One concern that many parents have is whether the bedwetting
indicates a psychiatric or psychological problem. Psychosocial problems
are not considered a common cause, although there is literature showing
an increased rate of primary enuresis in children with
attention-deficit/hyperactivity disorder and children living in
disorganized families. Secondary enuresis occurs more commonly in
children experiencing the stress of divorce or the trauma of physical or
sexual abuse, or suffering from neglect.
Besides urinary tract infections and malformation of the genitourinary tract, there are several disorders that can cause or be associated with bedwetting.
The major disorders to consider are: 1) diabetes; 2) sickle cell disease; 3) malfunctioning of the hormone, vasopressin; 4) chronic constipation; 5) nocturnal seizures or other neurological disorders; 6) obstructive sleep apnea
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