Prevalence of diurnal voiding symptoms and difficult arousal from sleep in children with nocturnal enuresis. PMID: 35074830.Ĭhandra M, Saharia R, Hill V, Shi Q. Daytime urotherapy in nocturnal enuresis: a randomised, controlled trial. 1973 48/49:73–7.īorgström M, Bergsten A, Tunebjer M, Hedin Skogman B, Nevéus T. Adherence in children with nocturnal enuresis. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the standardization committee of the International Children’s Continence Society. Combination therapy with desmopressin and an anticholinergic medication for nonresponders to desmopressin for monosymptomatic nocturnal enuresis: randomized, double-blind, placebo-controlled trial. KeywordsĪustin PF, Ferguson G, Yan Y, Campigotto MJ, Royer ME, Coplen DE. Tricyclic antidepressants are severely cardiotoxic if overdosed. Anticholinergics carry a risk for constipation or the accumulation of residual urine. Second-line therapies include anticholinergics and tricyclic antidepressant treatment. The drug is safe to give as long as it is not combined with excessive fluid intake. Desmopressin acts antidiuretically, is given in the evening, and is effective mainly in enuretic children who have nocturnal polyuria. The alarm is a conditioning device which demands a high degree of motivation from the child and family but has a high chance of curing the child. Active treatment is indicated from approximately the age of six and involves an enuresis alarm and/or desmopressin medication. Constipation and/or daytime incontinence, if present, should be managed before the enuresis is addressed. With a proper case history, the small minority of children who need extensive evaluation can easily be found. The vast majority of enuretic children can, and should, be managed without blood tests, radiology, or invasive urodynamics. Enuresis adversely affects quality of life and self-esteem. The condition is often inherited, and the pathogenesis is usually a combination of nocturnal polyuria, nocturnal detrusor overactivity, and/or high arousal thresholds. Nocturnal enuresis affects one in ten children at school start and lingers until adulthood in approximately one percent of the population.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |