Diurnal Enuresis is a medical term that is used to describe daytime wetting (incontinence) in children who are already past the age for toilet training. This incontinence may be caused by several reasons and will need to be evaluated by a doctor.
Diurnal enuresis is not the same as nocturnal enuresis or bedtime wetting. There are two types of diurnal enuresis, the primary type occurs in an older child, and the secondary type occurs in a child who has been previously toilet trained.
At What Age in Children Does Diurnal Enuresis Usually Happen?
In an article published by the National Kidney Urologic Diseases Information Clearinghouse (NKUDIC), incontinence in children happens less in kids who are five years old and above. Statistics show that around 10% of 5-year-old kids experience incontinence, 5% of 10-year-old kids experience incontinence and 1% of 18-year-olds experience incontinence. Studies have also shown that boys are more prone to it than girls are.
What Causes Daytime Wetting in Kids?
The most common cause for diurnal enuresis is constipation. Any related abnormal elimination of waste from the body is also a possible cause for daytime incontinence. Other causes of diurnal enuresis include structural problems, caffeinated beverages and food, voiding, a bladder that has decreased in capacity to store urine and urinary tract infections. Stress and anxiety can also be a cause for daytime incontinence.
How Is Diurnal Enuresis Diagnosed?
Diagnosis of diurnal enuresis will come after a full examination has concluded that all the symptoms lead to the condition. Other factors that need to be considered when making a diagnosis include medical history, physical examination and urinalysis. An ultrasonography examination of the kidneys and bladder may also be needed for a diagnosis.
Is There a Treatment for Diurnal Enuresis?
Generally, daytime wetness will resolve itself on its own as a kid becomes older. This is because with age, the bladder capacity increases, the production of antidiuretic hormone (ADH) becomes normalized and the child better recognizes the need to eliminate waste in the body. In fact, studies have shown that around 15 percent of kids above five years old are cured from diurnal enuresis.
Other ways to solve incontinence in kids include controlling the amount of fluids that are taken, not taking in as much caffeine and setting a schedule for urinating (for instance, every 2 hours). For more complicated conditions causing the daytime incontinence, treatment may include medication or bladder and urethra coordination training.