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Posted On : 06 Apr 2025

Female age 9-year good behavior, and is active, she is the second child, and she has 2 brothers and one sister, 1 month she complained of nocturnal enuresis. Although she had controlled herself since she was 3 years old, the abdominal examination was completely free. urine analysis completely free, what is the investigation required and what is the treatment?

Expert Answer :

Answer Discussion :

S

SANKAR KUMAR CHATTERJEE

0

This child presents with only nocturnal problems and has experienced significant dry spells in the past so it is unlikely structural abnormality is causing enuresis .This should be explained to the parents in order to allay any fears about other causes and to reassure them that invasive investigations are not necessary.
Following are recommended
1)Holding the urine to the last minute must be discouraged.
2)Thirst should be prevented so that a child does not drink excessive amounts in the evening hours before bed.
3)Parents should be asked to take the child to the bathroom before bedtime.
4)If the above preliminary management program for up to 3 months does not result in dryness, then either alarm therapy or pharmacologic therapy should be considered.
4) Oxybutynin chloride and tolterodine are commonly prescribed in this setting as anticholinergic

6 Days ago

N

Ngwendampya Gasson

0

urodynamic and uretho-cystoscopy test

7 Days ago

D

Dfsa Ata

0

because she has have secindary enuresis should exclude underlying cayses.
she need rule out constpation or other stress
investigations blood sugar ,Electrolyte
CBC

8 Days ago

E

Ed Zimmerman

0

physical and social history

8 Days ago

I

ikram safi

0

Water deprivation test

8 Days ago