Bedwetting happens when young children, while asleep, urinate and wet the bed. Hence, the name “bedwetting”. Most cases of bedwetting among children are caused by the lack of control on the bladder. That is, the child, while sleeping, cannot hold in the urine until he reaches the toilet. The medical term for such bedwetting is primary nocturnal enuresis.

Parents must remember that the bedwetting is always accidental. The child does not purposely let go of the urine. He does not relish becoming wet because this will be uncomfortable for him. To help the child better cope with this condition, the parents or guardians must be aware of the possible causes of the primary nocturnal enuresis.

Some of the identified causes of primary nocturnal enuresis are the following:

• The growth and development of the child is relatively slow The child’s nervous system is developing rather slower than the other body systems. The nervous system, in which the brain belongs, is the body system responsible for controlling the various activities of our body, such as walking, sneezing, digesting, and even urinating. If the nervous system is not yet fully developed, the child has no control over when his bladder will empty the urine.
• The capacity of the latter is lesser Usually, the maximum volume of urine that a child’s bladder can store is equal to the child’s age plus two ounces. That is, if the child is four years old, his bladder can hold in a maximum volume of 6 ounces of urine. But some children have the unfortunate luck of having bladders with lesser capacity. This means that the bladder will be filled faster and urination occurs more frequently. At night, the too full bladder cannot be prevented from instinctively emptying itself even though the rest of the body is sleeping.
• The concentration of ADH in the body is insufficient The ADH stands for Anti-Diuretic Hormone. This hormone, upon the instruction of the brain, is produced so that the kidneys will produce a lesser volume of water. A normal body produces more ADH during the night than during the day. Some children, however, do not have sufficient levels of ADH at night to prevent bedwetting.
• The child is a deep sleeper The child is not aware that his bladder is already screaming for release. The child is in a very deep sleep that even the urgency of the situation cannot disturb his consciousness. If this is the reason for the bedwetting, it may relieve the parent and the child to know that as the child matures, the bedwetting will disappear by itself.
• The bedwetting may have been inherited The child of a parent, who also had bedwetting problems, will most likely face the same problem.

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