Bedwetting in adults. Non-drug treatments for bedwetting in children

Bedwetting, or urinary incontinence, day or night, is a common, extremely unpleasant problem that can severely traumatize a child's psyche. The parents are faced with a difficult task - to help their child cope with it as quickly as possible, while not aggravating the problem and not scolding him for the described bed. There are several treatments for bedwetting in children. These include drug therapy, physiotherapy, and the use of folk remedies.

Causes and signs of bedwetting

Nighttime incontinence can be caused by several causes, which are congenital or acquired. Underdevelopment of the bladder, infectious diseases, excessive fatigue, hypothermia, neurological and psychological problems. The list of provoking factors also includes unhealthy diet.

As a rule, the child writes around midnight or in the morning. In the first version, this happens due to excessive relaxation of the bladder when the baby falls asleep, in the other, on the contrary, the bladder is strong enough and, when filled, cannot increase to the required size, as a result, the fluid is excreted uncontrollably from the body naturally... Less often, urinary incontinence is observed during the day, in the midday sleep.

In most cases, babies who have bedwetting sleep more soundly than others. And, as a rule, by the morning they forget about what happened at night. Even if you try to wake up such a baby in the middle of the night, although the task is quite difficult, and put him on a potty, the result most likely will not change - he will not pee until he is back in his own crib.

Why is it so important to treat bedwetting in children on time?

Some parents think that the problem does not pose a particular danger, since it does not deliver any unpleasant symptoms to the baby. They are mistaken because urinary incontinence in girls and boys very often leads to many problems:

1. The quality of life is deteriorating (for example, a child will not be able to go anywhere on vacation, a children's camp for the summer).
2. If enuresis is not cured in a timely manner, serious complications (nephropathy) may develop.
3. Urinary incontinence in boys in adolescence over time degenerates into a violation of the reproductive plan, problems with potency may arise.

In addition, such children experience serious difficulties with social adaptation - it is difficult for them to establish relationships with other children, their performance at school decreases, and they become isolated.

Which doctor to contact

The specialist who carries out the initial diagnosis and selects the appropriate therapy for all diseases in children is a pediatrician. Although enuresis has a direct connection with the urinary system, this is the first doctor to visit. Then he will refer the little patient to a specialist with a narrow profile, who will conduct a more accurate diagnosis, and send him for appropriate research.

If we consider that enuresis is a problem that can be provoked by many reasons, then it would be advisable to have an examination with different doctors:

1. The neurologist will give a direction for research, with the help of which it is possible to determine the state of the baby's nervous system.
2. The psychologist will try to find out whether the child was in a stressful state, how he is developing, and also determines the psycho-emotional background in the family, using special techniques, and gives appropriate advice to mothers and fathers.
3. The urologist gives a referral for a general urine analysis, ultrasound examination of the bladder and kidneys, selects drug therapy.

All doctors work in turns, determining the causes of the disease in their area.

If it is impossible to find a provoking factor, the patient will be sent for further examination to such specialists as an endocrinologist and a nephrologist. As a rule, such measures are enough to carry out an accurate diagnosis and select a therapy that will allow you to get rid of childhood enuresis.

How to treat infantile enuresis

The tactics of therapy should be chosen by the doctor, but the success will depend only 50% on the procedures prescribed by him. The parents and the child are responsible for the remaining 50%; they must also make some effort to fight the disease. This means that the treatment requires not only the participation of a doctor, but also psychological support of the parents and the child's desire to get rid of the problem and follow all the doctor's prescriptions.

Daily routine and nutrition
In the treatment of urinary incontinence in children, the ability to correctly distribute mental and physical activity throughout the day plays a significant role. The child should not be unnecessarily overloaded with information, it should not be forced to memorize something all day or to attend sports training every day.

The child's body must master the ability to arrange a rest for itself not only at night, but also throughout the day. It is advisable that the child himself chooses what he wants to do, and not do what his parents forced him to do.

In addition, bedwetting therapy will not be successful if the principles are not followed. proper nutrition... We must remember these rules:

1. The last time the baby must eat no later than three hours before going to bed, otherwise the body will have to work in a dream.
2. Products that are capable of stimulating functioning should be removed from the child's diet. nervous system(chocolate, soda, smoked, fried, spicy, fatty foods).
3. It is not recommended to consume large amounts of fluids, especially later than three hours before going to bed.

1. It is necessary for the baby to move enough during the day, since this is necessary for the proper development of the whole body, namely ligaments, joints, muscles and other systems.
2. Children who suffer from nocturnal enuresis need to do morning exercises and exercise therapy every day, as well as spend more time in the fresh air.
3. Parents should make sure that the child visits the toilet before going to bed so that his bladder is not full before going to bed.
4. The baby should not freeze when he sleeps, which means that he should be covered with a blanket. It is necessary that the room has a comfortable temperature.
5. To combat bedwetting, the "alarm clock" method is used - an artificial interruption of sleep, in which the child should be woken up about three hours after he fell asleep and put on a potty or sent to the toilet.

Medications
Treatment of bedwetting in children without the use of drugs is practically impossible. For this reason, it is extremely important to consult a doctor in a timely manner, who will prescribe the necessary medications for the baby.

Only a doctor will be able to determine which particular remedy is suitable for a particular small patient, since each medicine has its own contraindications and side effects.

For the treatment of bedwetting in children, use the following medications:

1. Synthetic antidiuretics (Minirin, Adiurecrin, Desmopressin). The effect of such drugs is based on compensating for vasopressin, a hormone that reduces urine production at night. Contraindication to use is under six years of age. The duration of therapy is 90 days. If necessary, it is repeated.
2. Anticholinergics (Detrol, Spazmex, Driptan, Belladonna, Levzin, Atropine). Under the influence of these drugs, the volume of the bladder increases and the reservoir capacity of the bladder improves. A drug for urinary incontinence such as Driptan is considered a last-generation drug because it can selectively affect organ tissues, with almost no "systemic effect". When taking medications of this action, it is extremely important to adhere to the regimen and the prescribed dose, since an overdose poses a serious threat in the form of the formation of negative side effects... Among the undesirable reactions when using drugs from this group are the following: dry mouth, blurred vision, mood instability, skin redness, etc.
3. Prostaglandin inhibitors (Aspirin, Indomethacin, Diclofenac, etc.). The mechanism of action of drugs included in this group is based on the effect on the process of urine production at night due to the fact that the amount of prostaglandins synthesized in the renal tissues decreases. At the same time, the sensitivity of the bladder increases, thereby improving its reservoir capacity.

Medicines that have a stimulating effect on metabolic processes in the cells of the central nervous system. Below we will analyze in more detail some of them.

1. Piracetam is a drug that has a positive effect on many metabolic processes in the brain. It helps to improve the nutrition of cells and their relationship with each other due to the fact that blood vessels expand and blood circulation is accelerated. The tool allows you to fight the impact harmful substances and lesions of brain structures. But the desired effect does not come immediately, but after a while, which is why the drug should be taken for a very long time.
2. Pantogam. It is a drug, the action of which is aimed at increasing the resistance of brain cells to a lack of oxygen and the effect of toxic substances. It helps to improve metabolic processes in brain cells, has sedative properties. Has a beneficial effect on mental and physical activity. Reduces the frequency of urination. The medicine Pantocalcin has similar properties and composition.
3. Picamilon. A drug that is widely used in the treatment of enuresis. It is highly effective against symptoms vegetative dystonia, has a beneficial effect on mental and physical activity during the day, helps to improve mood and normalize sleep, and helps to fall asleep faster.
4. Phenibut. An agent that improves the transmission of impulses between brain cells, improves metabolic processes, accelerates blood flow in large and small vessels. It has mild psychotropic properties, normalizes sleep, helps to get rid of the feeling of fear and unreasonable anxiety.

