Paediatrics
Primary Nocturnal Enuresis (Bed Wetting)
بستر گیلا کرنا
Excessive bed wetting in a child. Rule out UTI and anatomical problems first, then counsel, and use an antidiuretic if counselling fails.
- ICD-10
- —
- Source
- OPD handbook p.195
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Excessive bed wetting
Diagnosis
- Rule out UTI by CUE (complete urine examination)
- Rule out anatomical pathologies by USG-KUB (ultrasound of kidney, ureter and bladder)
- If there is no UTI and the USG is normal, manage along the lines of primary nocturnal enuresis
Treatment
Step 1 of 2
1. Counselling (Urdu notes)
- Children learn bladder control by about 8–9 years of age, so there is no need for worry
- Do not give the child much water after Asr (late afternoon)
- Avoid tea, coffee or cold drinks in the evening
- Take the child to the washroom before sleeping, and again at night
- If the child wakes at night, take them to the washroom
Step 2 of 2
2. Antidiuretic
- Tab Minirin 0.1 mg, 2 tablets at night (the number reads as 2)
- If there is no response to the above measures: the rest of the line is cut off in the scan
Prescription