What will a urologist do for bed wetting?

Tests and More Tests
For primary nighttime wetting — when accidents mostly happen in bed and at night — the examination is straightforward. “The doctor will conduct a physical to make sure there are no underlying problems and will do a urinalysis to make sure there are no problems with infections or diabetes,” says Dr.
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Can a urologist help with bedwetting?

Pediatric urologists are surgeons that specialize in the urinary tract. They are experts in bedwetting and spend a lot of their time helping children become dry. Urologists are particularly skilled helping children with complicated types of wetting.
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When should you see a urologist for bedwetting?

Bedwetting and Bladder Issues

“Every child is different. But as a general rule, if your son or daughter is not dry through the night by age six, you may want to have a consultation with a pediatric urologist,” Dr. Hannick says.
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What doctor do you see for wetting the bed?

You're likely to start by seeing your child's pediatrician. However, he or she may refer you to a doctor who specializes in urinary disorders (pediatric urologist or pediatric nephrologist).
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What is the most effective treatment for bedwetting?

PHARMACOLOGIC TREATMENT

Desmopressin (DDAVP) and imipramine (Tofranil) are the primary drugs used in the treatment of nocturnal enuresis.
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How Common is Adult Bedwetting?



Can bed-wetting be cured?

Nearly all bedwetting problems can be cured with single or combination therapy. Some people do, however; they will need long-term drug therapy.
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Is there a pill to stop bedwetting?

The two drugs approved by the FDA specifically for bed-wetting are DDAVP and Tofranil. Other medications that are sometimes used to treat bed-wetting include Ditropan and Levsin.
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What are psychological reasons for bedwetting?

Psychological or emotional problems: Emotional stress caused by traumatic events or disruptions in a child's normal routine can cause bedwetting. For example, moving to a new home, enrolling in a new school, or the death of a loved one may cause bedwetting episodes that become less frequent over time.
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How can I stop bedwetting permanently?

To combat bedwetting, doctors suggest:
  1. Shift times for drinking. ...
  2. Schedule bathroom breaks. ...
  3. Be encouraging and positive. ...
  4. Eliminate bladder irritants. ...
  5. Avoid thirst overload. ...
  6. Constipation may be a factor. ...
  7. Don't wake children up to urinate. ...
  8. An earlier bedtime.
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What is the main cause of bedwetting?

Medical reasons such as having a urinary tract infection (UTI), constipation, or differences in the way the body is built or functions – like a small bladder or making too much urine – could be the cause. In addition, Type 1 Diabetes can also first show up as bedwetting along with increased thirst and urination.
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Is bedwetting considered incontinence?

What is urinary incontinence (enuresis)? Urinary incontinence (enuresis) is the medical term for bedwetting. Incontinence is accidental or intentional urination in children who are at an age where they should be able to have control of their bladders. Girls usually obtain bladder control before boys do.
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Why would a child be referred to a urologist?

Pediatric urologists are surgeons who can diagnose, treat, and manage children's urinary and genital problems. If your child has an illness or disease of the genitals or urinary tract (kidneys, ureters, bladder), a pediatric urologist has the experience and qualifications to treat your child.
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What is the difference between enuresis and urinary incontinence?

Urinary incontinence is the loss of bladder control. In children under age 3, it's normal to not have full bladder control. As children get older, they become more able to control their bladder. When wetting happens in a child who is old enough to control his or her bladder, it's known as enuresis.
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How do I get my 12 year old to stop wetting the bed?

How parents can help a child who wets the bed
  1. Manage daytime fluid intake and urination. “Focus on what is going on during the day,” says Kirk. ...
  2. Minimize disruption and discomfort at night. ...
  3. Consider a bedwetting alarm. ...
  4. Talk with your child's primary care provider about medication.
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How do I stop my 20 year old from wetting the bed?

Lifestyle treatments
  1. Monitor fluid intake. Try to slow your fluid intake in the afternoon and evening. ...
  2. Wake yourself at night. Setting an alarm for the middle of the night can help you prevent bed-wetting. ...
  3. Make regular urinating a part of your routine. ...
  4. Cut down on bladder irritants.
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How quickly does desmopressin work?

After an injection is given, desmopressin usually starts to work within 15 to 30 minutes.
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Why does my 12 year old still pee the bed?

There are 2 types of nocturnal enuresis:

Secondary enuresis in older children or teens should be evaluated by a doctor. Bedwetting in this age group could be a sign of a urinary tract infection or other health problems, neurological issues (related to the brain), stress, or other issues.
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What age is bedwetting a problem?

Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.
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How long can a child take desmopressin?

If the medication works, use it for three to six months and then gradually taper the dose over several weeks. DDAVP is safe and often effective, but it's important to use it only at bedtime to reduce the risk of fluid overload and electrolyte abnormalities.
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Is bedwetting related to anxiety?

And although stress can indirectly affect a child's bedwetting, most experts believe it isn't the reason a child starts wetting the bed. There's just “no major association between anxiety, stress, and bedwetting,” says Anthony Atala, MD, chair of urology at the Wake Forest University School of Medicine.
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Is desmopressin available over the counter?

Desmopressin is similar to a hormone that is produced in the body. It acts on the kidneys to reduce the flow of urine. This medicine is available only with your doctor's prescription.
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Is there an alternative to desmopressin?

Alternatives to desmopressin as pharmacologic therapy for DI include synthetic vasopressin and the nonhormonal agents chlorpropamide, carbamazepine, clofibrate (no longer on the US market), thiazides, and nonsteroidal anti-inflammatory drugs (NSAIDs).
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How safe is desmopressin?

Treatment with intranasal and oral formulations of desmopressin is generally well tolerated, and side effects are usually minor. The risk of hyponatraemia, although small, can be reduced by adhering to the indications, dosing recommendations and precautions when prescribing desmopressin.
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How do you stop wetting the bed at 17?

Teenage girls should be drinking 1.5 – 2 litres a day, and teenage boys should be drinking 2 – 2.5 litres per day. Avoid drinks and food for the last hour before bed. Make sure you have a wee just before you settle to sleep. Try to go to bed at about the same time each night.
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How do you retrain a child's bladder?

Bladder training
  1. urinating on schedule every 2 to 3 hours, called timed voiding.
  2. urinating twice during one visit, called double voiding. ...
  3. relaxing the pelvic floor muscles so children can empty the bladder fully.
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