Physiotherapy treatment
The complex of treatment of enuresis in babies includes physiotherapy - electrophoresis, electrosleep, acupuncture, magnetotherapy, ozokerite, paraffin. In addition, exercise therapy and general strengthening massage are used. These activities will strengthen the pelvic floor muscles.

Parents need to remember that bedwetting is a long process that can take more than a month, and sometimes even several years, so be patient.

Among the many recipes for traditional medicine, there are many that can be used to cure enuresis in a child. All of them are safe, effective, consist only of natural ingredients, and have been tested by a single generation. Below are the most effective recipes.

1. Cowberry. On the basis of the dried leaves of this plant, a healing infusion is prepared. For this, 50 grams of raw materials are taken, poured into a container, filled with two glasses of boiling water and placed on the stove. After a quarter of an hour, the fire must be turned off. Leave the product for an hour, then strain. The ready-made infusion should be given to the baby to drink 4 times a day, preferably in the morning on an empty stomach and during the day 30 minutes before each meal. The result will be that there will be more urination during the day and the baby's bed will be dry at night. This berry is an excellent component of fruit drinks, which are recommended for the baby to drink three times a day, but not at night.
2. Dill. Dry seeds (1 tablespoon) pour 250 ml of boiling water, insist for at least two hours, give the prepared infusion to drink to children under 10 years of age, 100 ml in the morning on an empty stomach, older children - 200 ml.
3. Parsley. Finely chop the dry root of the plant, add water and boil a little, leave for 60 minutes. Give the broth to drink to the baby in 2 tablespoons. per day with meals during dinner, but no later than four hours before going to bed.
4. Bay leaf. Pour 1 liter of boiling water over a few large leaves and boil for 30 minutes. Let cool and brew. The child should drink a ready-made product, 100 ml, two to three times a day. The course of therapy is 7 days.
5. Bread with salt. At night, 30 minutes before going to bed, give the child a small piece of bread, which must first be sprinkled with salt. Salt retains fluid in the body, keeping your baby's bed dry. In the same way, children are offered small pieces of salted herring.
6. Onions and honey. Take one large onion, chop it with a grater. Add half the grated green apple and 1 tbsp. fresh honey. Mix. The remedy should be given to the baby for 14 days, 1 tbsp. before eating. The composition is not subject to storage. Before each meal, you need to prepare a new one.
7. Plantain. Pour 250 ml of boiling water over 1 tsp. crushed dried leaves of a plant. Insist for two hours. Give the child an infusion to drink three times a day.
8. Honey. If the baby suffers from urinary incontinence at night, you can offer him a dessert spoon of honey before he goes to bed. The product has a calming effect, helps to relax the nervous system and retain fluid.

Conclusion

It is necessary for parents to understand that the fight against bedwetting is a necessary event. This problem requires tremendous attention from specialists and moms and dads, because only thanks to common efforts, it is possible to achieve the desired result from the treatment.

Urinary incontinence is a condition that should be treated by specialists of several profiles (pediatrician, neuropathologist, psychologist, urologist, physiotherapist, etc.), since the approach to therapy in such patients must be complex.

Video: what not to do if the child has enuresis

A boy who wakes up wet does not cause anxiety and surprise. Enuresis in children under the age of five is quite normal and will go away without any intervention. There are often cases when such an incident occurs with an adult, most often with a man. Is it an accident or a consequence of the disease? In any case, attention must be paid to this. Finding himself in a wet bed in the morning, a man experiences shame and embarrassment, this can lead to a mental disorder. In such cases, it is important, with the help of a doctor, to understand the reasons for the appearance of enuresis in an adult, to identify the disease, the consequence of which he became, and to begin timely treatment.

Enuresis is an involuntary and uncontrolled flow of urine, often occurring at night.

If enuresis is diagnosed in adult men, the reasons suggest the following:

1. Diseases or pathological disorders in the urinary and reproductive system.
2. Developmental disorders of the bladder or urinary tract.
3. Formation of stones.
4. Consequences after undergoing surgery for prostate adenoma.
5. Age disorders prostate hormonal plan.
6. Age-related muscle weakening in the small pelvis.
7. Neurological diseases: Parkinson's, multiple sclerosis other.
8. Ailments based on psychosomatics: stress, excessive nervous overload, depressive state other.
9. Long-term treatment with diuretics.
10. Passion for alcohol.

Women suffer from this type of trouble less often than men and their disease is associated with hormonal imbalance in menopause.

As old age approaches, the chance of waking up in a wet bed increases. Statistics show that 7% of elderly men are susceptible to enuresis.

Diseases of the genitourinary system

If urination is accompanied by pain, has an increased frequency and the person experiences discomfort in the form of itching, burning and a pungent odor, then this indicates the presence of pathologies genitourinary system:

1. Inflammation process. This is due to the presence of red blood cells in the urine, high level leukocytes and harmful bacteria. It is accompanied by an increase in temperature.
2. Diseases of the prostate (not only in older men). With prostatitis, you feel severe pain with bowel movements, in the groin and lumbar region, in anus during bowel movements.
3. Tuberculosis of the genitourinary organs.
4. Cancer diseases. The tumor damages vascular cells. For a long time, the patient does not experience pain, and its appearance during bowel movements is the basis for suspecting bladder cancer.
5. Kidney disease... Injuries from stone release cause bleeding. A person feels pain in the lower abdomen, in the left or right side in the kidney area.

To avoid irreversible pathological processes in the genital area, if the listed diseases are detected, an urgent appeal to a urologist is necessary.

There are several classifications of bedwetting. They depend on time, regularity, causative factors and severity of the disease. Distinguish between single-symptom (unaccompanied by other ailments) and multi-symptom enuresis (with concomitant diseases). For adults, the second type is characteristic.

By the time of manifestation of incontinence, enuresis is distinguished:

1. Nocturnal enuresis in adults. Urine comes out involuntarily, the phenomenon is not related to how deep the sleep is. Regularly, it occurs in two forms: constant (all nights in a row), periodic (sometimes arises under the influence of traumas received by the psyche, physical or nervous excessive stress).
2. Day. Occurs in the presence of diseases of the excretory system or weakness.
3. Mixed. Uncontrolled urination at any time of the day.

Depending on the etiology, enuresis is divided into:

1. Stress-induced urinary incontinence. Occurs when suddenly sneezing or coughing, laughing, lifting heavy weight jerk.
2. Incontinence accompanying urgent diseases (diabetes, Parkinson's disease) and post-stroke condition. It occurs in old age. The man feels the urge to defecate, intends to complete the process, but does not have time. Urine comes out involuntarily.
3. Involuntary urination after operations on the urinary and reproductive system and removal of tumors.
4. Incontinence inherited. It is associated with a pathological feature of the bladder: when overflowing, urine comes out involuntarily.
5. Temporary, due to the intake of diuretics, food that provokes an increased excretion of urine or alcohol.
6. Mixed enuresis resulting from illness and psychological causes.

