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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Nocturnal Enuresis

Hi, Dr. Rynne. I have rare instances of nocturnal anuresis, late in sleep, during a dream. I am 60 years old and under great stress, so I think that might be the culprit, but I ve asked my endocrinologist to order an ADH balance check in my next lab work. What do you think?
Wed, 26 Feb 2020
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General Surgeon,  's  Response
Hello,

At the age of 60 enuresis can be caused by various issues as:
- Severe benign prostatic hyperplasia with overdistended bladder over night
- Sphincter control issues via bladder autonomic neuropathy
- Stress exacerbations
- Spinal cord issues controlling urination mechanics
- Detrusor function disturbances

If the uroflowmetry and ultrasound report are available, I can further guide more precisely for the treatment counter part as well. Though primary relieving agents are Roliten (4) mg and others acting on the bladder mechanics.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Nocturnal Enuresis

Hello, At the age of 60 enuresis can be caused by various issues as: - Severe benign prostatic hyperplasia with overdistended bladder over night - Sphincter control issues via bladder autonomic neuropathy - Stress exacerbations - Spinal cord issues controlling urination mechanics - Detrusor function disturbances If the uroflowmetry and ultrasound report are available, I can further guide more precisely for the treatment counter part as well. Though primary relieving agents are Roliten (4) mg and others acting on the bladder mechanics. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon