Bedwetting in Adults – A Concern to Health
A gamut of causes is associated with the issue of bedwetting in adults. If the underlying issues get diagnosed, then clinical steps to curb the problem can be devised easily. Often, bedwetting otherwise termed as Nocturnal enuresis can happen due to hormonal imbalances, hereditary links and intake of certain medications.
Bedwetting in Adults – Fomenting Clinical Causes
Often the trouble of bedwetting in adults can be tracked back to hereditary linkages. If parents suffer from adult bedwetting then children has a very high chance of inheriting the problem. While you are sleeping it is Anti diuretic hormone or ADH which signals the kidneys to limit urine production. So if you suffer from a deficiency of this particular hormone then the kidneys will produce excessive urine causing bedwetting. Alternately however kidneys might fail to identify the hormonal signal at night and it happens often if you have Type I or Types II diabetes. Smaller bladders and detrusor muscle over activity can cause persistent bedwetting. Some psychiatric medications like thioridazine, risperidone and clozapine result in bedwetting. Urinary track stones, urethra disorders, infections, pelvic prolapse, prostrate in men, neurological disorders and prostrate cancer are some other factors behind bedwetting in adults.
Enuresis in Adults – Diagnostic Methods
When you first approach a physician with the problem you can expect a thorough physical examination along with urine culture and neurological analysis to get to the root of the problem. Further tests to diagnose enuresis in adults are Uroflowometry and Post Void Measurements of urine. The first one is a process of measuring flow of urine and quantity of urine and latter is an ultrasound to check if any abnormalities are present in bladder. Hormonal misbalances and problems of urinary infections can be easily diagnosed if you go to an urologist. With medical intervention and surgeries enuresis in adults can be solved.
Enuresis Treatment – Therapies
There are two types of enuresis treatments available, behavioral therapies and medical intervention. Reducing fluid consumption from late afternoon till nightfall is one behavioral treatment. Bladder training is another process by which the problem can be arrested. It involves drinking water and refraining from urinating for a stretch of 3 hours to increase bladder capacity. Medications like Desmopressin which increase ADH hormone levels, Imipramine which is an antidepressant which also solves bed wetting issues and Anticholinergic medications like Darifenacin, Oxybutinin, and Tolterodine cures overactive bladders and muscle irregularities.