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Nocturnal enuresis

Introduction

Enuresis is bedwetting after the age of 5 years. It is a benign condition which mostly resolves spontaneously. It is important, however, to differentiate between nocturnal enuresis and enuresis during daytime with associated bladder dysfunction. Secondary causes of enuresis include:

• diabetes mellitus
• urinary tract infection
• physical or emotional trauma

Note: Clinical evaluation should attempt to exclude the above conditions. Urine examination should be done on all patients.

Risk factors

Signs and Symptoms

Diagnostic criteria

Investigation

Management

  • Pharmacological

    • Imipramine 25 mg nocte for on month

    OR

    • Oxybutynin (PO) 5mg 8 hourly for one month

    Referral

    • Suspected underlying systemic illness or chronic kidney disease
    • Diurnal enuresis
  • Non-pharmacological

    • Motivate, counsel and reassure
    • Spread fluid intake throughout the day
    • Psychotherapy

Prevention

Updated on,

23 Novemba 2020 12:26:23

References

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