The psychology of a man is designed in such a way that it does not allow him to admit the presence of a disease. He experiences constant excitement, experience and stress about this. All this can be avoided with timely access to a doctor.

After confirming the diagnosis, the doctor decides how to cure enuresis in an adult man, depending on the causes and clinical condition disease.

At the first stage, preference is given to non-drug methods (tablets, capsules or injections are not prescribed):

1. Behavior correction: the interval between fluid intake and bedtime is a quarter of an hour or less. Emptying the bladder before falling asleep. Wake up on alarm in the first half of sleep to empty the bladder, exercise the bladder.
2. Specialized diet. Eating food with a high concentration of proteins, vitamins and minerals. Compliance with Krasnogorskiy's method (before going to bed, it is suggested to eat a small piece of herring, salted bread and wash it down with sweetened water).
3. Psychotherapeutic classes (hypnosis: a person is given the installation that he will “hear” the urge to empty and wake up during sleep).

If the above treatment methods do not help to overcome incontinence, there is a shift in the priority in the choice of therapy towards medication.

Urinary incontinence in adult men is an involuntary discharge of urine that occurs uncontrollably.

Etiology and pathogenesis of the disease:

• diseases of the prostate gland;
• disruptions in the functioning of the nervous system.

Enuresis needs immediate treatment. It is necessary to begin to heal the disease after its first manifestation.

Traditional methods to help get rid of a nuisance:

1. Non-drug.
2. Medication.
3. Surgical intervention.

The choice of therapeutic methods and the duration of therapy depends on the etiology of the disease. Treatment begins with the simplest methods. Only if they are ineffective, they turn to surgery. Together with traditional methods it is possible to use unconventional methods of treating enuresis.

The people use the following recipes, which received positive feedback on the forum during discussion:

1. A huge onion is ground into a gruel, ½ grated green apple and a large spoonful of honey are added to the mixture. Everything is mixed. For two weeks the remedy should be taken two large spoons before meals. Prepare fresh medicine daily.
2. A tablespoon of dried dill seeds is poured into a large glass of freshly boiled water and infused for two hours. The medicine is drunk immediately after waking up to 200 g.
3. The dried parsley root is crushed, filled with water, boiled for three to five minutes and infused for an hour. Four tablespoons are drunk with an evening meal no more than 4 hours before bedtime.
4. Five large bay leaves are boiled in 1 liter of water for half an hour, cooled and settled. The home remedy is drunk in a seven-day course in a small glass (100 g) 2-3 times a day.
5. A teaspoon of carefully washed and chopped plantain is poured into a large glass of boiled water and wrapped in a thick cloth to keep the heat for an hour. Drink three times a day before eating.

Despite the seeming harmlessness of herbal decoctions and tinctures, a doctor's consultation is also necessary before using them. Otherwise, you can get a complex of unwanted complications.

Conservative treatment methods for getting rid of the disease include:

1. Drug therapy. They use drugs that eliminate pathological changes in the central nervous system and stabilize blood microcirculation.
2. Physiotherapy methods: heat exposure, electrophoresis, electrical action on the pelvic muscles. As well as laser treatment, magnetic treatment, therapeutic shower, massage.
3. Physiotherapy. The Kegel method is effective here (the patient learns to relax and tighten the muscles of the perineum: during the release of urine, the process is stopped and resumed several times).

During treatment, in order to eliminate psychological inconveniences, a man is prescribed wearing special pads that hide systematic leaks.

Surgical intervention

The impetus for making a decision on the need for an operation is the lack of positive dynamics in the treatment of an ailment for six months.

The surgical method also depends on the cause and accompanying diseases of the pathology:

1. After the prostate or masses are removed, an artificial sphincter is inserted to compress the bladder neck.
2. In case of oncological diseases, complete removal of the affected part of the affected organ is carried out.
3. With an enlarged prostate, its canal resection is performed or expanded urethra.

Carrying out surgical intervention after a complete examination of the patient in the clinic, a joint doctor, urologist and surgeon are appointed.

Enuresis in the background overuse alcohol, doctors do not consider a disease.

The reasons for its appearance are as follows:

1. Poisoning with alcoholic toxins that cause relaxation of the urethra by acting on the peripheral nervous system.
2. Diuretic properties of alcoholic beverages.
3. Overflow of the body with fluid.
4. The combination of alcohol consumption with age-related changes in the tone of the pelvic muscles in the direction of weakening.

Mixing alcoholic beverages aggravates the situation with an increased effect on the kidneys. Unlike the usual type of enuresis, this type of it can overtake not only a man, but also a young girl.

To get rid of alcohol incontinence, it is enough to stop drinking and live a healthy lifestyle. If you cannot cope with the root cause on your own, you should contact a narcologist.

Prevention of bedwetting

After the disease has gone, preventive measures are taken to strengthen the muscles and normalize the patient's state of mind.

These include:

1. Refusal from cigarettes and alcohol.
2. Daily exercise to strengthen your pelvic floor muscles.
3. Regular visits to the urologist.
4. Prevention of stroke and Parkinson's disease.
5. The use of vitamins and minerals.
6. Maintaining healthy way life accompanied by moderate physical activity on the body.

The problem of urinary incontinence has been familiar to people since ancient times; doctors of Ancient Egypt tried to find ways to deal with it. But modern medicine does not guarantee complete cure for an unpleasant disease.

Despite the fact that bedwetting occurs less frequently in adults than in children, this disease cannot be called rare. How to get rid of it once and for all and how to find the cause of the pathology is the topic of this article.

The cause of the problem

A healthy person is able to control and regulate urination. Violation of the processes of accumulation and excretion of urine can cause involuntary urination - enuresis. At the same time, there is no urge and desire to empty the bladder, urination occurs involuntarily.

Enuresis is considered to be a child's problem, but adults are also susceptible to this pathological disorder. In adults, enuresis is more often observed during nighttime sleep, in rare cases it occurs during the day. Men suffer from bedwetting more often than women. There are several forms of bedwetting:

1. Stressful enuresis is observed during physical exertion, coughing, and sneezing. It occurs when the pressure of the bladder rises, in the absence of detrusor contraction. Most often, the disease affects women aged 35-50 years who have undergone difficult labor with pathological complications. And also the symptoms of the disease appear in women during menopause, against the background of hormonal imbalance.
2. Imperative enuresis is an involuntary leakage of urine that occurs with a sudden urge and is accompanied by an uncontrolled contraction of the detrusor.
3. Mixed enuresis is a combination of imperative and stressful enuresis.

Not all causes of bedwetting will be common to men and women. The pathology associated with a decrease in estrogen applies only to the female sex.

