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Bedwetting—Not Always What It Seems: A Sign of Sleep‐Disordered Breathing in Children
Author(s) -
Umlauf Mary Grace,
Chasens Eileen R.
Publication year - 2003
Publication title -
journal for specialists in pediatric nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.499
H-Index - 38
eISSN - 1744-6155
pISSN - 1539-0136
DOI - 10.1111/j.1744-6155.2003.tb00180.x
Subject(s) - enuresis , nocturia , medicine , polyuria , obstructive sleep apnea , sleep disordered breathing , continuous positive airway pressure , pediatrics , anesthesia , endocrinology , urinary system , diabetes mellitus
ISSUES AND PURPOSE. Nocturnal enuresis (bedwetting) can linger long into childhood. Sleep research has documented that nocturia and bedwetting are symptoms of obstructive sleep apnea (OSA) in adults and that bedwetting is predictive of OSA in children. CONCLUSIONS. Nocturnal polyuria is a cardiovascular response to negative pressure breathing (inspiration against a closed glottis), which is characteristic of OSA. PRACTICE IMPLICATIONS. Evidence of nocturnal polyuria and sleep‐disordered breathing are important signs of OSA, a serious but treatable condition.