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Chronic Enuresis

by Alike Medical Team ∙ Updated on June 13, 2023

General

Enuresis, or bed wetting, is divided into nocturnal enuresis, which is more common and diurnal enuresis (daytime wetting). In order to be diagnosed, the child might be 5 years old. Another division is for primary and secondary enuresis. A primary enuresis means that the child never fully accomplishes toilet training while secondary enuresis is a condition that develops at least 6 months after a person has learned to control his or her bladder. Involuntary, or unintentional, release of urine may be caused by small bladder, persistent urinary tract infections, severe stress, developmental delay. Voluntary enuresis may be associated with mental disorders such as behavior disorders or anxiety.

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Signs & symptoms

Enuresis symptoms include repeated bed wetting and wetting the clothes and wetting at least twice a week for three months.

Diagnosis

Enuresis diagnosis is based upon medical history and physical examinations. Lab tests including urine tests may be performed and if no other medical reason is found, diagnosis is provided.

Treatment

Enuresis treatment includes behavioral therapy. The alarm method uses a ring that rings whenever the bed gets wet. Bladder training uses scheduled trips to go to the toilet times at increasing intervals. There are also medications that could help such as desmopressin and imipramine.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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