While bedwetting can be a symptom of an
underlying disease, the large majority of children
who wet the bed have no underlying disease. In
fact, a true organic cause is identified in only a
small percentage of children who wet the bed.
However, this does not mean that the child who
wets the bed can control it or is doing it on
purpose. Children who wet the bed are not lazy,
willful, or disobedient.
There are two types of bedwetting: primary and
secondary.
Primary bedwetting refers to
bedwetting that has been ongoing since early
childhood without a break. A child with primary
bedwetting has never been dry at night for any
significant length of time.
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Secondary bedwetting is
bedwetting that starts again after the child has
been dry at night for a significant period of time
(at least six months).
In general, primary bedwetting probably indicates
immaturity of the nervous system. A bedwetting
child does not recognize the sensation of the full
bladder during sleep and thus does not awaken
during sleep to urinate into the toilet.
The cause is likely due to one or a c ombination
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