Causes of urinary incontinence:

1. Adenoma of the prostate gland interferes with urinary outflow. The malignant mass narrows the urethra and blocks the ureter, causing bedwetting. Also inflammation of the prostate gland and viral sexually transmitted diseases. The disease may be accompanied by elevated temperature and secretions from urinary tract.
2. Dysfunction of the muscle tissue of the bladder. The bladder is full due to obstruction of the urethra, or due to overactive detrusor. Alcohol and caffeine irritate the bladder and impair detrusor function. Detrusor overactivity causes urinary incontinence. A healthy bladder, by storing urine, is able to expand and retain urine. While an overactive bladder contracts even with a small amount of urine.
3. Hormonal disorders. The antidiuretic hormone (vasopressin) is designed to reduce night-time urine production. Thanks to this, a person can sleep all night without the urge to urinate. If the body does not produce the required amount of antidiuretic hormone, the kidneys do not decrease urine production. This disorder leads to nocturnal enuresis. Such symptoms are often observed in diabetes mellitus. Alternatively, the kidneys produce urine at night because they are unable to recognize the hormone. This deviation is associated with type 1 diabetes.
4. Urinary tract infections. Cystitis, urethritis are accompanied by irritation of the walls of the bladder, in these cases muscles weaken. The causes of bedwetting can be associated with the formation of stones in bladder.
5. Some hypnotic drugs and some drugs used in psychiatry can cause nocturnal enuresis. In the annotation, this violation is listed in side effects.
6. Gynecological pathologies such as uterine fibroids, uterine cancer, ovarian inflammation can cause enuresis.
7. Emotional and mental state, frequent stresses have an overwhelming effect on a person. Psychological reasons can provoke bedwetting.
8. Weak bladder sphincter. The sphincter is the blocking muscle in the bladder. V normal condition the person controls the sphincter by relaxing it when urinating. By old age, the muscle loses its functions, this is the cause of senile enuresis.
9. The neurogenic bladder is characterized by a number of disorders in the functioning of the nervous system. As a result, there are problems with the ability to store and excrete urine. Violations can be caused by diseases of the spinal cord and brain, Parkinson's disease, diabetes mellitus, various intoxications and HIV infection. Spinal cord and brain pathologies can be congenital. The disease can be inherited.

Diagnostics and treatment

How to cure bedwetting? In each a separate case treatment is carried out taking into account the cause of urinary incontinence. For more accurate diagnosis it is necessary to undergo a set of measures and conduct the following examinations:

1. Anamnesis of the disease, a survey about past illnesses, injuries, surgical interventions.
2. General urine analysis.
3. General and biochemical analysis blood.
4. Ultrasound of the bladder and kidneys.
5. Culture of urine (for the detection of viruses and microbes).
6. Magnetic resonance imaging is done to examine the spinal cord and brain.
7. A pelvic floor exam will determine muscle activity.

If symptoms and analyzes confirm the diagnosis of a neurogenic bladder, experts prescribe a comprehensive treatment. Drug therapy depends on the type of disease and consists in lowering contractile activity Bladder.

Genitourinary infections are treated with anti-inflammatory drugs. As a supplement, medications are prescribed that improve blood circulation in the muscles of the bladder.

Stressful bedwetting in adults should be treated with medication. Get rid of bedwetting will help training exercises for the pelvic floor muscles and physiotherapy. Biofeedback training has been successful in relieving bedwetting. If the patient is unable to exercise for any reason, electrical stimulation is prescribed. The contraction and strengthening of the pelvic muscles is stimulated with the help of currents of varying purity. Substitutional hormone therapy it is prescribed for women with a deficiency of estrogen in the body, during menopause. This therapy increases the formation of collagen, which is responsible for the elasticity and strength of the muscle tissues of the urogenital organs.

For complex disorders of the structure of the bladder and urethra, it can be recommended surgical intervention... Today, medicine has a large number of surgical techniques And the treatment of urinary incontinence is no exception. Operations are performed to restore the vesicourethral anatomy and operations to correct the musculo-ligamentous apparatus.

Physiotherapy normalizes the activity of the bladder and has a positive effect on the nervous system. Treatment includes:

1. Electrosleep (has a sedative effect on the entire nervous system of a person and normalizes his sleep).
2. Magnetic therapy (used to relax the walls of the bladder).
3. Reflexology methods are aimed at increasing blood flow to the lumbar and pubic regions. The procedure relieves muscle spasm and stimulates nerve endings.
4. Acupuncture (activates reflex points on the human body).

Exercise therapy is the best way to strengthen your urethra muscles. Kegel exercises are named after the doctor who invented this method... Another method of preventing urinary incontinence is an electric alarm clock, at its signal a person wakes up at night at the same time, thereby preventing involuntary urination.

Treatment with folk remedies

Get rid of bedwetting will help medicinal herbs, which have a sedative effect on the nervous and cardiovascular systems. These are valerian root, nettle, St. John's wort, calendula, yarrow, elecampane, thyme, chamomile, lemon balm, wormwood, wild rose, hawthorn.

During treatment, it is worth reducing the amount of fluid you drink. You should also not drink before bed. It is necessary to exclude drinks containing caffeine, as it irritates the bladder. Doctors advise eating a herring sandwich at night so that the salt retains water in the body. Choose a firm mattress for sleeping, it will provide the right support for the spine, and the signals from the bladder will reach the brain faster.

Enuresis in adults causes great discomfort and negatively affects the quality of life. Treatment should be started immediately, at the first cases of enuresis. In men, the disease can reduce sexual activity and lead to psychological problems... In this case, the consultation of a psychologist will help to adapt and develop a proper attitude towards the disease. It is quite possible to cure enuresis with the help of psychotherapy sessions if the causes of the ailment are caused by mental disorders. A healthy lifestyle that implies balanced diet and regular physical activity will serve as a good prevention of this disease.

Enuresis Is urinary incontinence. And nocturnal enuresis means that a person is unable to control the process of urination during sleep. Simply put, he wet his bed when he sleeps.

Daytime enuresis is much less common. He appears after suffering a severe psychological trauma, which caused a malfunction in the nervous system.

The problem of bedwetting is as old as humanity itself. Even the doctors of ancient Egypt were looking for ways to control the bladder. Since then, medicine has advanced significantly, but experts do not give a 100% guarantee that you will get rid of this problem.

V modern medicine nocturnal enuresis is not considered a disease, but rather a stage in development when a person is just learning to control the functions of his body and develops reflexes. Normally, a child should learn this by the age of 6. But in practice, 10% of 6-year-olds do not know how to do this. Over the years, the problem recedes. At 10 years old, 5% suffer from enuresis, and at 18 only 1%. Among adults, one in 200 people periodically loses bladder control during sleep. Thus, among those who suffer from this phenomenon, almost 94% of children, 5% of adolescents and 1% of adults.

Among boys, it is observed 2 times more often than among girls. But in old age, bedwetting is more common in women.

Short, thin children are more likely to suffer from enuresis. Also, kidney and bladder infections play an important role in the onset of the disease. Often, incontinence in children is a form of psychological protest. It may be the result of a lack of attention or, conversely, a reaction to increased parenting. Enuresis occurs in shy and fearful babies. Most of the patients with this deviation are from dysfunctional, low-income or large families.

Many specialists are involved in the treatment of enuresis: pediatric neurologists, endocrinologists, pediatricians, urologists, nephrologists, psychiatrists, homeopaths, physiotherapists. They offer over 300 comprehensive techniques to combat this problem. Among them there are quite exotic methods: acupuncture, hypnosis, dolphin therapy.

