It is a very common disorder of children and young persons, and in
some cases no cause can be found; but in many instances it is due to
masturbation (p. 193), to a narrow foreskin and small aperture at the
exit of the urinary passage, to worms in the bowels or disease of the
lower end of the bowels, such as fissure or eczema, to digestive
disorders, to retaining the urine overlong, to fright, to dream
impressions (dreaming of the act of urination), and to great weakness
brought on by fevers or other diseases. In old men it is often due to
an enlargement of a gland at the neck of the bladder which prevents
the bladder from closing properly. A concentrated and irritating
urine, from excessive acidity or alkalinity, may induce incontinence.
Children may recover from it as they approach adult life, but they
should not be punished, as it is a disease and not a fault. Exception
should be made in case children wet their clothing during play,
through failure to take the time and trouble to pass water naturally.
It is more common among children at night, leading to wetting of the
bed, but may occur in the day, and often improves in the spring and
summer, only to return with the cold weather. Children who sleep very
soundly are more apt to be subject to this disorder.
=Treatment.=--In the case of a disorder depending upon one of so many
conditions it will be realized that it would be folly for the layman
to attempt to treat it. Children who are weak need building up in
every possible way, as by an outdoor life, cold sponging daily, etc.
If there is in boys a long foreskin, or tight foreskin, hindering the
escape of urine and natural secretions of this part, circumcision may
be performed to advantage by the surgeon, even in the infant a few
months old. Sometimes a simpler operation, consisting of stretching or
overdistending the foreskin, can be done.
A somewhat corresponding condition in girls occasionally causes
bed-wetting and other troubles. It can be discovered by a physician.
Children who wet their beds, or clothes, should not drink liquid
after five in the afternoon, and should be taken up frequently during
the night to pass water. The bed covering must be light, and they
should be prevented from lying on the back while asleep by wearing a
towel knotted in the small part of the back. Elevation of the foot of
the bed a few inches is recommended as having a corrective influence.
Masturbation, if present, must be corrected.
It is a very difficult disorder to treat, and physicians must be
excused for failures even after every attempt has been made to
discover and remove the cause. Even when cure seems assured, the
disorder may recur.
Public-domain text, read in full here on John Shaqi.
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