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Enuresis: analysis of 100 cases
1Department of Pediatrics, Civil Hospital, Ferozepur, Punjab.
Insights
This study on childhood enuresis found stress and behavioral issues are significant factors. Many children also had infections, but parents often viewed enuresis as normal, delaying treatment.
Area of Science:
- Pediatrics
- Child Psychology
Background:
- Childhood enuresis (bedwetting) affects numerous families.
- Identifying causative factors is crucial for effective management.
Observation:
- A study examined 100 children diagnosed with enuresis.
- Data collected included birth order, feeding methods, stress levels, and behavioral symptoms.
- Prevalence of infections like worm infestations, giardiasis, amebiasis, and urinary tract infections was assessed.
Findings:
- Enuresis was more common in first-born, service class, and bottle-fed children.
- Stress factors and behavioral symptoms showed a significant association with enuresis.
- No correlation was found with sex, parental education, social class, sleep patterns, maternal age at marriage, or intellectual grades.
- Infections were present in 70% of cases.
- Parents perceived general weakness, cold, and nervousness as causes, often considering enuresis a normal variant, leading to delayed treatment.
Implications:
- Understanding the multifactorial nature of enuresis is key.
- Addressing stress and behavioral issues alongside potential infections may improve outcomes.
- Parental education is vital to encourage early intervention for childhood enuresis.
Abstract:
One hundred children with enuresis were studied to find out various factors responsible for this condition. Enuresis was more frequent in first born, service class and bottle fed children. There was a significant role of stress factors in causation of enuresis. We found a higher frequency of behavioral symptoms among children with enuresis. There was no significant correlation between enuresis and sex, education of parents, social class, sleep patterns, age of mother at marriage and intellectual grades of the children. Worm infestations, giardiasis, amebiasis and urinary infection were seen in 70% of cases. General body weakness, cold and nervousness were the common causes of enuresis in the parents' opinion. The main reason for not seeking the treatment at an early stage in view of parents' was that they thought enuresis a normal variant.