Normally, a urine and a general physical examination at the medical practice enough to rule out underlying disease.
Study of involuntary urination
If the time has come for treatment, it would be a good idea to fill a vandladningsskema, which partly measures the amount of væskeindtagelser and all vandladninger during the day (it is practical to do so in one weekend), the measurement of night-urine production in a week.
The latter can be done by roads bleen before the child goes to bed and then again in the morning and to measure the morgenladningen with a device.
Consideration of involuntary urinationThe review begins as a rule in six to seven years of age, where the condition is most annoying and the child is mature and motivated enough.
There are two well-documented treatment options.
- Reduction of the night urinproduktion with medicine (Minirin).
These treatments are equal in terms of effectiveness and safety. However, there is much to suggest that an explanation of the cause of enuresis problem of the individual child can better chance to choose the most effective treatment.
It is also important to examine a possible daginkontinens first, since it is difficult to make the child dry at night, if there is an accident on the day.
Ringeapparatsbehandling works by increasing blærens rummeevne at night and is therefore particularly suitable for children with a small rummeevne. The treatment lasts for at least eight weeks and requires high motivation of both child and family.
In addition, it recommends frequent follow-up (approximately once a week in the beginning) of a deal, for example skolesundhedsplejersken.
Minirin is a substance that acts like the antidiuretiske hormone and thereby reduced urinproduktionen. You take the medicine either as a tablet or nasal spray just before bedtime, and the medicine works the same night. This treatment is particularly suitable for children with high nocturnal urine output and so causes which have normal rummeevne bladder.
The dose is individual and agreed with the doctor. When the right dose is found, continues Monday with its usual treatment for three months separated by a week's medicinfri pause to assess the need for continuation of treatment.
The medicine has very few side effects. However, it is important that the child is not drinking more than half a glass of the night after taking the medicine, since the child can accumulate too much fluid in the body.
"Children and incontinence" - Kontinensforeningen