This affection is often a troublesome one, unfitting the patients for their accustomed avocations, on account of the necessity of relieving the bladder so frequently, in some cases every fifteen or twenty minutes. We have had patients who declared that they had to get up as often as twenty times during the night to relieve the bladder. There are two forms of this disease. In the variety just described, the loss of power to retain the urine more than a short time is due to the sensitiveness in the bladder, which, in some cases, is the result of chronic inflammation; in others, of chronic inflammation, or enlargement, of the prostate gland. Another variety of the disease is that which gives rise to wetting the bed at night, which seems to be due to the opposite condition of the bladder, or diminished sensibility, so that the urine passes away without waking the patient. This form is most common in young children, rarely continuing after the age of twenty years.

The Causes of Incontinence Of Urine or Enuresis

Some of the causes of the first form of the disease have just been mentioned. Constant dribbling of urine also sometimes results from dilatation of the bladder and partial paralysis of its walls. The patient passes water frequently through the day, and never empties the bladder fully, so that it continues to overflow. The nocturnal incontinence of urine arises from causes not fully understood. It is not generally, as many people suppose, a simple habit. It is sometimes occasioned by sleeping on the back.

The Treatment of Incontinence Of Urine or Enuresis

For the first form of the disease, cold sitz baths, douches over the bladder, and daily washings by injections of tepid water, are the proper remedies. If the urine is strongly acid, the patient should abstain from the use of meat. For "wetting the bed at night," a great variety of remedies have been tried, most of which are of no value whatever. The most effective plan which can be pursued, is to restrain the patient from drinking for three or four hours before retiring. An eminent physician has also suggested that the use of meat by children encourages the habit. Whipping, scolding, and frightening children, unless there is good evidence that the child is lazy or vicious, will do no good; in fact, these measures are likely to do harm by exciting a nervous condition of the system which will encourage the very thing which is to be corrected. Wearing a wet bandage about the lower part of the bowels at night is a very useful measure. To prevent the patient from sleeping upon the back, a good remedy is to tie a knot in a towel and place it about the body in such a way that the knot will come at the center of the back. In cases in which the patient is old enough, and sufficiently intelligent to appreciate moral influence, he should be encouraged, and should be given some simple prescription in which he should be taught to have perfect confidence as a certain cure, since faith will do much toward effecting a cure when other remedies are of no avail.