question-icon

Suggest treatment for enuresis in a child

default
Posted on Fri, 6 Jan 2017
Question: Sir
Please guide for my son he is three years old and my child is wetting pants at school
doctor
Answered by Dr. Matthew J. Mangat (3 hours later)
Brief Answer:
Enuresis needs a detailed history.

Detailed Answer:
Hello Sxxxxx and welcome to HCM.
As an Urologist,i can understand your concern.

You will need to answer few queries,like :
1. does he wet his trousers at home.
2. does he wet his night clothes.
3. do you wake up at night, to check his night clothes ?
4. How do you deal with him,when he wets his clothes ?
5. Does he go to pass urine in between classes in the school ?
6. Have you discussed the issue with the class teacher ?
7. How long has he had this problem and duration of Depsonil treatment ?

After getting your reply,shall send an expert opinion.
Wish him well.

Dr.Matthew J. Mangat.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
default
Follow up: Dr. Matthew J. Mangat (18 minutes later)
Thanks for the concern Please find the reply to your Query

1. Does he wet his trousers at home.
Yes some times only.
2. does he wet his night clothes.
Yes he does.
3. do you wake up at night, to check his night clothes ?
Yes and also I sometime at night take him to toilet waking him for the same.
4. How do you deal with him,when he wets his clothes ?
We scold him
5. Does he go to pass urine in between classes in the school ?
Yes and as per the teacher sometimes he doesnt says that he wants to go to toilet.
6. Have you discussed the issue with the class teacher ?
The class teacher says that he does urinal 5 to 7 times in his three hours class.
7. How long has he had this problem and duration of Depsonil treatment ?
His problem is prolong and we used to send him with diapers but now we have stopped sending in with diapers. The medicine has been started just from yesterday only.

Please guide us what step or what treatment of habit we have to develop for our son.
doctor
Answered by Dr. Matthew J. Mangat (16 minutes later)
Brief Answer:
Enuresis will need patience for improvement.

Detailed Answer:
Hello xxxxxxxxxx,

Now the history is more clear.
This is enuresis,which is during day and night.
Stop waking him at night and scolding him.
That will remove a great psychological fear in him and compound the issue.
Just ignore it and don't scold him. Gradually,it'll start reducing with time.

Request the teacher to let him go to the toilet,in between classes.
When he comes home with wet clothes,don't scold or mock him.
Don't discuss the issue and he'll feel much more comfortable.
If you continue to scold him,it'll get complicated and may need other treatment.

Give time for Depsonil to act, along with change in your approach to the problem.
After supper give only half glass fluid.
Wishing him well.

Dr.Matthew J. Mangat.


Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
default
Follow up: Dr. Matthew J. Mangat (3 hours later)
Is there any further action to be taken with regards to any Clinical Tests etc.
doctor
Answered by Dr. Matthew J. Mangat (4 hours later)
Brief Answer:
Enuresis will need patience for improvement.

Detailed Answer:
Hello xxxxxxxxx,

This enuresis will not disappear in a few days.
You'll need to be patient and as your attitude changes,he will be confident.
That will help in curing his problem.
Some children need behavioral therapy and counselling after this course.

If his enuresis improves significantly,the Depsonil may be tapered and then stopped.
Wish him well.

Dr.Matthew J. Mangat.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1897 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for enuresis in a child

Brief Answer: Enuresis needs a detailed history. Detailed Answer: Hello Sxxxxx and welcome to HCM. As an Urologist,i can understand your concern. You will need to answer few queries,like : 1. does he wet his trousers at home. 2. does he wet his night clothes. 3. do you wake up at night, to check his night clothes ? 4. How do you deal with him,when he wets his clothes ? 5. Does he go to pass urine in between classes in the school ? 6. Have you discussed the issue with the class teacher ? 7. How long has he had this problem and duration of Depsonil treatment ? After getting your reply,shall send an expert opinion. Wish him well. Dr.Matthew J. Mangat.