Bed Wetting is commonly found problems among children in which they involuntary urinate in the bed at night while sleeping after the age at which bladder control usually occurs. Scientifically, it is known as nocturnal enuresis in which the enuresis refers to urination incontinence.
Usually the girl develops bladder control till the age of six years while the boy takes one more year in most of the cases. After crossing this age-limit, if any child urinates on the bed, it is called as nocturnal enuresis. Some times the older child and even adults face the problem of untamed urination.
There are two types of bedwetting found among children - primary and secondary. When a child have never control over the habit of bed wetting in the night, it is considered as primary bedwetting while if a child have got control over bladder and remains dry throughout the night for a significant length of time, but again develops this problem is called secondary bedwetting.
Heredity is one of the prime factors behind nocturnal enuresis as if the patients have the history of bedwetting in the family, it is more likely to develop this problem. It is also considered that it is an emotional problem, but in realty, in most cases, it is a problem of delayed growth and physiological not psychological; only few cases it is a problem of psychological.
The cause of primary nocturnal enuresis is immaturity of nervous system in which the patient does not recognize the sensation of bladder fullness. Amongst other causes of primary nocturnal enuresis are hormonal imbalances in which child produces large amount of urine after sunset, poor daytime toilet habits and some medications.
The causes of secondary nocturnal enuresis include urinary tract infection, diabetes, alcohol, excessive consumption of caffeine, urinary anatomical disorder, neurological problem, wrong sleep pattern, pinworm affect, excessive intake of fluids, infection/disease, Insufficient anti-diuretic hormone (ADH) production, stress, abusing, and psychological problem etc.
Untamed urination during sleeping despite crossing the age of the ability to tame bladder is primary symptom of bed wetting which the patients come to when they feel wet bed. Pain during urination is another symptom. Constipation is also common among children who have the problem of enuresis.
When the physician identified that there is some physical problem and need medications, the medications starts there, otherwise, this problem can be treated through changing the habits of patients, proper routine management.
In Ayurveda, if practitioner finds any physical disorder, the following ayurvedic and herbal medicines can be prescribed.