Nocturnal Enuresis (in 10 minutes). By Mohammad Adnan. Definition(s).
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Nocturnal Enuresis (in 10 minutes)
By Mohammad Adnan
‘The Diagnostic & Statistical Manual of Mental Disorders (DSM- IV) defines nocturnal enuresis as an involuntary voiding of urine during sleep, with a severity of at least twice a week, in children aged >5 years in the absence of congenital or acquired defects of the central nervous system ’*
Primary – Never been dry at night
Secondary – 6m> of bladder control
*There is no minimum age limit to allow consideration of the benefit of interventions in younger children (under 7 years) previously excluded from treatment.NICE
There are a number of different disturbances of physiology that may be associated with the development of bedwetting. These disturbances may be categorised as:
Should be unremarkable but...
Do not perform urinalysis routinely, unless the child or young person has:
● started bedwetting recently (in the last few days or weeks)
● daytime symptoms
● any signs of ill health
● a history, symptoms or signs suggestive of urinary tract infection
● a history, symptoms or signs suggestive of diabetes mellitus.