Dysfunctional Voiding

Dysfunctional voiding, a term used to describe impairments of micturition, encompasses a wide array of symptoms and can lead to significant morbidity. The typical patient is a school-age girl who may be enuretic or have recurrent UTIs. Parents will often give a history that the child "holds her urine" or demonstrates urgency with infrequent voiding. Vincent's curtsy is a well-known posture assumed by these girls to help alleviate the pressure of a full bladder, which can result in a non-neurogenic neurogenic bladder. The dysfunctional voiding scoring system (DVSS) is a validated tool instrument that can be used to diagnose and evaluate children with dysfunctional voiding (Farhat et al., 2000). Urodynamic studies, cystoscopy, and imaging studies are available in the workup of voiding dysfunction, if indicated by the history and physical examination. Treatment is designed to improve bladder tone by placing the patient on a timed voiding schedule.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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