Bedwetting: Could It Be a Neurological Issue? - Neurology

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Bladder issues


Hello doctor, I accidentally urinated a few drops while I was sound asleep at 5 AM today, and then I immediately woke up and went to the bathroom.
I read online that bedwetting could be related to brain issues.
Could this be a sign of a brain tumor or something similar?

17 sui, 10~19 year old female. Ask Date: 2020/11/15

Dr. Hong Weibin reply Neurology


Hello: Usually, simple urinary incontinence does not only consider issues related to the head, but also requires attention to spinal cord problems.
Additionally, if this is just a one-time occurrence, it is difficult to say that there is a pathological issue.
It is more likely that you may have consumed more fluids last night.
I recommend monitoring the situation further! Hong Wei-bin

Reply Date: 2020/11/15

More Info


Bedwetting, or nocturnal enuresis, can be a concerning issue, especially for adults who experience it. While it is often associated with children, it can occur in adults as well. Your concern about a potential neurological issue, such as a brain tumor, is understandable, but it is essential to approach this matter with a broader perspective.

First, let's clarify that bedwetting in adults can stem from various causes, and neurological issues are just one possibility among many. Common causes of adult bedwetting include urinary tract infections, prostate problems, diabetes, sleep disorders, and even psychological factors such as stress or anxiety. In some cases, it can be related to the body's inability to recognize the need to urinate during sleep, which can be influenced by neurological factors, but this is not the only explanation.

Regarding your specific concern about a brain tumor, it is important to note that while neurological issues can lead to changes in bladder control, the symptoms of a brain tumor are typically more complex and would likely include other signs such as persistent headaches, vision changes, seizures, or cognitive difficulties. Bedwetting alone, especially if it is an isolated incident, is not a definitive indicator of a brain tumor or any other serious neurological condition.

If this is a one-time occurrence, it may not warrant immediate concern. However, if you find that bedwetting becomes a recurring issue, or if you experience other symptoms that could indicate a neurological problem, it would be wise to consult a healthcare professional. A thorough evaluation, including a medical history, physical examination, and possibly imaging studies, can help determine the underlying cause of your symptoms.

In the meantime, consider some lifestyle factors that could contribute to bedwetting. For instance, excessive fluid intake before bedtime, consumption of caffeine or alcohol, and certain medications can all affect bladder control during sleep. Additionally, stress and anxiety can also play a significant role in disrupting normal sleep patterns and bladder function.

If you are experiencing anxiety about this issue, it may be helpful to engage in relaxation techniques or mindfulness practices to alleviate stress. Keeping a sleep diary can also help you track patterns and identify any potential triggers or contributing factors to your bedwetting episodes.

In conclusion, while bedwetting can be linked to neurological issues, it is essential to consider a wide range of potential causes. If this issue persists or if you have additional concerns, seeking medical advice is the best course of action. A healthcare professional can provide a comprehensive evaluation and guide you toward appropriate treatment options based on the underlying cause of your symptoms. Remember, you are not alone in this, and there are effective strategies and treatments available to help manage and resolve bedwetting.

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