Obesity in children:
It could be syndromic or a normal varient.
Nocturnal Enuresis:
Treat the cause if found !!!! Reassure the parents and the child. Advise the parents that there should be no punitive measures. Most of the children have a control over their bladder by the age of 5 years.
Kid must not consume caffeinated and sweet drinks after 5 PM , and no extra liquids after 7 PM. Alarm Therapy could be the initial choice. It is a form of conditional therapy. A sensor is placed in the diapers such that it senses the urine in diapers and alrams. Usually everyone other than the kid who urinated in the bed, wakes up due to the sound of the alarm. STARs may be given to the child for every dry night. A chart may be placed in his room, or hung up on the wall, showing a star for every dry night.
Desmopressin oral formulation may be advised. Intranasal therapy is no more recommended.
Oxybutynin may be useful for overactive bladder.
Tolterodine may be useful for overactive bladder.
Imipramine, a tricyclic antidepressant is no longer advised due to its bigg side effect profile.
It could be syndromic or a normal varient.
Nocturnal Enuresis:
Treat the cause if found !!!! Reassure the parents and the child. Advise the parents that there should be no punitive measures. Most of the children have a control over their bladder by the age of 5 years.
Kid must not consume caffeinated and sweet drinks after 5 PM , and no extra liquids after 7 PM. Alarm Therapy could be the initial choice. It is a form of conditional therapy. A sensor is placed in the diapers such that it senses the urine in diapers and alrams. Usually everyone other than the kid who urinated in the bed, wakes up due to the sound of the alarm. STARs may be given to the child for every dry night. A chart may be placed in his room, or hung up on the wall, showing a star for every dry night.
Desmopressin oral formulation may be advised. Intranasal therapy is no more recommended.
Oxybutynin may be useful for overactive bladder.
Tolterodine may be useful for overactive bladder.
Imipramine, a tricyclic antidepressant is no longer advised due to its bigg side effect profile.
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