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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Bed Wetting Problem

I am 27 year old lady. I have been bed wetting since I was a child. Sometimes, I go for about a week, without an episode, but sometimes, I do it about 7 days consecutively; and I have not gone a whole month without an episode. I am even afraid to track it for fear of what I would discover. To avoid becoming depressed or suicidal, I have utilised the weapon of denial. It has worked in keeping me sane over the years. I believe that I very few people know about it; my immediate family and a friend. However, I suspect that the truth may be a little scarier than that. Surprisingly enough, I do not have body odour. Recently, my elder brother who is a medical doctor placed me on an anti diuretic drug (at least that is what I think he called it); Ditropan. I haven t been using it regularly because I have a natural abhorrence for drugs of any kind, but the weeks that I actually tried to use it, the bed wetting did not get any better; it only made my throat smaller and drier. I am engaged to be married later this year and I am so confused and tired and can t even begin to imagine the problems that await me once I am married. I actually seriously don t mind dying at all, it would just mean an end to the whole thing (I am not suicidal in anyway btw; surprisingly, I am actually quite sane). Please help!!! PS: I have had to change my sleep patterns in such a way that I sleep less at night, however, this is hard to keep up since I have a day job and don t usually get home till late.
Thu, 20 Apr 2017
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General Surgeon,  's  Response
Respected madam, hi I evaluated your query thoroughly.
*There are many reasons for Nocturnal enuresis in adults :
-- Hereditary -- Decreased amount of ADH ( Anti Diuretic Hormone ) in body
-- Decreased response of kidneys to ADH -- Type 1 Diabetes -- Functional
Bladder Capacity is small -- Detrusor muscle overactivity -- Bladder
irritants as caffeine , alcohol -- Side effects from hypnotics, insomnia
medications , psychiatric mediations increase the risk. -- Secondary to
Pelvic organ prolapse. -- UTI -- Urinary calculi --bladder cancer --
obstructive sleep apnea.
*In our clinic we evaluate to find out the etiology by
@ Detailed symptom diary .
@ Physical examination.
@ Neruological evaluation
@ Urine analysis & culture.
@ Ultrasound abdomen & pelvis with post-void residual urine measure.
@ Uroflowmetry.
*Treatment options largely are :
-- Monitoring of fluid intake
-- Absorbent briefs
-- Skin care products
-- Bed wetting alarm system
-- Pharmaceutical management with Desmopressin / Imipramine
-- Surgical management e.g. Detrusor myectomy, Clam Cystoplasty,Sacral
Nerve Stimulation
All measures are different according to class of patient, evaluation and
definite management goals person to person.
*So get an appointment with Expert , have proper diagnosis & get cured.
*It`s time taking but curable 100%
*Be confident , have faith
Thanks for using Health Care Magic & keeping trust in our medical services.
Wishing you fast and speedy recovery from the same & Best wishes for
upcoming marriage life.
Regards.
Bye Dear take care.
Would love to assist in any health related queries in future .
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Suggest Treatment For Chronic Bed Wetting Problem

Respected madam, hi I evaluated your query thoroughly. *There are many reasons for Nocturnal enuresis in adults : -- Hereditary -- Decreased amount of ADH ( Anti Diuretic Hormone ) in body -- Decreased response of kidneys to ADH -- Type 1 Diabetes -- Functional Bladder Capacity is small -- Detrusor muscle overactivity -- Bladder irritants as caffeine , alcohol -- Side effects from hypnotics, insomnia medications , psychiatric mediations increase the risk. -- Secondary to Pelvic organ prolapse. -- UTI -- Urinary calculi --bladder cancer -- obstructive sleep apnea. *In our clinic we evaluate to find out the etiology by @ Detailed symptom diary . @ Physical examination. @ Neruological evaluation @ Urine analysis & culture. @ Ultrasound abdomen & pelvis with post-void residual urine measure. @ Uroflowmetry. *Treatment options largely are : -- Monitoring of fluid intake -- Absorbent briefs -- Skin care products -- Bed wetting alarm system -- Pharmaceutical management with Desmopressin / Imipramine -- Surgical management e.g. Detrusor myectomy, Clam Cystoplasty,Sacral Nerve Stimulation All measures are different according to class of patient, evaluation and definite management goals person to person. *So get an appointment with Expert , have proper diagnosis & get cured. *It`s time taking but curable 100% *Be confident , have faith Thanks for using Health Care Magic & keeping trust in our medical services. Wishing you fast and speedy recovery from the same & Best wishes for upcoming marriage life. Regards. Bye Dear take care. Would love to assist in any health related queries in future .