How to treat bedwetting in adults?

A lot of people think bedwetting only occurs in children, but in fact bedwetting occurs in 1-2% of adults. You may feel embarrassed waking up with wet blankets or pants, but if bedwetting occurs only occasionally or once in adulthood, there is no need to worry. However, if bedwetting is persistent and frequent, it could be a symptom of a medical condition.

1. What is bedwetting in adults?

If bedwetting occurs in adulthood, the doctor may diagnose the person with nocturnal enuresis (English name is Nocturnal enuresis). There are several causes of this condition:
The kidneys produce more urine than usual because they do not make enough anti-diuretic hormone (ADH) or the kidneys do not respond well to this hormone. A form of diabetes known as diabetes insipidus or diabetes insipidus, which is also caused by decreased production of the hormone ADH, which disrupts the body's ability to regulate water balance and causes the kidneys to limit their ability to retain water. urinating a lot. The bladder cannot hold urine because there is not enough room in the bladder, urine can leak. Overactive bladder. Normally, the bladder muscles will contract when you want to urinate, but in overactive bladder, these muscles contract suddenly, involuntarily, causing urination at the wrong time. Medicine. Certain medications can irritate the bladder, such as sleeping pills or antipsychotics such as: Clozapine (Clozaril, FazaClo, Versacloz) or Risperidone (Risperdal) Bedwetting can also be caused by conditions that affect your ability to predict the body's urine storage and retention, such as bladder cancer and prostate cancer. Or diseases of the central nervous system (brain and spine), such as seizure disorders, multiple sclerosis, or Parkinson's disease.
Some other possible causes of bedwetting in adolescents and adults include:
Blocked urethra Constipation Diabetes Obstructive breathing apnea Prolapse of pelvic organs Problems with the anatomical structure of the bladder bladder or urinary system organ Enlargement of the prostate gland Urinary tract stones or urinary tract infection
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2. Diagnosis

Your doctor will do a physical exam and ask about your current symptoms and medical history. Therefore, if you have symptoms of bedwetting, you should record the following information, to provide the most accurate information to your doctor when you go to the doctor, such as:
How often and how many hours? Bedwetting occurs? Urine output more or less? What did you drink and how much did you drink before going to bed? Are there any other accompanying symptoms? The doctor will perform some more tests to find the cause of bedwetting such as:
Urinalysis to look for signs of infection or other problems of the kidneys, ureters, bladder and urethra. Urine culture to diagnose urinary tract infection. Uroflowmetry. You will urinate into a special funnel that measures the amount of urine and how fast it flows. Postvoid residual urine. This test measures the amount of urine left in your bladder after you have urinated.

3. Treatment

Your doctor may start treatment by instructing you to make a few changes to your daily and nighttime routine such as:
Practice holding your urine and urinating at a fixed time. When you are stimulated to urinate, hold your urine for 5 to 10 minutes and then gradually increase the time between the two. This will help the bladder train to hold more urine. Not drinking liquids before bed won't produce as much urine. In addition, you need to avoid caffeine and alcohol, as these two drinks can irritate the bladder and make you bed-wetting. Set an alarm to wake you up to pee at a fixed time during the night. Try using a bedwetting alarm that attaches to your underwear or bed patch, which will alert you by vibrating or playing music as soon as you start wetting. Take medicines. Some can help treat bedwetting, such as Desmopressin (DDAVP), which reduces the kidneys' ability to produce urine, or other medications to help control overactive bladder, such as: Darifenacin (Enablex), Imipramine (Tofranil), Oxybutynin ( Ditropan), Tolterodine (Detrol) ... If medications and other treatments don't work, your doctor may recommend the following:
Bladder augmentation surgery will enlarge the bladder. has a larger size thereby increasing the amount of urine it can hold. Stimulating the vagus nerve to control overactive bladder, by placing a device under the patient's chest that sends signals to the lumbar nerve to control the flow of urine. Some tips for dealing with bedwetting
Until bedwetting is under control, there are a few simple steps you can take:
Put a waterproof cover over the bed to prevent wetting the mattress. Wear absorbent underwear or diapers before going to bed. Use cleansing and skin care products to prevent skin irritation caused by urine in contact with the skin during the night. When nocturia is a nuisance to life and cannot be improved by home remedies, you should go to Vinmec International General Hospital for a diagnosis to determine the cause and treatment intervention. The leading urologists at Vinmec will perform the necessary examination methods to find the cause of the nocturia syndrome and give the most effective treatment advice, helping the patient to return to life soon. normal activities, improve quality of life.

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Articles refer to sources: webmd.com, healthline.com, mayoclinic.org

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