Types of enuresis

There are several types of bedwetting. Depending on how much the child has developed a "sentry" reflex, which makes you wake up when the bladder is full, the following are isolated:

• Primary- the child has never been able to control the bladder during sleep. This option is considered the easiest. In 98% of cases, it goes away without treatment.
• Secondary- there was a period of at least 6 months in the child's life when the bed remained dry every day.
  Complicated and uncomplicated nocturnal enuresis is also distinguished.
• Uncomplicated... - besides the fact that the child urinates in his sleep, he has no other deviations in health.
• Complicated- accompanied by deviations in mental or physical development, inflammation of the kidneys or bladder.
  They also distinguish between neurotic and neurosis-like enuresis.
• Neurotic- found among shy and fearful children. They often have light, light sleep. Such children are very worried about their "wet" nights and are often afraid to fall asleep for this reason.
• Neurosis-like- noted in nervous children who often throw tantrums. They don't worry too much about urinating at night. This continues until adolescence. Then the picture changes, and the problem begins to depress them greatly. Such adolescents become withdrawn and sullen, they may develop neuroses.

Why does enuresis occur in girls?

Girls are less likely to suffer from bedwetting. They learn to potty faster and learn to control their bladder. And if such a problem has arisen, then it responds better to treatment. This is due to the peculiarities of the functioning of the nervous system. But let's see why there is still a malfunction in the regulation of the bladder.

1. The girl has not yet learned to control her reflexes. This is due to the fact that her nervous system is not yet fully debugged. This happens even with those girls who do not lag behind their peers in other respects.
2. Psychological trauma, stress. Often, the problem appears after the second child has appeared in the family, moving, transferring to a new school, divorce of the parents. In this case, enuresis is a subconscious protest or an attempt to return to childhood.
3. Very sound sleep . The child is sound asleep and does not feel that the bladder is full. This may be a congenital feature of the nervous system or the result of the girl being very overworked. In the latter case, wet sheets are not often, but after eventful days.
4. The child drinks a lot of fluids. Often girls like to have tea in the evening. Especially if during the day they ate salty food (chips, crackers). This often happens during colds, when parents are trying to water the baby more.
5. A large volume of urine is secreted at night (nocturnal polyuria). Normally, the body produces 2 times less urine at night than during the day. This feature of the body is regulated by the hormone vasopressin, which is produced at night. But in some girls, the amount of this hormone may temporarily decrease.
6. Heredity. Scientists have found that if both parents faced this problem in childhood, then the probability of a child developing enuresis is 75%. If only one of the parents is a carrier of this gene, then the risk that the girl will have enuresis is 30%.
7. Urinary tract infections. Due to the fact that girls have a short and wide urethra, infection from the genitals easily penetrates into it. Then the microorganisms rise higher into the bladder and cause inflammation (cystitis). This disease is accompanied by frequent urination which the girl cannot always control.
8. Injuries to the spine or spinal cord. Often such injuries appear due to a complicated pregnancy or injuries sustained during childbirth. As a result, the nerve impulse from the bladder does not travel well to the brain.
9. Development lag. If a girl has a delay in mental or physical development, then her biological age is much less than the calendar one. In this case, she has not yet had time to form the necessary reflex.

Why does enuresis occur in boys?

Enuresis in boys is quite common. Up to 10% of boys under the age of 15 face it. For almost everyone, this problem resolves itself and wet sheets are a thing of the past. What is the reason for the appearance of enuresis in boys?

1. The development of a conditioned reflex has not been completed. Each person's nervous system has its own characteristics. Some people get used to controlling their bodies earlier, while for others this process ends later.
2. Hyperactivity- the activity and excitability of the child greatly exceeds the norm. In boys, this condition is noted 4 times more often. Active processes in the cerebral cortex, as it were, suppress the attempts of the bladder to talk about their problem. And as a result, the urge to urinate remains "unheard" by the brain.
3. Stress and strong emotions. Some situations that are accompanied by nervous tension or fright can cause enuresis. A child may be frightened by a dog, upset because of a parental quarrel, or because he was left alone. Therefore, if possible, avoid situations that can cause psychological trauma to the baby.
4. Hyper-care and attention deficit. Boys who grow up in single-parent families without a father often suffer from enuresis. Often, in this case, the mother and grandmother are overprotective of the child. He feels "small" and subconsciously behaves accordingly. In children who are deficient in parental attention, the situation is the opposite. They really want to return to childhood and feel cared for. Therefore, in a dream they behave like little ones.
5. Disruption of the endocrine glands and hormonal balance. Thin, young boys whose height does not match their age lack growth hormone. But the fact is that at the same time, the amount of other hormones that are responsible for controlling the bladder, the amount and concentration of urine decreases. These are vasopressin and atrial natriuretic hormone.
6. Birth trauma. The brain in boys is formed somewhat later than in girls. Therefore, they are more likely to get injured during childbirth. These injuries to the spinal cord and brain are the cause of enuresis in boys.
7. Inflammatory diseases of the kidneys and bladder. Inflammatory processes in the kidneys and bladder very often cause urinary disorders. They can be easily identified by general urine analysis. If the boy has congenital features of the urinary tract, they can also affect the formation of the reflex.
8. Hereditary tendency. In 75% of cases, parental genes are to blame for a boy's enuresis. If mom or dad suffered from this problem in childhood, then the probability that the boy will repeat their fate is 40%.
9. Diaper habit. Recently, diapers have been increasingly blamed for enuresis in boys. The child gets used to the fact that you can pee in your pants without getting wet and cold. Therefore, it is so important to give up diapers for up to 2 years.
10. Allergic reactions and bronchial asthma. The mechanism that connects allergy and the occurrence of enuresis is not fully understood. But boys with allergies tend to urinate when they sleep. It is possible that the brain is experiencing oxygen deprivation and does not perform well with its functions.

Why does enuresis occur in adolescents?

In adolescence, enuresis is somewhat less common than in children. It can be secondary, that is, it appears after trauma or stress. Or drag out from infancy. Let's take a closer look at the causes of this problem.

1. Congenital disorder of parts of the nervous system, which are responsible for the formation of a conditioned reflex.
2. Disorders of the "sentry" reflex due to trauma. Especially often this reason is noted in adolescent boys who have increased activity.
3. Heredity. The tendency to enuresis is inherited. This happens especially often if both parents had this diagnosis in childhood.
4. Congenital pathologies of the kidneys, bladder and urinary tract. They often cause inflammatory processes(cystitis and nephritis). During these diseases, it is much more difficult to control urination.
5. Mental disorders. At this age, depression and neuroses are often manifested. They can contribute to the fact that problems long forgotten in childhood become urgent again. The complexes and experiences that a teenager experiences about this further exacerbate the problem.
6. Stressful situations. In adolescence, there are enough nervous shocks, and they are perceived very sharply. Failure in school, peer problems, stressful family situations, and physical punishment can all trigger nocturnal enuresis.
7. Hormonal changes in adolescence. The period of sexual maturation causes a malfunction in the production of hormones. Among them there are those that regulate the processes of emptying the bladder.

Why does bedwetting occur in adults?

Bedwetting in adults is of two types. In the first case, the person was never able to form a reflex that makes him wake up at night to go to the toilet. In another case, urinary disorders appeared in adulthood. What are the causes of bedwetting in adults?

