F98.0
DESCRIPTION
Enuresis is bedwetting that occurs in children > 5 years of age.
It is a benign condition which mostly resolves spontaneously.
It is important, however, to differentiate between nocturnal enuresis and daytime wetting with associated bladder dysfunction.
Secondary causes of enuresis include:
- diabetes mellitus
- urinary tract infection
- physical or emotional trauma
Note:
- Clinical evaluation should attempt to exclude the above conditions.
- Urine examination should be done on all patients.
GENERAL MEASURES
- Motivate, counsel and reassure child and parents.
- Advise against punishment and scolding.
- Spread fluid intake throughout the day.
- Diapers are not advised, as this will lower the child’s self-esteem.
REFERRAL
- Suspected underlying systemic illness or chronic kidney disease.
- Persistent enuresis in a child.
- Diurnal enuresis.