Diurnal enuresis
| Diurnal enuresis | |
|---|---|
| Specialty | Pediatrics |
Diurnal enuresis is daytime wetting (functional daytime urinary incontinence).
The
The patient must either experience a frequency of inappropriate voiding at least twice a week for a period of at least 3 consecutive months OR experience clinically significant distress or impairment in social, occupational or other important areas of functioning, in order to be diagnosed with enuresis. These symptoms must not be due to any underlying medical condition (e.g. a child who wets the bed because their kidneys produce too much urine, does not have enuresis, they have kidney disease which is causing the inappropriate urination). Also, these symptoms must not be due exclusively to the direct physiological effect of a substance (such as a diuretic or antipsychotic).
Causes
Common causes include, but not limited to:[citation needed]
- Incomplete emptying of the bladder
- Irritable bladder
- Constipation
- Stress
- Urinary tract infection
- Urgency(not "making it" to the bathroom in time)
- Anatomic abnormality
- Poor toileting habits
- Small bladdercapacity
- Medical conditions like overactive bladder disorder
Management
Management approaches include reassuring families that the child is not wetting their pants on purpose and treatment should include positive reinforcement (not punishment).
Epidemiology
Daytime wetting is more common in girls, while
See also
References
- ^ PMID 10845137.
- ^ PMID 31532563.
- ^ "http://www.eric.org.uk/DaytimeWetting/info_daytime_wetting_professionals Archived 2011-11-22 at the Wayback Machine"