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Unformatted text preview: so. Secondary enuresis is when a child goes through an extended period of dryness at night (roughly six months or more) and then begins to bed-wet again. Secondary enuresis can be caused by emotional stress or a medical condition, such as a bladder infection. Epidemiology Nocturnal enuresis is quite common: 15% of 5 year olds & 5% of 10 year olds suffer from this problem. However, it is important to note that only about 5% of children over 4 stop bed-wetting with no help. Causes Psychological distress: stress, lack of family function, bullying, abuse, Lack of parental approval Genetics: delay in acquiring sphincter competence (ask about family Hx – usually +ve) Medical conditions: diabetes mellitus, diabetes insipidus, UTI, Feacal retention/constipation (reduces bladder size) Inability to wake to full bladder sensation Low functional bladder capacity Inadvertent behaviour reinforcement (Let into parents bed after wetting)...
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.
- Fall '10