Obstructive Sleep Apnea & Allergies

Tsai et al. (2017) evaluated 8,616 children to identify if there was a prevalence in allergic disease and obstructive sleep apnea with bedwetting. This was a very large research study. They found that children with allergic rhinitis, atopic dermatitis, allergic conjunctivitis, or obstructive sleep apnea had a higher chance of bedwetting.

My opinion: It’s helpful to see the association between obstructive sleep apnea and allergic disease with bedwetting. This could help with patients that are difficult to treat. This study doesn’t identify if effectively treating allergic symptoms and obstructive sleep apnea could improve their chances of curing their bedwetting. It’s important to make sure their obstructive sleep apnea and allergic symptoms are well managed before aggressively trying to treat their nighttime wetting.

Tsai, J., Chen, H., Ku, M., Chen, S., Hsu, C., Tung, M., . . . Sheu, J. (2017). Association between allergic disease, sleep-disordered breathing, and childhood nocturnal enuresis: A population-based case-control study. Pediatric Nephrology,32(12), 2293-2301.