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Enuresis (say “en-yur-ee-sis”) is the loss of bladder control that leads to the release of urine. Nocturnal enuresis is also called “bed-wetting,” because it happens during the night while a child is sleeping.

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Some of the causes of bed-wetting include the following: First, your doctor will ask questions about your child's daytime and nighttime bathroom habits.

Then your doctor will do a physical exam and probably a urine test (called a urinalysis).

It also helps to know that they can get “better” faster if everyone (the child, the family and your doctor) works together.

When your child has some dry nights, he or she will begin to feel better.

Behavior therapy is a treatment that doesn't use medicine. Some kinds of behavior therapy are motivational therapy, behavior conditioning, bladder-training exercises, and diet changes (limiting caffeine, dairy products, and citrus fruits or juices).

Because bed-wetting is a very emotionally stressful problem for older children, your doctor might also suggest counseling.Copyright © 1999 by the American Academy of Family Physicians. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.Your doctor may give your child medicine if your child is seven years of age or older and if behavior therapy hasn't worked. It's true that your child should take responsibility for bed-wetting (this could mean having your child help with the laundry), but your child shouldn't be made to feel guilty about something he or she can't control.It's important for your child to know that bed-wetting isn't his or her “fault.”It may help your child to know that no one knows the exact cause of bed-wetting, but that it tends to run in families (for example, if you wet the bed as a child, you should share that information with your child).This treatment may work better if your family uses positive reinforcement (such as verbal praise) and reward systems to help your child keep track of his or her progress. The alarm rings or buzzes when your child first begins to wet the bed. This gets him or her into the habit of waking up in the night to go to the bathroom.