Disease Information for Eneuresis

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Clinical Manifestations
Signs & Symptoms
Bed wetting
Urinary incontinence in Children
Urine Incontinence
Otherwise well Isolated problem
Disease Progression
Course/Improves with time/growth/development
Course/Self limited usually
Demographics & Risk Factors
Recent Event
Recent/Severe Stress Situation
Population Group
Child
Population/Pediatrics population
Sex & Age Groups
Population/Children/all
Population/Old child
Associated Diseases & Rule outs
Associated Disease & Complications
Eneuresis Bed Wetting
Stress/Psychiatric/Emotional
Disease Synergy - Causes
Synergy/Sleep deprivation
Disease Mechanism & Classification
Class
CLASS/Urologic (category)
Process
PROCESS/Functional/physiologic (category)
Treatment
Drug Therapy - Indication
RX/Desmopressin (DDAVP)
RX/Imipramine (Tofranil)
Definition

bed wetting in a child; At 5 years of age, around 1 in 6 children still wet the bed; This means that in a school class of thirty there will be five who wet the bed regularly; Because the children and their parents are too embarrassed to talk about the problem it is unlikely that they will be known to each other; Most of these children spontaneously grow out of it; By the age of 10 only one in 15 still wet the bed; Even in adulthood 1 in 100 still suffers from the problem; Parents must also not blame themselves; Getting angry or punishing the child could make the problem worse; Supporting and praising the efforts of the child to stay dry will help the child to become dry sooner; Getting medical help relieves the anguish for the family ;The cause of bedwetting is usually a combination of three factors; 1 Over production of urine at night 2 Hyperactivity of the bladder 3 Lack of arousal from sleep; Stressful early life events can trigger bedwetting in those who have previously been dry for a long period; Children with isolated bedwetting usually do not have any underlying problem; However if a child has been wet right from birth, always wet day and night, or never achieved toilet training, then it is essential to see a Paediatric Urologist; Often simple methods like waking up the child and giving awards for a dry night are undertaken; If bladder over activity is suspected, a bladder relaxing medication is prescribed; If night time alone is a problem, a medicine to reduce the volume of urine in the night is prescribed; When urine infection is suspected, an antibiotic is prescribed; It is essential to avoid bladder irritants as black current, coffee or coke; Constipation can make bladder problems worse; Taking plenty of fruits and vegetables can help to prevent this; Often parents restrict children’s water intake; This is not necessary; in fact these children need plenty of water and regular toilet visits during the day;

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External Links Related to Eneuresis
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PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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