Enuresis

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Enuresis


  • nocturnal incontinence

Epidemiology

  • 12% of children 4-5 years
  • resolution 15% / year until 19

Associations

  • Family history
    • predicitive of age of toilet training
  • Male
  • Genetic
  • Large family
  • Social disadvantage
  • Recent stress

Investigate

  • Family
  • Anatomy
  • Infection

Treatment

  • Education
    • Encouraging fluid intake and urinating frequently during daytime
    • having the child void before going to bed
    • limiting the amount of fluid a child drinks several hours before bedtime
  • Bedwetting alarms
  • Star chart
  • Medication
 

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