What causes bedwetting at 24?

Most children will wet the bed when they are young, which is normal. However, bedwetting rarely occurs after a child is about one year old, because children will learn a lot of behaviors. Parents will teach their children a lot about self-care behaviors in the process of educating their children. However, it is very abnormal for adults to wet the bed. So what is the reason for bedwetting at the age of 24?

There are many causes of bedwetting in adults, and the same patient can have several different causes.

1. The patient's neuroendocrine system function is delayed, as shown in the following:

(1) Detrusor instability or low-compliance bladder, reduced bladder functional capacity, patients often experience frequent urination, urgency, and even urge incontinence during the day or before bedtime.

(2) The bladder's ability to sense filling and contraction is incomplete, and bladder filling and contraction fail to wake the patient.

(3) Insufficient urethral closure function, that is, unstable urethra.

(4) Insufficient secretion of antidiuretic hormone (ADH) from the pituitary gland leads to increased urine volume at night.

2. Sleep factors:

In the early days, it was generally believed that enuresis was caused by deep sleep and a high awakening threshold. In fact, enuresis has nothing to do with the depth of sleep, and enuresis does not occur during deep sleep.

A large number of nocturnal continuous EEG studies have shown that:

(1) Arousal dysfunction is an important cause of enuresis. Impaired perception of bladder filling and contraction and excessive fatigue leading to deep sleep can lead to arousal disorders.

(2) The incomplete urination control function is more significant after falling asleep, indicating that the delayed development of urination control function plays an important role in the occurrence of enuresis.

(3) The sleep cycle of patients with enuresis is in a disordered state, and this is more obvious in patients who are frequently woken up at night.

3. Mental, psychological and behavioral abnormalities:

Enuresis can lead to mental, psychological and behavioral abnormalities in patients, which in turn may become the cause of persistent and intractable enuresis in patients, especially some older children and adults.

The common psychology of this type of patients is that they are afraid of enuresis and hope to prevent it by urinating frequently. Affected by this psychology, patients still remember to remind themselves to urinate during sleep. The detrusor center in the frontal lobe is therefore in a highly excited state, which increases bladder sensitivity and contractility. A smaller bladder capacity can produce the urge to urinate. If the brain produces a dream scene that allows urination conditions, the detrusor muscle will receive a vague reinforcement of the urination consciousness, and at the same time the urethral sphincter will relax, causing enuresis, which in turn causes a decrease in the functional capacity of the bladder.

In addition, the secretion of ADH and psychological changes are both controlled by the hypothalamus of the brain, so the two are closely related.

IV. Others:

Urinary system diseases such as phimosis, prepuce is too long, hypospadias, urethral stenosis; gastrointestinal diseases such as long-term constipation or diarrhea, anal fissure, irritable bowel syndrome; pituitary or nephrogenic diabetes insipidus; diabetes; allergic reactions to food, etc.; intestinal parasitic diseases such as pinworms; physical diseases of the heart, liver, kidney, lungs, etc. can all be causes of enuresis. The above reasons account for about 10% of enuresis patients.

Traditional Chinese medicine theory also believes that the cause of this disease is multifaceted. It is caused by the dysfunction of internal organs or certain internal organs, which ultimately leads to kidney deficiency and bladder dysfunction. It can be roughly divided into two aspects: deficiency and excess.