Enuresis (bed-wetting) is a common childhood elimination problem. It is estimated that approximately 5%-10% of all seven-year- old children in the US have enuresis (Baird, Seehusen, & Bode, 2014). Nocturnal enuresis is very common type of enuresis seen in children. It is estimated to be approximately 10-15% at 5-year old, 5-10% at 7-year old, 3-8% at 10-year old children, 1-4% in adolescents and 0.5-2% in the adults (Ferrara, Volgo, Romano, Scarpelli, Gara, Abele, & Miggiano, 2015).
The role of family physician in providing care for children Definition of family practice : Family practice is the medical specialty which provides continuing and comprehensive health care for the individual and family . It is the specialty in expansion which combine the biological, clinical, and behavioral sciences. The field of family practice include all ages, both sexes, each organ system, and every disease structure . Providers include family physicians, physician's assistants, and family
group of disorders includes enuresis, the repeated voiding of urine into inappropriate places, and encopresis, the repeated passage of feces into inappropriate places. In Enuresis, we can find the presence or absence of constipation and overflow incontinence for encopresis. However, there are minimum age requirements for diagnosis of Enuresis and Encopresis. These requirements are based on developmental age and not especially on chronological period of time. Enuresis and Encopresis disorders can
to their traumatic situation. It is hypothesized that dyslexic ‘pre-school children may lose bladder control and develop speech disfluency, such as stuttering’, as a regressionary reaction to their inability to cope with their difficulties. Nocturnal enuresis is a condition in which a person who has bladder control while awake urinates while asleep. The condition is commonly called bed-wetting and it often has a psychological impact on children and their families. Children with the condition often
likely to get it. Obesity also plays a role in this diagnosis, and because she is on regular medication for hypertension, we can infer that she’s overweight. Urinary incontinence, stress urinary incontinence, increased daytime urinary frequency, nocturnal enuresis, vaginal bulging, and
most importantly patient compliance. The patient will commonly present with multiple symptoms, the most common are the 3 P’s – polyuria, polydipsia, and polyphagia. However, subjective symptoms may include reports of fatigue, abdominal pain, nocturnal enuresis, weight loss, changes in mood, and blurred vision. Objectively the signs will be hyperglycemia, confirmation of weight loss, abnormal lab values such as an elevated hemoglobin A1c (HbA1c) level, and abnormal urine results. Upon assessment of