1. Congenital anomalies of the urinary system. These include: too small a size of the bladder, too thick and inelastic walls.
2. Hormonal changes in women during menopause. These changes cause a deficiency in the hormones that control the bladder. Because of them at night, the kidneys produce large quantity urine than usual, and this can cause nocturnal enuresis.
3. Tumors. Neoplasms can interfere with the transmission of nerve signals from the bladder to the cerebral cortex.
4. Weakness of the pelvic and pelvic floor muscles. Muscles can weaken after pregnancy or with age. This problem is one of the most common causes of enuresis in women.
5. Aging processes in the cerebral cortex and spinal cord. With age, the connection between nerve cells, which, like a chain, transmit a nerve impulse from the bladder to the cerebral cortex. It is there that the center is located, which wakes us up at night and sends us to the toilet.
6. Weakening of the bladder sphincter. The sphincter is a circular muscle that blocks the lumen of the bladder and prevents urine from flowing out. Normally, we consciously relax it when we urinate. But with age, this muscle weakens and therefore, when the bladder fills at night, it is unable to keep it from emptying.

What are the effective treatments for bedwetting in children?

If the child has not learned to control his bladder by the age of 6, then this is a reason to examine the baby and start treatment. It is necessary to pass a urine test, do an ultrasound of the bladder and kidneys. The doctor may additionally prescribe an X-ray of the spine or MRI.

There are over three hundred different ways fight against bedwetting in children. Each of them is quite effective. All of them can be divided into three groups:

• Medication (various medicines)


• Non-drug (physiotherapy and psychological techniques)


• Regular (night "landings" on the pot)

Medicinal treatments for bedwetting in children

Different medications are used depending on the cause of bedwetting. In the event that the child has hyperactivity and he is very nervous and shy, then sedatives (tranquilizers) are prescribed. If infections are found during the examination, then it is imperative to drink a course of antibiotics. They kill bacteria that cause inflammation of the kidneys and bladder.

Sometimes enuresis occurs as a result of delayed development of the nervous system. In such cases, nootropic drugs are prescribed. They speed up development processes. Good results are obtained with the use of the hormone desmopressin, which regulates the amount and composition of urine and the work of the bladder.

Non-drug treatments for bedwetting in children

This includes the use of urinary alarms, commonly referred to as "urinary alarms". These devices have a small sensor that fits into the baby's panties. When the first drops of urine fall on him, he sends a signal to the alarm clock. The child turns off the alarm and goes to the toilet.

Physiotherapy methods improve the functioning of the bladder and nervous system. For these purposes, electrosleep, electrophoresis, magnetotherapy, acupuncture, music therapy, baths and circular showers, massage and therapeutic exercises are often used.

The help of a psychologist and psychotherapist will help your baby cope with a disobedient bladder. The specialist will teach him the techniques of relaxation and self-hypnosis. Keeping a special diary will be an effective method. Every dry night in it is signified by the sun, and wet sheets by a cloud. Five suns in a row is a great reason to get a small incentive prize from your parents.

For a successful fight against bedwetting, a child should adhere to a certain diet and not drink after dinner. The most famous diet was developed by N.I. Krasnogorsky. It is aimed at keeping water in the body at night. To do this, before bedtime, the baby is given bread and salt, a piece of herring and sweet water. During the day, the child's menu is very varied and rich in vitamins.

Regime treatment of bedwetting in children

Try to keep your baby's life smaller stressful situations... Even strong positive emotions can cause a child to forget to control their bladder during sleep.

It is important to strictly adhere to the regime and put a child under 10 years old at exactly 21:00. After 17 hours, it is necessary to drastically reduce the amount of liquid that the child drinks. If the norm of a child under 5 years old is 1 liter, then distribute it in this way. 700 ml until 3 pm, 200 ml until 6 pm, 100 ml for the evening.

4 hours before bedtime, the baby's games should not be too active. Let the child draw, read, watch a fearless cartoon.

The child's bed should be slightly raised in the pelvic area and under the knees. To do this, it is enough to put a small roller made of a rolled-up bedspread under the mattress. This special crib will help relieve pressure on the bladder wall.

Make sure that the baby does not overcool either day or night. The legs should be especially warm. If they freeze, then the bladder reflexively begins to fill.

Before going to bed, the child must go to the toilet. And during the night it is worth waking him up several times. Put the child on the potty one hour after falling asleep and then every three hours during the night. But make sure that he does "his business" not half asleep. If he naps on the pot, then this can only worsen the situation. Turn on a dim light, talk to your baby. Get clear answers from him to make sure he is really awake.

Ask your child if he needs a night light. Children are often afraid to get out of bed because of the darkness. It is easier for them to sleep on wet sheets than to crawl out from under the covers. After all, most kids are confident that monsters are hiding under the bed in the dark.

If in the morning you still notice that the bed is wet, then do not scold the child. Mom's screams and despair in her eyes demonstrate to the baby that the problem is big and terrible. And that means that he, so small and weak, cannot cope with it. Make the bed together and explain to the child that many children have this, but every child can lock urine in their tummy until morning. And he will definitely cope with this task. After all, he is the best you have!

Any of the methods will give nice results only on condition that the child himself is interested in solving the problem. He will also really need the support of all family members. Trust in your child and instill in him confidence in your abilities.

How is bedwetting in adults treated?

Treatment of bedwetting in adults must be comprehensive. This means that pill treatment must be combined with psychotherapy and traditional medicine. And all this needs to be supplemented the right organization regime of the day. In practice, everything is not so difficult. Follow our recommendations and you are guaranteed many dry nights.

Regime activities

Sometimes it is enough to change your habits and the problem will leave you. For example, try to drink less in the afternoon, but increase the amount of fluids you drink before lunch.

Avoid drinks and foods that have diuretic effect... This is beer, coffee, strong tea, cola, cranberry juice, herbal infusions(corn stigmas, birch buds), watermelon, strawberries.

Stick to the diet developed by N.I. Krasnogorsky. Eat meals with a low water content after lunch. Reduce the volume of drinks 2-3 times after 15.00. Don't drink 4 hours before bed. And before going to bed, eat a sandwich with salted fish or just bread and salt. Drink it with half a glass of water. Salt retains water in the body, preventing it from accumulating in the bladder.

Putting a pillow under the mattress at your feet will help relieve pressure on the sphincter that closes your bladder. Thus, you will strengthen the leakage protection.

Your bed should be hard enough. First, it will provide good support for the spine. Nerve signals from the bladder will be better transmitted to the brain. And secondly, on a hard bed, your sleep will be more sensitive and it will be easier for you to wake up at the right time.

Set the alarm, let it wake you up 2-3 hours after you fall asleep. Change your wake-up time every few days so you don't get used to waking up at the same time at night.

Try to avoid stressful situations and not get nervous. When you are calm, it is much easier for you to control your body.

Psychotherapy

Hypnotic techniques are traditionally used. The essence of the method is to convince the patient with the help of hypnosis that he will feel the urge in a dream, which is sent by a full bladder. And these sensations will make him wake up. Thus, a “sentry” reflex is formed in the cerebral cortex, which allows you to completely get rid of enuresis.

Behavioral techniques often work well, with rewards for good nights. Of course, adults make it themselves. But even these little gifts increase motivation well.

Some methods of self-hypnosis can be mastered independently. Try to keep the evening calm. Relax completely before falling asleep. Feel how every muscle in your body is at rest. Then, for a few minutes, say to yourself, or better aloud, the key phrase: “I have complete control over my body and my bladder. When it is full, I will receive a signal and wake up. " Be confident in your abilities, and everything will definitely work out. After all human body able to cope with more complex tasks.

