Diurnal enuresis
| Diurnal enuresis | |
|---|---|
| Synonyms | Daytime wetting |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Involuntary urination during the day |
| Complications | Urinary tract infection, Emotional distress |
| Onset | Typically in children |
| Duration | Varies |
| Types | N/A |
| Causes | Overactive bladder, Urinary tract infection, Constipation, Psychological stress |
| Risks | Family history, Attention deficit hyperactivity disorder (ADHD) |
| Diagnosis | Medical history, Physical examination, Urinalysis |
| Differential diagnosis | Nocturnal enuresis, Urinary tract infection, Diabetes mellitus |
| Prevention | N/A |
| Treatment | Bladder training, Behavioral therapy, Medication |
| Medication | Anticholinergics, Desmopressin |
| Prognosis | N/A |
| Frequency | Common in children |
| Deaths | N/A |
Diurnal Enuresis is a medical condition characterized by involuntary urination during the daytime, particularly in children. It is also known as daytime wetting. This condition is different from Nocturnal Enuresis, which refers to bedwetting at night.
Causes
The exact cause of Diurnal Enuresis is not known. However, several factors may contribute to the condition. These include:
- Bladder problems: Some children may have a small bladder or may not be able to recognize when their bladder is full.
- Constipation: Chronic constipation can put pressure on the bladder, leading to involuntary urination.
- Urinary Tract Infections (UTIs): UTIs can cause symptoms like urgency, frequency, and incontinence.
- Stress: Emotional or psychological stress can sometimes lead to daytime wetting.
Symptoms
The primary symptom of Diurnal Enuresis is involuntary urination during the day. Other symptoms may include:
- Frequent urination
- Urgency to urinate
- Pain or burning sensation during urination
- Wetting accidents without any urge to urinate
Diagnosis
Diagnosis of Diurnal Enuresis involves a thorough medical history and physical examination. The doctor may also order tests such as:
- Urinalysis: This test checks for signs of infection or other abnormalities in the urine.
- Ultrasound: This imaging test can provide a detailed view of the bladder and kidneys.
- Urodynamic tests: These tests measure the pressure in the bladder and the flow of urine.
Treatment
Treatment for Diurnal Enuresis depends on the underlying cause. Options may include:
- Behavioral therapies: These can help children learn to recognize when their bladder is full and to go to the bathroom at regular intervals.
- Medications: Certain medications can help control symptoms.
- Biofeedback: This therapy can help children gain better control over their bladder muscles.
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Contributors: Prab R. Tumpati, MD