covering the mattress with plastic. They are teaching their children how to manage the condition and eliminate the anxiety, frustration, and embarrassment on both parties due to bedwetting.


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