Bedwetting affects an estimated 15 – 20 million people including over four million adults who continue to suffer from enuresis.  Almost two million 15-19 years old continue wetting the bed.

100% of the parents we have interviewed responded that their child or teenager is a deep sleeper.  The bedwetter experiences no recall in the morning of nighttime wetting incidents

The inherited sleep pattern produces a symptom of bedwetting.  Other symptoms can be sleepwalking, sleep talking, night terrors, teeth grinding, loud snoring, insomnia and/or sleep apnea.

Limited REM sleep resulting in little memory of dreams

The non-restorative sleep can result in problems with daytime focusing and concentration.  Many bedwetters exhibit signs of ADD or ADHD.

Emotional Symptoms

Bedwetters suffer more then their parents or pediatrician may know. Embarrassment often leads to silence. Children as young as five  often live with feelings of fear of discovery, shame, low self-esteem, and feeling different.

Bedwetting is not anyone’s fault; our findings point to a deep sleep that prevents the brain from responding.  Less than 1% of bedwetting cases are caused by a physical problem. Therefore, medical approaches do not end bedwetting. 

Parents naturally turn to their pediatrician or primary care physician seeking information regarding their child’s bedwetting problem around five or six.  Often the “Medical Advice” is to wait.  This is the worst advice you can get. While the child waits, confused why help is not be offered, the enuresis can remain. 

People who suffer from bedwetting feel different, burdened by shame and secrecy. Suffering continues with emotional pain and damage to self-esteem, especially when it extends into the teenage or adult years. 

Let’s look deeper into the emotions of someone who suffers from enuresis:  Individuals who wet the bed almost always feel the shame of being “different” in that they cannot do what it seems everyone else can – keep their beds dry.  They can suffer from near debilitating fear of discovery, especially if they experienced daytime control problems due to the weak bladder muscle control that results from the disorder and is not the cause of it.

An enuretic child, teenager or adult does not see his/her bed as a place of rest; instead it is a place they will fail.

Parents inform us that their child’s bedwetting problem was dismissed year after year as “normal” rather than look at the real cause: deep sleep.  Parents are shocked to learn almost two million 15-19 year olds continue wetting.    

Sadly, there is No guaranteed that someone will outgrow bedwetting, in fact after the age of seven, it is less likely. 

This is a compromised sleep that can result in additional daytime symptoms; difficulty awakening, fatigue, memory difficulty, irritability, difficulty concentrating. this type of symptom worsen as the person wetting the bed ages grows older.

Many medical professionals misinform patients when they blame a small bladder as the cause of bedwetting. It is actually a RESULT of the bedwetting. Moreover, restricting fluids causes further underdevelopment of the bladder, as well as dehydration.  

Rewarding a child or teen for a dry night only brings confusion and gives everyone the impression that the child has some control over the bedwetting.

Parents seeking to understand what is happening visit our bedwetting clinic website www.nobedwetting.com and find a great deal of information.


Emotions

“Shame is the number one emotion associated with enuresis” according to Dr. Brian F. Greer, M.D.  a child psychiatrist in private practice in Boca Raton, Florida. “Of all the negative emotions, shame is the most devastating for the child, as it often leads to the greatest number of disruptions in personality development. Such disruptions may reveal themselves in poor school performance, antisocial behavior, isolation, and depression.

Dr. Stuart F. Quan, MD, professor emeritus of medicine at the University of Arizona, in the June 7, 2010 24th Annual meeting of the Associated Professional Sleep Societies (see full article below) stated that bedwetting can be an “embarrassing problem” for adolescents.

Despite his is good intention, we at the Enuresis Treatment Center believe that Dr. Quan could not have understated the problem any more.

Bedwetting is a psychological curse to adolescents creating feelings of shame, self-disgust, and the sense that they are “different”.  Adolescents live in the paralyzing fear of discovery and live their entire lives around efforts to avoid that discovery. Low self-esteem, depression and on rare occasions suicide are regular visitors to their lives.

In addition, Dr. Quan stated that parents can get help for their teenagers bedwetting at an AASM-accredited sleep disorder center.  Unfortunately, this too is far from accurate.  While many treatments exist, none offer the efficacy or safety provided by the Enuresis Treatment Center’s proven methods, and none offer the 97% success rate of our program, so effective that we offer a money-back- guarantee.  The growing number of our adult patients also belies Dr. Quan’s assurance regarding adolescent outgrowing the problem. 


Childhood Parasomnias Such as Sleepwalking and Bedwetting May Persist into Adolescence      

American Academy of Sleep Medicine                                                                                          

06/07/2010

WESTCHESTER, IL – Although incident parasomnias are uncommon as children enter adolescence, parasomnias present in preadolescents may persist into the teen years, according to a research abstract that will be presented Monday, June 7, 2010, in San Antonio, Texas, at SLEEP 2010, the 24th annual meeting of the Associated Professional Sleep Societies LLC.

Results indicate that the rate of persistence after five years was 29 percent for children with bedwetting and 27 percent for children with sleepwalking.  The overall prevalence for these parasomnias was 2.6 and 3.1 percent respectively.  The study also found that the incidence rate for new cases of sleepwalking was 3.2 percent during the follow-up period, while the incidence rate for new cases of bedwetting was less than one percent.

“Current wisdom was that most of these behaviors remitted by adolescence,” said principal investigator Stuart F. Quan, MD, professor emeritus of medicine at the University of Arizona in Tucson, Ariz. “Our data indicate that in a number of children, they will persist. Because parasomnias such as sleepwalking can be injurious as children grow older, parents need to be cognizant and be prepared to protect them from injury.”

Quan added that bedwetting can be an embarrassing problem for adolescents.  However, a variety of treatments are available, and in most cases the problem will abate by adulthood.  Parents can get help for their child’s or teen’s sleep problems at an AASM-accredited sleep disorders center.

The study involved 310 children in the Tucson Children’s Assessment of Sleep Apnea Study (TuCASA), a prospective cohort study that enrolled children between the ages of 6 and 11 years for an initial assessment.  The children were studied again after a mean interval of 4.6 years.  At both time points parents were asked to complete comprehensive sleep habits surveys.

Results also show that all cases of sleep terrors remitted by adolescence.  The most common problem was sleep talking, which had a prevalence rate of 22.3 percent and persisted into adolescence in 46 percent of cases.  However, Quan noted that sleep talking typically is a minor hindrance that requires no treatment.

In The International Classification of Sleep Disorders, Second Edition, published by the American Academy of Sleep Medicine in 2005, sleepwalkingsleep terrors and bedwetting – also called “sleep enuresis” – are classified as parasomnias.  This group of 12 sleep disorders involves undesirable behaviors that occur while falling asleep, during sleep or while waking up

Children who sleepwalk may walk toward a window or even go outside, which can put the child at risk. During an episode of sleep terrors, a child sits up in bed with a look of intense fear and makes a piercing scream or cry.  Bedwetting is considered to be a sleep disorder only when it occurs at least twice a week during sleep after 5 years of age.

Sleep talking – also called “somniloquy” – is classified as a normal variant.  It is often associated with parasomnias and can occur with varying degrees of comprehensibility.

The study was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health.

The SLEEP 2010 abstract supplement is available for download on the website of the journal SLEEP athttp://www.journalsleep.org/ViewAbstractSupplement.aspx.