If you have a logical mindset and you do not succumb to suggestion, then rational psychotherapy will help. The specialist will introduce you to new information about your problem and about the capabilities of your body. He will use logic to convince you that bedwetting is not a difficult and dangerous disease, and it is in your power to cope with it.

Reception of physiotherapy exercises (exercise therapy)

Physical therapy for bedwetting is aimed at strengthening the bladder sphincter and the pelvic floor muscles that control urination. In order to train them, there are even special simulators (for women). But do this medical gymnastics it is possible without any adaptations.

Try to stop while urinating. Use your muscles to block the flow of urine from your bladder. Listen to your feelings, which muscles tensed at the same time? Now relax and continue emptying your bladder. Repeat the exercise every time you use the bathroom. Then you can do the same exercises just by lying in bed. This is a very powerful method.

Physiotherapy for the treatment of bedwetting in adults

There are many physical therapy machines available to help you get rid of bedwetting. Their action is based on weak discharges of electric current that pass through the body and improve its performance. Healing effect due to the fact that they all improve the transmission of a nerve impulse (signal) from the bladder along the nerves and spinal cord into the cerebral cortex. There, a decision is already made to wake the sleeping person and make him feel that it is time to empty the bladder. Physiotherapy is absolutely painless, and sometimes even very pleasant. They have minimal side effects.

• Electrosleep- normalizes sleep patterns and calms the nervous system. Perfectly helps those who have urinary problems associated with neurosis and other nervous disorders.


• Darsonval on the bladder area- strengthens the sphincter that closes the bladder.


• Electrophoresis. Different kinds this procedure improves the functioning of the nervous system.


• Magnetotherapy relaxes the walls of the bladder. Reduces urge to urinate.

There are also non-electrical techniques that also help prepare the nerves for signal transmission. Thanks to this, a persistent "sentry" reflex is developed. Therefore, these techniques are called reflexology.

1. Medicinal mud, warm paraffin and ozokerite are applied to the lumbar region and above the pubis. The procedure helps to increase blood flow to this area, relieve inflammation and muscle spasms near the spine. This improves the condition of the nerves from the bladder to the spinal cord.


2. Hydrotherapy: shower (rain and circular) baths (nitrogen, pearl, salt-coniferous). The latter type can be done at home.


3. Acupuncture. Special thin needles are found in reflex points on the body. This improves not only the functioning of the nervous system, but also emotional condition and dream.


4. Music therapy, art therapy. Music and painting treatments are soothing and positive.


5. Animal communication therapy. Most top scores gives communication with horses and dolphins. But if your dog and cat improve your mood, then they can also be excellent helpers in treatment. After all, his success depends on your emotions.

Treatment of bedwetting in adults with medication.

Used for the treatment of bedwetting different groups drugs. To maximize the effect of them, it is necessary to adhere exactly to the dose prescribed by the doctor and take them regularly.

• If enuresis is caused by inflammation in genitourinary organs, then you need to take antibiotics: Monural, Norfloxacin.
• For the treatment of kidney diseases, nitrofuran drugs are used: Furamag, Furadonin.
• Tranquilizers for normalization of sleep: Radedorm, Eunoktin. They have a calming effect, help to get rid of negative emotions, tune in to a positive mood.
• Nootropics: Glycine, Piracetam, Picamilon. They improve the functioning of the nervous system, contribute to the development of a conditioned reflex.
• Antidepressant Amitriptyline. Relieves patients from strong experiences that have caused psychogenic enuresis.
• M-anticholinergics: Sibutin Driptan. Relaxes tense muscles of the bladder, relieves spasm. This allows you to increase its volume and restrain the urge to urinate. He will be able to hold more urine. Therefore, a person will be able to sleep until the morning without having to go to the toilet.
• Artificial hormone desmopressin. It helps reduce the amount of urine that is passed at night. Adiuretin-SD - nasal drops based on this hormone. Very easy to use form. In severe cases, desmopressin is given intravenously. This increases its efficiency several times.

Traditional methods of treating enuresis

This method is based on improving the transmission of urge from the bladder to the brain. It is necessary to soak a piece of cotton wool in warm water and squeeze lightly. Run wet cotton wool along the spine from the neck to the tailbone. Repeat 5-7 times. Do not wipe off. This procedure is done in bed before going to bed.

Honey perfectly calms the nervous system before bed and helps to retain water in the body. A tablespoon of honey must be eaten before bed, you can drink it with a few sips of water.

Walking on the buttocks strengthens the pelvic floor muscles and the bladder wall. You need to sit on the floor, straighten your legs. Move your legs forward one at a time, contracting the muscles of the buttocks. You need to go forward 2 meters, and then go back in the same way.

Good results in the treatment of bedwetting in adults are obtained by visiting bioenergetics and traditional healers. They know how to tune the work of the nervous system in a special way and have the gift of suggestion.

What are the alternative treatments for nocturnal enuresis?

The people of nocturnal enuresis have never been considered a complex disease. Traditional medicine very quickly and effectively helps to cope with this defect.

What pills are used in the treatment of bedwetting?

Drug name	Mechanism of action	How to use	The effect of taking
Preparations to improve the functioning of the nervous system
Rakedorm	Relieves muscle spasms, soothes and normalizes sleep	1 tablet in the evening, half an hour before bedtime. The children's dose is half a tablet.	Helps sleep and relaxes the muscles of the bladder by increasing its volume.
Pantogam	Helps develop a stable "watchdog" reflex	Adults take 1-2 tablets half an hour after meals, 3 times a day. For children, the dose is halved. The course of treatment is 3 months.	The brain function improves. After 2 months, the fullness of the bladder wakes up.
Glycine	Has a calming effect, relieves depression. Normalizes sleep.	Dissolve behind the cheek or under the tongue 2-3 times a day. The course of treatment is from 2 weeks to a month.	Improves mood, helps to relax and sleep. But the sleep remains light and the person can feel that the bladder is full.
Phenibut	Improves the condition of the brain and metabolic processes in its cortex. Promotes restful sleep.	Take 1 tablet at night for 7-10 days. The dose for children is prescribed individually.	Relieves anxiety that often occurs before bedtime due to bedwetting.
Melipramine	Makes sleep less deep, increases bladder volume and blocks urine flow with a sphincter.	Take 1 tablet 3 times a day, regardless of food. The duration of treatment is at least two weeks.	The bladder relaxes and the outflow of urine is tightly blocked. Sleep becomes calm, but sensitive.
Anticholinergics that relax the bladder
Spazmex	Reduces the tone of the smooth muscles of the bladder, and at the same time increases the tone of the sphincter.	1 tablet 2-3 times daily before meals. The course of treatment is 3 months.	Prepares the bladder to hold more urine.
Driptan	It increases the capacity of the bladder, reduces the number of contractions, and makes its receptors less sensitive.	1 tablet 2-3 times a day. Take the last dose at night. Children's dose of 0.5 tablets in the morning and evening.	Helps relax the bladder and reduces the need to go to the toilet at night.
Synthetic analogs of antidiuretic hormone
Desmopressin	An analogue of a hormone that is produced in the body at night. Its function is to reduce the amount of urine during sleep.	The dose is prescribed individually, but not more than 10 tablets per day for adults. The course of treatment is 2-3 months.	During a night's sleep, the bladder does not fill.
Minirin	Regulates the kidneys so that less urine is excreted.	Take 1 time before bedtime for no more than 3 months.	The amount of urine decreases. You do not need to wake up at night to empty your bladder.

