Enuresis is a condition in which the child is unable to control bladder function even though the child has reached an age at which control of bladder is expected. There are two types of enuresis: primary and secondary (acquired)
Primary Nocturnal Enuresis
- Bed wetting in a child who has never been dry for extended periods
- The child is unable to sense a full bladder and does not awaken to void
- The child may have delayed maturation of the central nervous system
Secondary or Acquired Enuresis
- Bed wetting occurs after a period of established urinary continence
- It may occur during nighttime sleep (nocturnal), only during the waking hours (diurnal), or during both times of the day
- Obtain urinalysis and urine culture as prescribed
- Limit fluid intake at night, and encourage the child to void just before going to bed
- Involve the child in caring for the wet sheets and changing the bed to assist the child to take ownership of the problems
- Give child rewards as appropriate
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