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.


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.


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.


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)


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.


:

nocturnalenuresis



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