How can bedwetting be treated at home?

Eneruz is in most cases treated at home. But it is worth remembering that for effective and quick treatment medication alone is not enough for this ailment. A comprehensive approach is needed to combat bedwetting.

Representatives of the stronger sex prefer to remain silent about the problem associated with urinary incontinence. Especially often this problem concerns older men.

However, it is important to know that bedwetting in adulthood is treatable.

Features of enuresis in men

Enuresis is characterized by uncontrolled discharge of urine from the urethra... This causes significant discomfort, causing not only physical but also psychological inconvenience.

For older men, the diagnosis of enuresis is not life-threatening, but it will affect the nervous system, and subsequently can lead to exclusion from society due to the embarrassment of being awkward. Harbingers of the disease in older men are nervous system problems, vessels and organs of the urinary system.

Men are often silent about their illness and do not want to spread not only to the doctor, but also to their loved ones. Therefore, various complications occur, which greatly aggravate the course of the disease and the conduct of medication.

In the International Classification of Diseases, which is used by physicians all over the world, this ailment is designated as F98.0 and refers to enuresis of an inorganic nature.

After the patient suffered a stroke, he has urinary incontinence. This becomes an unpleasant phenomenon not only for the person himself, but also for those who care for him. In addition to urine, a person in this state experiences fecal incontinence, which also negatively affects the psychological state and interferes with a speedy recovery.

At the same time, urine may leak drop by drop, and sometimes it is excreted in portions. Therefore, it is important to pay attention to this symptom in the first days after a stroke and tell your doctor about the problem. In this case, enuresis occurs due to loss of control over some parts of the brain.

Diagnosis of the disease

Success lies not only in making a diagnosis for an adult male, but also in correctly detecting the cause of urinary incontinence. Man addressing medical specialist, comes with certain complaints, on the basis of which the doctor can suggest a particular condition.

Diagnostic measures are carried out using the following types of research:

• Research related to urodynamic and endoscopic methods.
• Carrying out "cough" tests. The doctor prescribes this study when the bladder is full.
• Collecting anamnesis, that is, complaints from a man.
• Conducting a daily "pad test". This method involves wearing a pad during the day that can show the level of urine excretion from the urinary tract, and then it will help to make a correct diagnosis.
• Ultrasound examination aimed at examining the bladder and organs of the urinary system.
• General urological examination.

Most effective method capable of determining the disease is combined urodynamic study... It is characterized by cystometry and profilometry, as well as uroflowmetry. These methods are most effective in identifying the cause of the disease and determining the state of the excretory tract for urine.

After comprehensive survey the patient's doctor will decide whether to diagnose enuresis or refute it. If urinary incontinence in a man is confirmed, then he will be assigned a competent treatment regimen, which he must adhere to until he completely forgets about the uncontrolled flow of urine.

How to get rid of an ailment - treatment measures

Treatment measures will depend on what is degree of neglect of the disease, as well as from previous methods of treatment, if the patient has already experienced problems with this ailment. The cause of bedwetting is also important for the correct treatment regimen.

You can get rid of incontinence by undergoing treatment or surgery if other methods are not able to cope with the pathological condition.

Conservative methods

TO conservative methods elimination of the disease include:

• Medication-related therapy. These include drugs that can eliminate problems with the central nervous system, as well as that improve microcirculation in the circulatory system.

Antispasmodics eliminate the tone in the bladder and significantly improve its functionality. Means that have an effect on the hormonal background of a person are effective. If a person has developed disorders of the nervous system, they are eliminated with the use of antidepressants.

• Physiotherapy activities. These include extracorporeal exposure to a magnet and the method of electrical stimulation.
• Compliance with a certain, capable of establishing many systems of the human body.
• Exercises that improve the psychological state of the patient and strengthen the muscles of the pelvic floor. These exercises include the method.

During treatment, in order to eliminate psychological inconveniences, the man is prescribed wearing special gaskets hiding systematic leaks.

If an adult man has a copious portion of urine, then he is prescribed to wear special underpants designed to absorb urine. They eliminate urine and are not visible under clothing.

Many people are advised to go in for sports, avoid alcoholic beverages and others. bad habits... Muscles need to be strengthened both at home and outdoors, for this, experts recommend training them with the help of gradual tension and then relaxation.

This method helps in many cases, especially in those where the muscles are weakened, and this is due to age characteristics the patient.

Surgical intervention

Conservative methods carry out within six months... If during this period there have been no improvements in the body and urine continues to be secreted without brain control, then the doctor decides to perform a surgical intervention.

Surgical treatment is often carried out with the placement of an artifactual sphincter, a special valve made in the form of a ring. This method is effective for removing the prostate or after surgery to remove neoplasms in the pelvic organs.

This method has particular disadvantages, characterized by frequent erosions and periprosthetic infections.

Another method for eliminating incontinence is in collagen injection... This method is successful in almost half of the cases, especially when the patient suffers from tumors in the urinary tract.

The disadvantage of this method is the gradual resorption of the substance and, as a consequence, the loss of effect and new signs of uncontrolled urination.

The third method used in modern medicine is to create a male loop implantation, or, as this method is also called, "Sling operation".

The essence of the method consists in wrapping the urethral area with a special mesh made of synthetic fiber. The edges of such a mesh are strengthened to the bones of the pelvis. This method provides support for the urethra and prevents premature fluid leakage.

This method becomes more perfect and effective for many patients every year. The positive effect of such an operation occurs almost in ninety percent of cases.

Modern medicine has more than a hundred different implants that can eliminate a specific problem in adult men.

Traditional methods

Many urologists recommend that patients besides drug therapy to treat folk remedies... It is especially important to carry out such therapeutic measures using traditional medicine after acute period diseases, or for the treatment of the elderly.

An effective method for treating leakage is to take infusions made from rose hips... This is due to the fact that it contains an excess amount of vitamin C, which can normalize the body's defenses and strengthen immune system... Oxidants included in the product and flavonoids normalize the pH balance in urine.

To eliminate urinary incontinence, the following recipes will be effective:

1. one teaspoon of plantain is brewed with 250 milliliters of water, after which the infusion costs an hour, wrapped in a towel. Such a decoction is taken three times a day, one tablespoon, mainly before meals;
2. five tablespoons of sage are poured with one liter of boiling water, after which they insist and take one teaspoon once a day;
3. tea made from St. John's wort treats the symptoms of incontinence. They drink it a few spoons a day.

Traditional medicine recommends eating vegetables and fruits, which fill the body with vitamins and useful microelements. Not recommended abuse diuretic products and fruit drinks. This can make your incontinence problem worse.

What to do to prevent bedwetting?

After the disease has receded, we must not forget about preventive measures aimed at strengthening muscles and psychological state the patient. TO preventive measures include:

• Leading a healthy lifestyle, accompanied by moderate physical activity on the body.
• Quitting smoking and alcohol.
• Performing exercises to strengthen your pelvic floor muscles on a daily basis.
• Examination by a urologist (about once a year).
• Prevention of diseases such as stroke or Parkinson's disease.
• The use of vitamins and minerals.

The doctor will tell us about the problem of bedwetting in adults in a video clip: