Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Frequent Urination During Sleep
Question: He is urinating 3-4 times in bed during sleep.How to avoid frequent urination during sleep?
Brief Answer:
Behavioural and drug therapy is needed.
Detailed Answer:
Hi Sir.
I understand your concern.
He seems to have nocturnal enuresis.
This can be prevented by behavioural therapy and drug therapy.
Behavioural therapy includes
Keen attention to a normal daytime voiding pattern is important.
The child should be encouraged to void upon awakening, at common transition times and approximately every 1.5-2 hours, before leaving home or school for any reason, and always before bed.
With voiding, the child should relax, use optimal posture, and take time to empty the bladder completely.
At school, children should be encouraged to void regularly, at least 2 or 3 times daily.
A note for the teacher should be written to ensure that the child is allowed regular access to the bathroom.
Children should not be expected to wait for scheduled breaks to void.
Holding the urine to the last minute should be discouraged.
Children should be instructed to drink liberal amounts during the day and to maintain optimal hydration throughout the entire day.
Thirst should be prevented so that a child does not drink excessive amounts in the evening hours before bed.
Children who play sports or who are otherwise physically active in the evening after mealtime should be well hydrated for the activity.
Parents should be asked to take the child to the bathroom to void before bedtime.
Because this therapeutic measure is designed only to minimize the quantity of fluid in the bladder, full wakefulness is neither necessary nor desirable.
Careful monitoring by a parent is necessary for the trip from bed to bathroom and back.
Children should go to bed at an hour calculated to offer the optimal number of sleep hours for their age.
If attention to the above measures,in 3 months,you need to go for medical therapy.
For this drug called Desmopressin is used.
Desmopressin acetate tablets or orally disintegrating tablets should be administered 1 hour before bedtime.
The recommended starting dose for the tablet is 0.2 mg, and the drug can be titrated as necessary to a maximum dose of 0.6 mg.
Please note this drug has to be taken only under strict medical prescription.
Thank you.
Behavioural and drug therapy is needed.
Detailed Answer:
Hi Sir.
I understand your concern.
He seems to have nocturnal enuresis.
This can be prevented by behavioural therapy and drug therapy.
Behavioural therapy includes
Keen attention to a normal daytime voiding pattern is important.
The child should be encouraged to void upon awakening, at common transition times and approximately every 1.5-2 hours, before leaving home or school for any reason, and always before bed.
With voiding, the child should relax, use optimal posture, and take time to empty the bladder completely.
At school, children should be encouraged to void regularly, at least 2 or 3 times daily.
A note for the teacher should be written to ensure that the child is allowed regular access to the bathroom.
Children should not be expected to wait for scheduled breaks to void.
Holding the urine to the last minute should be discouraged.
Children should be instructed to drink liberal amounts during the day and to maintain optimal hydration throughout the entire day.
Thirst should be prevented so that a child does not drink excessive amounts in the evening hours before bed.
Children who play sports or who are otherwise physically active in the evening after mealtime should be well hydrated for the activity.
Parents should be asked to take the child to the bathroom to void before bedtime.
Because this therapeutic measure is designed only to minimize the quantity of fluid in the bladder, full wakefulness is neither necessary nor desirable.
Careful monitoring by a parent is necessary for the trip from bed to bathroom and back.
Children should go to bed at an hour calculated to offer the optimal number of sleep hours for their age.
If attention to the above measures,in 3 months,you need to go for medical therapy.
For this drug called Desmopressin is used.
Desmopressin acetate tablets or orally disintegrating tablets should be administered 1 hour before bedtime.
The recommended starting dose for the tablet is 0.2 mg, and the drug can be titrated as necessary to a maximum dose of 0.6 mg.
Please note this drug has to be taken only under strict medical prescription.
Thank you.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
