NOCTURNAL-NIGHT .ENEURESIS--PASSING URINE
NORMALLY A CHILD SHOULD HAVE BLADDER CONTROL AT AGE 2--5.&SHOULD PASS URINE IN THE TOILET AT WILL VOLUNTARILY, WITH OR WITHOUT HELP FROM FAMILY MEMBERS.THIS DOES NOT HAPPEN EVEN AT AGE 15 IN SO IT IS ALL DUE TO LACK OF INTEGRITY &COORDINATION BETWEEN THE BRAIN, BLADDER, BONES &NERVES IN THE SPINE.ESSENTIALLY IT IS LACK OF MATURITY OF CENTRAL NERVOUS SYSTEM.AT AGE 6 MONTHS. BABY ACHIEVES HEAD CONTROLAT AGE 6 M,&BLADDER CONTROL AT 2 YRS.DUE TO ADEQUATE MYELINATION OF SPINAL NERVES(DEVELOPMENT OF SHEATH LIKE COVERING &FINE NERVE ENDINGS)THE DEFECT IS DUE TO NON MYELINATION.
THIS IS A PSYCOPATHOLOGICAL STATE WHERE DOCTORS ASK FEW QUESTIONS TO PLAN TREATMENT.FOLLOWING QUESTIONS USUALLY ASKED:--
1)HOW MANY TIMES YOU PASS URINE IN A DAY (NORMAL--ONCE IN 3-4 HRS,& 6-8HRS AT NIGHT)2)IS IT A SMALL VOLUME OF URINE?-(-10-15 ML--OR 50-100 ML) EACH TIME.
3)IS THE ACT PAINFUL/BURNING?) 4)DOES IT PRODUCE STINKING SMELL?
5)DO YOU HAVE EXCESS THIRST, EXCESS EATING,EXCESS URINATION?(DIABETES)
6)DO YOU PASS EXCESS URINE VOLUME(ANTI-DIURETIC HORMONE DEFICIENCY)
7)HAVE YOU DONE URINE CULTURE STUDY FOR 3 DAYS?(URINE-INFECTION)
8) DO YOU DREAM AT NIGHTS?-IF YES ANALYSE? 9)DO YOU HAVE FEAR AT NIGHTS?(LACK OF SECURITY FEELING)
10)DOES ANY ONE(PARENTS/TEACHER /CLASSMATES)BULLY/RAG/BEAT YOU?
TREATMENT PLAN
-----------------------
1)DO NOT BEAT /SCOLD / INSULT/CHILD.TELL CHILD IT IS TOTALLY CURABLE. IN 2WEEKS TO BOOST CONFIDENCE.
2)EMPIRICAL---!)NO FLUIDS BY MOUTH AFTER 6PM.2) GO TO BATH ROOM JUST BEFORE BED.3)WAKE UP AT 1AM &4AM(USE ALARM CLOCK) 4)BLADDER TRAINING BY DOCTOR
SPECIFIC
-----------
TAB DEPSONIL(IMIPRAMINE HCL) ONCE AT NIGHT 9PM--15 DAYS
2) PSYCHOLOGICAL COUNSELLING REASSURANCE/COUNSELLING (TO INCREASE SENSE OF SECURITY)
3)URINARY INFECTION TREATMENT IF INDICATED.
4)BLADDER CONTROL TRAINING-USEFUL IN SMALL BLADDER SYNDROME.ANY OTHER TREATMENT AS PER CAUSE.
NORMALLY A CHILD SHOULD HAVE BLADDER CONTROL AT AGE 2--5.&SHOULD PASS URINE IN THE TOILET AT WILL VOLUNTARILY, WITH OR WITHOUT HELP FROM FAMILY MEMBERS.THIS DOES NOT HAPPEN EVEN AT AGE 15 IN SO IT IS ALL DUE TO LACK OF INTEGRITY &COORDINATION BETWEEN THE BRAIN, BLADDER, BONES &NERVES IN THE SPINE.ESSENTIALLY IT IS LACK OF MATURITY OF CENTRAL NERVOUS SYSTEM.AT AGE 6 MONTHS. BABY ACHIEVES HEAD CONTROLAT AGE 6 M,&BLADDER CONTROL AT 2 YRS.DUE TO ADEQUATE MYELINATION OF SPINAL NERVES(DEVELOPMENT OF SHEATH LIKE COVERING &FINE NERVE ENDINGS)THE DEFECT IS DUE TO NON MYELINATION.
THIS IS A PSYCOPATHOLOGICAL STATE WHERE DOCTORS ASK FEW QUESTIONS TO PLAN TREATMENT.FOLLOWING QUESTIONS USUALLY ASKED:--
1)HOW MANY TIMES YOU PASS URINE IN A DAY (NORMAL--ONCE IN 3-4 HRS,& 6-8HRS AT NIGHT)2)IS IT A SMALL VOLUME OF URINE?-(-10-15 ML--OR 50-100 ML) EACH TIME.
3)IS THE ACT PAINFUL/BURNING?) 4)DOES IT PRODUCE STINKING SMELL?
5)DO YOU HAVE EXCESS THIRST, EXCESS EATING,EXCESS URINATION?(DIABETES)
6)DO YOU PASS EXCESS URINE VOLUME(ANTI-DIURETIC HORMONE DEFICIENCY)
7)HAVE YOU DONE URINE CULTURE STUDY FOR 3 DAYS?(URINE-INFECTION)
8) DO YOU DREAM AT NIGHTS?-IF YES ANALYSE? 9)DO YOU HAVE FEAR AT NIGHTS?(LACK OF SECURITY FEELING)
10)DOES ANY ONE(PARENTS/TEACHER /CLASSMATES)BULLY/RAG/BEAT YOU?
TREATMENT PLAN
-----------------------
1)DO NOT BEAT /SCOLD / INSULT/CHILD.TELL CHILD IT IS TOTALLY CURABLE. IN 2WEEKS TO BOOST CONFIDENCE.
2)EMPIRICAL---!)NO FLUIDS BY MOUTH AFTER 6PM.2) GO TO BATH ROOM JUST BEFORE BED.3)WAKE UP AT 1AM &4AM(USE ALARM CLOCK) 4)BLADDER TRAINING BY DOCTOR
SPECIFIC
-----------
TAB DEPSONIL(IMIPRAMINE HCL) ONCE AT NIGHT 9PM--15 DAYS
2) PSYCHOLOGICAL COUNSELLING REASSURANCE/COUNSELLING (TO INCREASE SENSE OF SECURITY)
3)URINARY INFECTION TREATMENT IF INDICATED.
4)BLADDER CONTROL TRAINING-USEFUL IN SMALL BLADDER SYNDROME.ANY OTHER TREATMENT AS PER CAUSE.
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