Enuresis is bedwetting after the age of 5 years. It is a benign condition which mostly resolves spontaneously. It is important, however, to differentiate between nocturnal enuresis and enuresis during daytime with associated bladder dysfunction. Secondary causes of enuresis include:
- diabetes mellitus
- urinary tract infection
- physical or emotional trauma
Note: Clinical evaluation should attempt to exclude the above conditions. Urine examination should be done on all patients.
Non-pharmacological treatment
- Motivate, counsel and reassure
- Spread fluid intake throughout the day
- Psychotherapy
Pharmacological Treatment
A: Imipramine 25 mg nocte for on month
OR
S: Oxybutynin (PO) 5mg 8 hourly for one month
Referral
- Suspected underlying systemic illness or chronic kidney disease
- Diurnal enuresis