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Bedwetting--not always what it seems: a sign of sleep-disordered breathing in children
Mary Grace Umlauf1, Eileen R Chasens
1Graduate Program, University of Alabama School of Nursing, Birmingham, AL, USA. mgumlauf@uab.edu
Insights
Bedwetting and frequent urination at night can signal obstructive sleep apnea (OSA) in children. This condition is linked to breathing issues during sleep and is treatable.
Area of Science:
- Pediatric Sleep Medicine
- Cardiovascular Physiology
Background:
- Nocturnal enuresis (bedwetting) persists in childhood.
- Sleep research links nocturia and bedwetting to obstructive sleep apnea (OSA) in adults.
- Childhood bedwetting predicts OSA.
Observation:
- Nocturnal polyuria, the production of excess urine at night, is a key observation.
- This is associated with sleep-disordered breathing.
- Negative pressure breathing during sleep is characteristic of OSA.
Findings:
- Nocturnal polyuria is a cardiovascular response to negative pressure breathing.
- This breathing pattern is a hallmark of obstructive sleep apnea.
- Bedwetting and nocturnal polyuria are significant indicators of OSA.
Implications:
- Nocturnal polyuria and sleep-disordered breathing are crucial signs of OSA.
- Early identification of these signs is vital for timely diagnosis.
- Obstructive sleep apnea is a serious but treatable condition, emphasizing the need for prompt medical evaluation.
Issues And Purpose:
Nocturnal enuresis (bedwetting) can linger long into childhood. Sleep research has documented that nocturia and bedwetting are symptoms of obstructive sleep apnea (OSA) in adults and that bedwetting is predictive of OSA in children.
Conclusions:
Nocturnal polyuria is a cardiovascular response to negative pressure breathing (inspiration against a closed glottis), which is characteristic of OSA.
Practice Implications:
Evidence of nocturnal polyuria and sleep-disordered breathing are important signs of OSA, a serious but treatable condition.
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