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Urine on bed during sleep
He oftenly pass urine during sleep in winter as well as in summer. Even if he go to wash room before sleep.
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Passing urine during sleep is common and with increasing age every year 10 % of children outgrow their symptoms.
If the child has been passing urine since a long time and you do not remember a period as long as one month during which he did not pass urine at night then this is primary nocturnal enuresis and if there is a history in any of the parents of similar problem then this will be sorted out.
Now if child has been asymptomatic for one month or: he has not passed urine at night in bed for one month without medicines.And is having the problem now then this is secondary nocturnal enuresis.and needs to be investigated.
Next Steps
get ultrasound KUB
urine routine and culture
blood sugar
check and treat constipation
decrease sugar in diet
decrease fluid consumption and tea coffee and milk after 6 pm
Health Tips
imipramine medicine has to be taken after consultation and usually works well.
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Primary nocturnal enuresis often requires proper diagnosis of exclusion. Bladder capacity should be measured in order to assess the type of treatment required. Also need to rule out many associated things
Next Steps
kindly consult a pediatric nephrilogist for further assessment and line of management
Health Tips
No fluids strictlly after 7pm.
conditional alarm to be set up half hour before the usual time of mishappening.
Tell him to retain urine during day time for durations progressively increasing in duration. This is a kind of bladdet excercise.
Proper management of constipation if present.
Dietary consultation.
For investigations and treatment initiation consult a child nephrologist.
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