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Diurnal enuresis
Classification and external resources
MeSH D053207

Enuresis is defined as involuntary voiding beyond the age of anticipated control. Diurnal enuresis is daytime wetting, nocturnal enuresis is nighttime wetting. Both of these conditions can occur at the same time, however, many children with nighttime wetting will not have wetting during the day. Children with daytime wetting may have frequent urination, have urgent urination or dribble after urinating.

Contents

Statistics

Daytime wetting is more common in girls than in boys, but bedwetting is thrice as prevalent in boys. Daytime wetting was found to have occurred more than once a week in 50% of girls with the mean age of 10 years.

Causes for daytime wetting

Common causes include, but not limited to:

  • 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 bladder capacity
  • Medical conditions like overactive bladder disorder

Managing daytime wetting

Major changes in the management of daytime wetting came about in the 1990s. In most current programs, non-invasive treatments incorporate hydration, timed voiding, correction of constipation and in some cases, computer assisted pelvic floor retraining. These methods have been extremely successful in correcting daytime wetting. Bladder stretching exercises (where the person tries to hold their urine as long as possible) are no longer recommended. In fact, some urologists actually believe that this can be dangerous because the person could develop the long-term habit of tightening the urethral sphincter muscle, which can cause bladder or kidney problems. Urinating on a regular basis is much preferred.

Ruling out infections can also be a part of the differential.[1]

References

  1. ^ Bernard-Bonnin AC (May 2000). "Diurnal enuresis in childhood". Can Fam Physician 46: 1109–15. PMID 10845137. PMC 2144882. http://www.cfp.ca/cgi/pmidlookup?view=long&pmid=10845137.  

This article contains facts and text from Mercer, Renee (January, 2004). [www.dryatnight.com Seven Steps to Night Time Dryness]. Ashton Maryland: Brookeville Media. pp. 22, 76–78. ISBN 0-9740688-0-2. www.dryatnight.com.   with permission from the author.

See also

External links

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