Primary and Secondary Nocturnal Enuresis
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It is important to remember that children do not wet the bed because they are lazy, naughty, not listening or not trying hard enough. Plans to stop bed wetting should be as stress-free and consistent as possible. A positive and steady approach is your key to making sure these steps are successful.
1. Bladder Versus Brain
The bladder and brain have not yet developed that harmonious relationship where the brain responds to the signal that the bladder is full.
2. Family History
Bed wetting can be genetic. Chances are that if one parent experienced nocturnal enuresis, their child is more likely to have the same experience.
3. Hormones
When you settle down to sleep, your pituitary glands release an anti-diuretic hormone which slows the production of urine so your sleep is not disrupted by the need to urinate. Some children go through a stage where too little of this hormone is produced.
4. Small Functioning Bladder Capacity
Some children have small daytime bladder capacity, when they finally fall into a deep sleep, their bladder will empty of its own accord when reaching that same small daytime volume.

