Bedwetting: Is It a Sign of Neurological Issues? - Neurology

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Bladder issues


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

17 sui, 10~19 year old female. Ask Date: 2020/11/16

Dr. Hong Weibin reply Neurology


Hello: Usually, simple urinary incontinence does not only consider issues related to the head; spinal cord problems also need to be taken into account.
Additionally, if it only happened once, 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 suggest monitoring the situation further! Hong Wei-bin

Reply Date: 2020/11/16

More Info


Bedwetting, or nocturnal enuresis, is a common issue, especially among children, but it can also occur in adults. It is important to understand that bedwetting does not automatically indicate a serious neurological issue such as a brain tumor. There are various factors that can contribute to this condition, and it is essential to consider them before jumping to conclusions.

In adults, bedwetting can be caused by several factors, including stress, anxiety, hormonal imbalances, urinary tract infections, or even certain medications. In your case, waking up to find that you had a few drops of urine while sleeping could be attributed to a temporary issue, such as a disrupted sleep cycle or a full bladder. It is not uncommon for individuals to experience occasional bedwetting, especially if they are in a deep sleep or if they have consumed a significant amount of fluids before bedtime.

Neurological issues can indeed lead to bedwetting, but they are usually accompanied by other symptoms. For instance, conditions such as multiple sclerosis, spinal cord injuries, or other neurological disorders can affect bladder control. However, these conditions typically present with a range of other neurological symptoms, such as changes in sensation, motor function, or cognitive abilities. If you are not experiencing any additional concerning symptoms, it is less likely that your bedwetting is related to a serious neurological condition.

It is also worth noting that sleep disorders, such as sleep apnea, can contribute to bedwetting. In sleep apnea, breathing repeatedly stops and starts during sleep, leading to fragmented sleep and potentially affecting bladder control. If you have been feeling excessively tired during the day or have noticed other signs of sleep disturbances, it may be worth discussing this with your healthcare provider.

If this incident was isolated and you do not experience it frequently, it may not be a cause for concern. However, if bedwetting becomes a recurring issue, or if you start to notice other symptoms such as changes in your cognitive function, persistent headaches, or any other unusual neurological symptoms, it would be prudent to consult a healthcare professional. They may recommend a thorough evaluation, which could include a physical examination, a review of your medical history, and possibly imaging studies if deemed necessary.

In summary, while bedwetting can sometimes be associated with neurological issues, it is not a definitive sign of a serious condition like a brain tumor. Many factors can contribute to this phenomenon, and it is essential to consider the context and any accompanying symptoms. If you have concerns, especially if the bedwetting persists or is accompanied by other symptoms, seeking medical advice is the best course of action. Your healthcare provider can help determine the underlying cause and recommend appropriate treatment or management strategies.

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