Bruxism and Enuresis: Common
Entities But Understood Volume 1 - Issue 2
Miranda Nava Gabriel*
Neurologist and Clinical Neurophysiologist, Chief of Neurology of the Hospital Center of the Presidential General Staff, Mexico
Received: May 23, 2018; Published: May 29, 2018
Corresponding author: Gabriel Miranda Nava, Neurologist and Clinical Neurophysiologist, Attached to the Hospital Center of the
Presidential General Staff, Master in Public Health, Doctor in Administration and Public policies, Mexico
In the population in general, but especially in Paediatrics, there
are a couple of sleep disorders that deserve different attention, due
to the lack of medical culture to address them, these two conditions
are bruxism and enuresis. The first one is very, very frequent to
find it around us, either with any person that surrounds us, and it
is very frequent in women, since it will increase the appearance of
headaches in the population in general.
This is defined as the involuntary habit of squeezing or grinding
the teeth, especially during sleep; the people in general, but more
serious still, the doctors or dentists, have the rather erroneous idea
that it is by parasites, and every time they arrive with said symptom
to consult they take their “paque-desparacites” without asking
anything else; and is that we speak of a phenomenon or condition
that has a very definite origin in high levels of anxiety, which leads
to a wear on the gums, temporomandibular joint dysfunction,
headache or headaches that are very resistant to treatment and
depression and anxiety for a chronic bad sleep.
It is thought that only the famous “guard-occlusal” prescribed
in dental offices is the answer, but this is far from true, since it must
be accompanied by exercise that allows relaxation, and if you hurry
me, swimming is fantastic; supportive psychotherapy in many
patients; sleep hygiene measures should be indicated, and always
the review by a maxillofacial specialist; I always say this phrase
to my patients who define the basis of their treatment “should be
far from the person who is now and reinvent themselves” as this
derives from their temperament and personality.
Enuresis is defined as the persistence of urine or urine without
control beyond the age at which bladder control is reached (in
a range of 4 to 6 years of age), and occurs both day and night,
although the latter by far it is the most frequent, and it is catalogued
within the group of parasomnias, which as we already mentioned
are activation disorders or sudden sleep arousal. What causes
enuresis? Although anatomical alterations in the urinary tract must
be ruled out, mainly and by far they are psychological, since it is
the face of the depression in many children, that aside they present
with anguish and feelings of guilt, believe me that it is quite painful
for a child who lives This phenomenon, a situation that if we do not
treat it with the maturity and stature required, will mark the life of
this being for the rest of his life.
Initially, the management of anti depressants may be indicated,
but much more should be treated emotional aspects, with
supportive psychotherapy, rewarding behaviour of parents, which
means not hitting or mortifying the child, and more than what is
found, it is better to talk to him, explain that it is not his fault, and
that he would receive some prize or encouragement if he could
avoid it; Limit your fluid intake until certain time of day, exercise
and our sleep hygiene measures.