Giggle incontinence
Giggle incontinence, giggle enuresis or enuresis risoria is the involuntary release of
Giggle incontinence is more common in children than adults, typically appearing at ages 5 to 7,[2] and is most common in girls near the onset of puberty.[3] The condition tends to improve with age, with fewer episodes during the teenage years,[2] but may persist into adulthood.[3] A survey of 99 student nurses indicated that about 25% had experienced such a wetting event during their lifetime, and about 10% were still susceptible in their late teens.[1]
Giggle incontinence is a special form of
Cause
In voluntary
Social consequences
Episodes of giggle incontinence are embarrassing and socially incapacitating, diminishing the quality of life. Those having the condition learn to adapt by avoiding activities that may bring on laughter.[3] Other approaches include limiting fluid intake, trying to remain seated, and concealing leakage by wearing absorbent pads and dark clothing.[8]
Treatment
Favorable response to treatment with the ADHD drug methylphenidate (Ritalin) has been reported,[3][7][9] but this treatment option is not acceptable to all patient families.[9] Dr. Lane Robson, of The Children's Clinic in Calgary, Alberta, says "If a child is having a wetting episode once a month, medicating them daily is probably not a good treatment. If it's a daily issue, you may have to make that decision."[8]
See also
References
- ^ PMID 533593.
- ^ a b Cooper, Christopher S (2010). "Voiding Dysfunction Clinical Presentation". Medscape. Retrieved June 3, 2011.
- ^ ISBN 978-0-8247-0822-1. Retrieved May 30, 2011.
- ^ Liedl et al & Viktrup; et al. (2004–2005). "Urinary Incontinence: Causes and Diagnostic Work-Up". Urology-Textbook.com. Retrieved June 3, 2011.
- PMID 12394756.
- ISBN 978-1-85233-924-1.
- ^ ISBN 978-1-84184-447-3. Retrieved May 30, 2011.
- ^ a b "Developing - School - Giggle Incontinence". ParentsCanada.com. Archived from the original on October 5, 2011. Retrieved May 30, 2011.
- ^ PMID 19695642.