Enuresis

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Enuresis

Nombres alternativos:

Orinarse en la cama

Síntomas:

El principal síntoma es la micción involuntaria, generalmente durante la noche y con una frecuencia de al menos dos veces al mes.

Signos y exámenes:

El pediatra hablará acerca de los antecedentes de enuresis en detalle. El adulto puede ayudar manteniendo un diario detallado que esboce los episodios de micción normal y de enuresis, ingesta de líquidos y alimentos sólidos (incluyendo la hora de las comidas) y los momentos de sueño.

Se debe realizar un examen físico para descartar causas de origen físico; además se debe realizar un análisis de orina para descartar infecciones y diabetes.

No se requieren radiografías de los riñones o de la vejiga u otros exámenes, a menos que exista una razón para sospechar de otros problemas.

Referencias:

Blum NJ. Nocturnal enuresis: behavioral treatments. Urol Clin North Am . 2004; 31(3):499-507.

Fritz G. Practice parameter for the assessment and treatment of children and adolescents with enuresis. J Am Acad Child Adolesc Psychiatry . 2004; 43(12):1540-1550.

Lawless MR, McElderry DH. Nocturnal enuresis: current concepts. Pediatr Rev . 2001;(12):399-407.

Mammen AA. Nocturnal enuresis: medical management. Urol Clin North Am . 2004; 31(3):491-498.

Robson WLM, Leung AKC, Van Howe R. Primary and secondary nocturnal enuresis: similarities in presentation. Pediatrics . 2005; 115(4):956-959.

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