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Child outdoors holding an umbrella - metaphor for bedwetting

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CHILDHOOD BEDWETTING (Enuresis) CAN BE TREATED.
Most children who wet the bed will eventually outgrow the condition. Although for some, this condition might persist into adulthood.1
Most children have developed control of their bladder by the age of 5.2 However, boys tend to develop proper bladder control and maintain dryness at night later than girls.2
Bedwetting at ages 6 – 7 years becomes problematic because the child is in school and may experience social problems.2,3

HOW COMMON IS BEDWETTING?
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Around 19 % of school-aged children wet the bed.
In fact, it is one of the most common childhood problems.1

 

Infographic showing stats on enuresis

WHAT CAUSES BEDWETTING?
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Bedwetting (enuresis) can be caused by one or a combination of the following:4
Firstly, difficulty to rouse from sleep:4
When the child is asleep, the brain doesn’t get the message that the full bladder needs to be emptied.
Secondly, an overactive or twitchy bladder:4
If the bladder is overactive, the bladder muscle becomes “twitchy” and can only hold small amounts of urine. A “twitchy” bladder may spontaneously contract during sleep, which can result in bedwetting.
Thirdly, the overproduction of urine during the night:4
If the child has low vasopressin levels (a naturally occurring substance) at night, they may produce more urine than the bladder can hold.

 

Girl jumping in a puddle of water as a metaphor for bedwetting

WHY TREAT BEDWETTING?
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When a child is very young, bedwetting may not seem like a concern. However, persistent bedwetting can be a distressing experience for both the child and the family as they get older.4,5
By leaving it untreated, the child or teenager can suffer an increased risk of:1,4,5,6

  • Low self-esteem.
  • Strong feelings of shame and guilt.
  • Avoidance of social activities.
  • Underachieving at school.
  • A sense of difference from others.
  • Victimisation.

Most importantly, clinical research has shown that bedwetting can have a significant negative impact on a child’s emotional and social development.6

WON’T THEY JUST GROW OUT OF IT?
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Each year about 14 % of children grow out of wetting the bed. But bedwetting often doesn’t resolve by itself. For some children, the problem continues into adulthood. In fact, bedwetting occurs in 2 – 3 % of adults.1

HOW CAN I HELP MY CHILD OR TEENAGER?
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  • Reassure your child that bedwetting is a common problem and is not his/her fault.7
  • Encourage your child to go to the toilet frequently during the day, especially just before bedtime and on awakening.7
  • Reduce the amount of fluid consumed in the evening.7
  • Encourage physical activity.7

EFFECTIVE TREATMENT IS AVAILABLE.
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If your child is six years of age or older, still suffers from bedwetting, and is unhappy and uncomfortable about it, you should contact your doctor for advice.2,7



1. Caldwell P, et al. Management of childhood enuresis.

Med Today 2008;9(8):16-24.2.van Dyk JC, et al. South African guidelines for the management of nocturnal enuresis. SAMJ 2003;93(5):338-340.

2. Hjalmas K, et al. Nocturnal Enuresis:

An International Evidence-Based Management Strategy. The Journal of Urology 2004;171:2545-2561.

3. Butler RJ, et al.

The Three Systems: a Conceptual Way of Understanding Nocturnal Enuresis. Scand J Urol Nephrol, 2000;34(4):270-277.

4. Butler R, et al.

Overcoming parental intolerance in childhood nocturnal enuresis: a survey of professional opinion. BJU Int 2002;89:295-297.

5. Hägglöf B et al.

Self-esteem Before and After Treatment in Children with Nocturnal Enuresis and Urinary Incontinence. Scand J Urol Nephrol 1996;79-82.

6. Neveus T, et al.

Evaluation of and Treatment for Monosymptomatic Enuresis: A Standardization Document From the International Children’s Continence Society. J of Urology 2010;183:441-447.

 

NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION:

FERRING (Pty) Ltd. Route 21 Corporate Park, 6 Regency Drive, Irene Ext 30. Pretoria, South Africa.
Tel: +27 12 345 6358 Fax: +27 12 345 1156. www.ferring.co.za. FERRING and the FERRING logo are registered trademarks of Ferring B.V. For full prescribing information please refer to the package insert approved by the medicines regulatory authority. https://bit.ly/3hUP4km. 2022/27 Effective date: April 2022

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