It is very easy for children to feel that they are the only ones with the problem, as it is not something that is easy to reveal and share with friends. Children vary in the age at which they are physically ready to have complete control over their bladders. Many children are not ready for toilet training before the age of 3. Enuresis usually does not indicate an emotional or physical problem but can do. Accidentally or on purpose, the patient repeatedly urinates into clothing or the bed.
Some disorders have similar or even the same symptoms.
Current medical problems particularly urinary or bladder infections. Enuresis may have a number of causes which can include the effects of internal marital disputes, fear, lack of self confidence and medical problems. Primary nocturnal enuresis is when bladder control has never been gained, secondary nocturnal enuresis is when bladder control has been gained for at least 6 months and then lost. Talking to your child calmly about the problem can sometimes uncover fears or anxieties. Imipramine may begin to work by the first or second night.