[35M] With occasional bed wetting

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Adult Nocturnal Enuresis (Bed Wetting): This condition involves involuntary urination during sleep in adults. It can be caused by various factors, including genetics, hormonal imbalances, bladder issues, or sleep disorders. Since you have a history of enuresis from childhood, this could be a continuation or recurrence of that condition.

  • Typical Treatments: Treatment options may include lifestyle changes, bladder training exercises, medications to reduce nighttime urine production, or addressing any underlying conditions. Consulting a healthcare provider can help determine the best course of action.

• Overactive Bladder: This condition is characterized by a sudden, intense urge to urinate, which can lead to involuntary urination. Although you haven't reported urgency or frequency during the day, it can sometimes present primarily at night.

  • Typical Treatments: Treatment may involve lifestyle changes, pelvic floor exercises, medications, or other interventions to manage symptoms.

• Sleep Disorders: Conditions like sleep apnea can sometimes contribute to bed wetting by disrupting normal sleep patterns and affecting bladder control.

  • Typical Treatments: Treatment for sleep disorders may include lifestyle changes, use of CPAP machines for sleep apnea, or other interventions to improve sleep quality.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Limit Fluid Intake Before Bed: Try to reduce the amount of fluids you drink in the evening, especially caffeinated or alcoholic beverages, which can increase urine production.
2. Bladder Training: Practice holding your urine for longer periods during the day to increase bladder capacity and control.
3. Use the Bathroom Before Bed: Make sure to empty your bladder completely before going to sleep.
4. Monitor and Record Symptoms: Use the MDandMe app to journal your symptoms, track progress, and share longitudinal medical notes with your healthcare provider. This can help identify patterns and triggers.
5. Consider Protective Measures: Continue using night-time diapers if they help manage the situation and provide peace of mind.

What you should look out for

Reasons to see a doctor more urgently include:

• Increased Frequency or Severity: If the bed wetting becomes more frequent or severe, it may indicate an underlying issue that needs medical attention.
• New Symptoms: If you develop new symptoms such as pain during urination, blood in your urine, or significant changes in your urinary habits, seek medical advice.
• Impact on Daily Life: If the bed wetting is affecting your quality of life, mental health, or daily activities, it's important to discuss this with a healthcare provider.

Remember, while these tips can help manage your symptoms, it's essential to consult a healthcare professional for a comprehensive evaluation and personalized treatment plan.