Bed wetting-nocturnal enuresis- it is involuntary urination while asleep after the age at which bladder control usually occurs.

Nocturnal enuresis (bedwetting): involuntary wetting during sleep without any inherent suggestion of frequency of bedwetting or pathophysiology.

Nocturnal enuresis

The word enuresis is derived from a Greek word enourein it means “to void urine.” It can occur either during the day or at night.

Signs and symptoms:

Daytime voiding pattern
Sleep history
Family history of nocturnal enuresis
Number and timing of episodes of bedwetting/ Toilet training history
Behavior, personality, and emotional status
Nutrition history /Hydration history
Overactive bladder or dysfunctional voiding/ Ectopic ureter/ Urethral obstruction
Diabetes mellitus or diabetes insipidus
Constipation
Cystitis and urinary tract infections (UTIs)

Diagnosis:

Management:

Preliminary management focusing on positive reinforcement and behavioral modification
Treatment with desmopressin acetate or imipramine.
Keen attention to maintaining and establishing a normal bowel pattern, normal daytime voiding pattern, and normal hydration

Pharmacologic therapies:

Desmopressin acetate: Preferred medication for treating children with enuresis
Anticholinergic agents such as tolterodine andoxybutynin chloride: Especially in patients with dysfunctional voiding, overactive bladder, or neurogenic bladder

references:

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Bed wetting-Nocturnal enuresis- It is involuntary urination while asleep after the age at which bladder control usually occurs.