In extremely few cases, bedwetting can occur as adults. Approximately 10% of all six-year-olds and 3% of all 14 year-olds wet the bed. In some cases, parents believe their child is bedwetting because he or she is a heavy sleeper or has a small or underdeveloped bladder. There are many effective treatments for bed-wetting, so if you’re concerned about your child’s bed-wetting, talk to your child’s doctor.Īs adolescents age 12 and up, they fall by 2%, which means nearly a million tweens and teens still wet their beds every night. In general, however, bed-wetting is considered pathological if it occurs on a regular basis after the age of six. The age at which bed-wetting is considered pathological varies depending on the child’s age, developmental stage, and underlying medical condition. Some children wet the bed because they have a medical condition that causes them to wet the bed. Enuresis is a sign of a physical or psychological problem. Some children wet the bed because they have a problem with the way their brains and bladders work together. Urinary incontinence is not a sign of a physical or psychological problem. Some children wet the bed because they have a small bladder. It’s not a sign of a physical or psychological problem. Most children wet the bed because their bodies make more urine at night. It’s also more common in children who have a family member who wet the bed when they were a child. Bed-wetting is more common in boys than girls. Secondary bed-wetting is when a child has been dry for at least six months but starts wetting the bed again. Primary bed-wetting is when a child has never been dry at night. There are two types of bed-wetting: primary and secondary. It’s usually not a sign of a physical or psychological problem, and most children will outgrow it. Bed-wetting, or nocturnal enuresis, is very common and affects up to one in six children. Clinicians should assume the symptom of soiling is most likely related to the typical pathology and treat accordingly.Most children are toilet trained by the age of four, but some wet the bed well into childhood. Soiling seems to represent one of many stress-induced dysregulated behaviors. The predictive utility of fecal soiling as an indicator of sexual abuse in children is not supported. The psychiatric sample displayed significantly more dysregulated behavior than the sexually abused sample. The positive predictive value of soiling as an indicator of abuse was 45% versus 63% for sexual acting out. Rates of sexualized behavior were reported significantly more often by the abused group versus both the psychiatric and normative groups and were a better predictor of abuse status. Similar rates of soiling were reported among abused children, with and without penetration, and the psychiatric sample. The soiling rate in the abused group differed significantly from that of the normative group, but not from the psychiatric group. Reported soiling rates were 10.3% (abuse), 10.5% (psychiatric), and 2% (normative), respectively. Multiple regression analysis was used to predict abuse status in each group. Standardized parent report measures identified soiling status and sexual acting out behaviors. In a retrospective analysis of three comparison groups of 4-12 year olds, we studied 466 children documented and treated for sexual abuse 429 psychiatrically referred children with externalizing problems and 641 normative children recruited from the community, with the latter two samples having abuse ruled out. The predictive utility of fecal soiling as an indicator of sexual abuse status was examined. Encopresis is typically characterized as resulting from chronic constipation with overflow soiling but has been portrayed as an indicator of sexual abuse.
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