{"id":883,"date":"2025-06-26T13:12:51","date_gmt":"2025-06-26T13:12:51","guid":{"rendered":"https:\/\/kankarbagh.com\/dorothy\/?p=883"},"modified":"2025-06-26T13:13:34","modified_gmt":"2025-06-26T13:13:34","slug":"65-nocturnal-eneuresis","status":"publish","type":"post","link":"https:\/\/kankarbagh.com\/dorothy\/2025\/06\/26\/65-nocturnal-eneuresis\/","title":{"rendered":"65. Nocturnal Eneuresis"},"content":{"rendered":"<body><p><span class='visitors'>4257<\/span>  Unique Visitors<br>\n<span class='page-views'>7057<\/span>  Page-views<\/p>\n\n\n\n<iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/ZFxrK2nSVgE?si=AaR23zdFIXtWmByS\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n\n\n\n<p>Nocturnal Enuresis<\/p>\n\n\n\n<p>Hello friends, in this video we will speak about nocturnal Enuresis .<\/p>\n\n\n\n<p>Nocturnal means night, Enuresis means passing urine<br>So nocturnal Enuresis is nothing but involuntary urination at night beyond 5 years of age irrespective of a boy or girls<br>. Ususally the children become dry at night by 3 years of age ,<\/p>\n\n\n\n<p>Now coming to the epidemiology :<br>It is seen in males more than females<br>It has a positive family history in 50 percent cases .<\/p>\n\n\n\n<p>Coming to the classification , it can be divided into primary and secondary .<br>So primary is when a child has never attained night time bed continence , since early childhood days the child has continued to bedwet<\/p>\n\n\n\n<p>Whereas , in secondary the child has attained nighttime continence previously .<br>It can happen due to any aquired causes , like diabetes , urinary tract infection etc .<br>Now nocturnal aneuresis can be divided into mono symptomatic and poly symptomatic .<br>Mono symptomatic is only when the child has nocturnal enuresis and no other symptoms .<br>Poly symptomatic is when it involves other genitourinary symptoms along with nocturnal enuresis .<\/p>\n\n\n\n<p>Now do we manage it?<\/p>\n\n\n\n<p>1st line management:<br>Lifestyle changes :<br>You ask the parents to have early dinner specially for the child .<br>. Restrict fluid intake during evening.<br>. Void bladder before bed time .<\/p>\n\n\n\n<p>Motivational therapy .<br>So everytime the child is dry give a star , and if there\u2019s 7 to 10 stars back to back give the child a reward . So this is a kind of positive reinforcement<\/p>\n\n\n\n<p>Second line treatment .<br>Bed and alarm technique :<br>Moisture sensing alarm is fitted , so when it starts ringing the child voids at night .<br>. The child will get conditioned to wake up at night and go to the washroom to void .<\/p>\n\n\n\n<p>Third line therapy :<br>Pharmacotherapy , it is ususally given for short period of time .<br>So the drugs given are oral desmopressin , imipramine, oxybutynin .<br>So this is all about nocturnal enuresis\u00a0,Thank\u00a0you\u00a0!<\/p>\n<\/body>","protected":false},"excerpt":{"rendered":"<p>Nocturnal Enuresis Hello friends, in this video we will speak about nocturnal Enuresis . Nocturnal means night, Enuresis means passing urineSo nocturnal Enuresis is nothing but involuntary urination at night beyond 5 years of age irrespective of a boy or girls. Ususally the children become dry at night by 3 years of age , Now [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":885,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[362,363,365,361,359,364,360],"class_list":["post-883","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ped","tag-bed","tag-desmopressin","tag-imipramine","tag-night","tag-nocturnal-eneuresis","tag-oxybutynin","tag-urine"],"_links":{"self":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/883","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/comments?post=883"}],"version-history":[{"count":1,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/883\/revisions"}],"predecessor-version":[{"id":886,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/883\/revisions\/886"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/media\/885"}],"wp:attachment":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/media?parent=883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/categories?post=883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/tags?post=883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}