Patient Encounter 2 Part 1

A 7-year-old female is brought into your clinic, her mother seeking advice about how to prevent her daughter's nighttime bedwetting. She asks about the suitability of any OTC or complementary and alternative medications. After questioning both individuals, you determine that her daughter has been wetting the bed for several months, which has caused some ill-defined "family disharmony." No obvious precipitating event is apparent.

What should you do at this point?

Table 53-5 Major Potentially Treatable Organic Causes of Enuresis

Potentially Treatable by Surgery

• Ectopic ureter

• Lower UTI (correct congenital anomalies)

• Neurogenic bladder

• Bladder calculus (stone) or foreign body

Obstructive sleep apnea

Potentially Treatable by Drugs

99 Ways To Stop Bedwetting

99 Ways To Stop Bedwetting

53 Minutes From Now, You'll Know Exactly How To Stop Your Child From Wetting The Bed...Without Drama Or Discipline. It's one of the hardest problems families face and can be very tough on a child's self esteem. When one of your children is a bed wetter, it can be a very sensitive topic. Even though it's a normal part of growing up, siblings can still give them a hard time.

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