Is Your Teen Sleepwalking? Nocturnal Urination Issues

Q: Is Your Teen Sleepwalking? Nocturnal Urination Issues

Hello, online user： It is recommended to visit a comprehensive hospital with a sleep center, specifically the neurology or psychiatry department. <br>Further sleep studies may be necessary to provide targeted treatment. <br>Dr. <br>Wu En-Liang.

Sleepwalking?

Hello, I would like to inquire about my son who is 19 years old.
Recently, over the past year, I have noticed that he often gets up in the middle of the night to urinate, but instead of going to the bathroom, he first urinates in the closet and then goes to the bathroom.
When I asked him why he does this, he said he doesn't know.
On average, this happens once every 1-2 weeks, or once a week, and he almost always gets up to urinate once every night.
However, sometimes he goes to the bathroom, and other times he urinates in his room first.
Should I take him to see a doctor? If so, which specialist should I consult? Thank you very much.

sharling, 50~59 year old female. Ask Date: 2022/01/21

Dr. Wu Enliang reply Psychiatry

Hello, online user: It is recommended to visit a comprehensive hospital with a sleep center, specifically the neurology or psychiatry department.
Further sleep studies may be necessary to provide targeted treatment.
Dr.
Wu En-Liang.

Reply Date: 2022/01/21

More Info

It sounds like you're experiencing a concerning situation with your son, who is 19 years old and has developed a pattern of nocturnal urination that includes some unusual behaviors, such as urinating in his closet before going to the bathroom. This phenomenon can be quite distressing for both the individual experiencing it and their family members.
First, it's important to understand that nocturnal urination, or nocturia, can have various underlying causes. In teenagers and young adults, it may be linked to several factors, including psychological stress, sleep disorders, or even medical conditions. Given that your son is experiencing this behavior frequently, it would be wise to consult a healthcare professional.

Possible Causes of Nocturnal Urination
1. Sleep Disorders: Conditions like sleepwalking (somnambulism) can lead to unusual behaviors during sleep, including urinating in inappropriate places. Sleepwalking typically occurs during deep sleep stages and is often not remembered by the individual upon waking.

2. Psychological Factors: Stress or anxiety can manifest in various ways, including disruptions in sleep patterns. If your son is experiencing any significant life changes, academic pressures, or emotional distress, these could contribute to his nocturnal behaviors.

3. Medical Conditions: Conditions such as urinary tract infections (UTIs), diabetes, or bladder dysfunction can lead to increased urination at night. It’s essential to rule out any medical issues that could be causing these symptoms.

4. Substance Use: Consumption of certain substances, including caffeine or alcohol, can irritate the bladder and increase the frequency of urination. If your son is consuming these, it might be worth discussing.

Recommendations
1. Consult a Doctor: Given the frequency and nature of your son’s nocturnal urination, it would be advisable to take him to a healthcare provider. A primary care physician can perform an initial evaluation and may refer him to a specialist if necessary.

2. Specialist Consultation: Depending on the findings, you may be referred to a urologist (for urinary issues) or a sleep specialist (if sleep disorders are suspected). A urologist can assess for any underlying urinary tract issues, while a sleep specialist can evaluate for sleep disorders like sleepwalking.

3. Keep a Sleep Diary: Documenting your son’s sleep patterns, including when he goes to bed, how often he wakes up, and any unusual behaviors, can provide valuable information to the healthcare provider.

4. Create a Safe Environment: If your son is sleepwalking, ensure that his sleeping environment is safe. Remove any obstacles that could lead to injury during episodes of sleepwalking.

5. Discuss with Him: Encourage open communication with your son about his experiences. Understanding his perspective can help in addressing any underlying issues, whether they are emotional or psychological.

Conclusion
In summary, your son’s nocturnal urination and associated behaviors warrant a thorough evaluation by a healthcare professional. By addressing this issue promptly, you can help him find relief and improve his overall well-being. Remember, sleep disturbances can significantly impact daily life, and seeking help is a proactive step towards ensuring he gets the restful sleep he needs.

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