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No one knows for sure what causes bed-wetting, but various factors may play a role: 1. A small bladder. Your child's bladder may not be developed enough to hold urine produced during the night. 2. Inability to recognize a full bladder. If the nerves that control the bladder are slow to mature, a full bladder may not wake your child — especially if your child is a deep sleeper. 3. A hormone imbalance. During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production. 4. Urinary tract infection. This infection can make it difficult for your child to control urination. Signs and symptoms may include bed-wetting, frequent urination and pain during urination. 5. Sleep apnea. Sometimes bed-wetting is a sign of a condition in which the child's breathing is interrupted during sleep — often due to inflamed or enlarged tonsils or adenoids. Other signs and symptoms may include snoring and daytime drowsiness. 6. Diabetes. For a child who's usually dry at night, bed-wetting may be the first sign of diabetes. Other signs and symptoms may include passing large amounts of urine at once, increased thirst and weight loss in spite of a good appetite. 7. Chronic constipation. The same muscles are used to control urine and stool elimination. When constipation is long term, these muscles can become dysfunctional and contribute to bed-wetting at night. 8. A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system. .....................................................................................................
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