6th May 2005

May 9th to the 15th is 'Healthy Bladder Week', the Health Service Executive - South Eastern Area (HSE-SEA) is highlighting the issue of bedwetting and giving parents help to reduce the problem.  Bedwetting is a common childhood complaint that affects quite a considerable number of children.  Enuresis is the term used by healthcare personnel to describe the problem. 

Enuresis is described as the involuntary voiding of urine during sleep at least three times a week, in a child aged 5 years or older.  It is more common in boys than girls.  It affects 15% of 5 year olds, 7% of 7 year olds, 3% of 12 year olds and 1% of 15 year olds.  There tends to be a family history present.  If one parent suffers from bedwetting the risk of the child being affected is 40%, if both parents suffer then the risk is 75%. 

The problem can lead to social isolation for the child especially if personal hygiene is not carefully maintained.  Loss of self-esteem can occur and the child can be fearful of others "finding out".  Children are unable to sleep over at a friend's house.  They are more likely to be bullied and face an increased risk of emotional and physical abuse. 

Phil Mahony, Continence Promotion Manager, HSE-SEA Carlow/Kilkenny Community Services says, "Parents and carers should remember that bedwetting is not deliberate on the part of the child. One of the mistakes commonly made by parents and children is restricting fluids in an effort "to keep dry".  This results in urine being concentrated which in turn irritates the bladder, which makes the problem worse.  If parents follow the tips below it will help alleviate the problem." 

Self-help tips:
6-7 drinks of 200-250 mls spaced out throughout the day should be consumed. Tea, coffee, chocolate and fizzy drinks contain caffeine, which cause the bladder to fill and empty more often.  Water, milk and diluted fruit juices are preferable as drinks. The child should pass urine 6-7 times throughout the day at regular intervals.  He/she should consume a diet rich in roughage to help prevent constipation.  Constipation is one of the most frequent causes of urinary incontinence.

Help and advice is available locally from your G.P., Public Health Nurse or at the Enuresis Clinic, Community Services, James' Green, Kilkenny, Tel: 056-7784674.