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Nocturnal Enuresis



Nocturnal Enuresis Causes


Developmental delay causes most bedwetting, frequently associated with a family history of the condition. Only small percentages (5% to 10%) of bedwetting cases are caused by specific medical situations.


Nocturnal Enuresis Definition


Nocturnal Enuresis also known as bedwetting is involuntary urination while asleep after the age at which bladder control would normally be anticipated. Primary Nocturnal Enuresis (PNE) is during a child has not yet stayed dry on a regular basis. Secondary Nocturnal Enuresis is when a child or adult starts wetting again after having stayed dry.


Nocturnal Enuresis Diagnosis


Diagnosis of nocturnal enuresis is made when involuntary urination regularly occurs during sleep in a person who is continent while awake. Knowing the cause for the condition requires a detailed medical history and a comprehensive physical examination.


Nocturnal Enuresis Symptoms and Signs


Sleep arousal disorder (example not awaking in response to sensory signals); Urinary tract infection (UTI for example: cystitis); Urethral obstruction (congenital or acquired as a result of trauma or infection)


Nocturnal Enuresis Treatment


Treatment ranges from behavioral-based options such as bedwetting alarms, to medication such as hormone replacement. For several patients, the treatment is aimed at protecting or improving self-esteem. Treatment guidelines recommend that the physician counsel the parents, warning regarding psychological damage caused by pressure, shaming, or punishment for condition child cannot control.


Drugs used for treatment of Nocturnal Enuresis


Pamelor

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