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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes white chalky discharge and bed wetting in a child?

My 8 year old son has neaver gone longer than 3 months without wetting the bed and it has become more and more frequent also lately i have noticed a white chalky discharge in his pj s when this happends. What could cause this and do you think this has anything to do with the fact he has Keratin Pilaris?
Tue, 14 Apr 2020
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Pediatrician 's  Response
Hi,

Nocturnal enuresis is common problem in children. If he don't have frequency or urgency during day time, just try these tips:
1. Avoid drinking water more than 2oz after 7 pm
2. No caffeinated(tea, coffee, chocolates) and sugary items after 4pm
3. Insist on voiding at bedtime
4. If voiding only once per night, set an alarm around the expected time and make him void
5. Keep a dry day diary and give rewards for number of dry days at end of each month

All though these measures may look funny, it can attain slow but sustained response. If these measures fails, I used to give bladder stabilising agents like oxybutynine for about 3-4 months. Before this, we need to have a physical examination, urine routine and sometimes an ultrasound to rule out any specific cause. Some whitish appearance on inners after drying- need not be worried, although a urine routine test to look for excess protein is suggested.

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

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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What causes white chalky discharge and bed wetting in a child?

Hi, Nocturnal enuresis is common problem in children. If he don t have frequency or urgency during day time, just try these tips: 1. Avoid drinking water more than 2oz after 7 pm 2. No caffeinated(tea, coffee, chocolates) and sugary items after 4pm 3. Insist on voiding at bedtime 4. If voiding only once per night, set an alarm around the expected time and make him void 5. Keep a dry day diary and give rewards for number of dry days at end of each month All though these measures may look funny, it can attain slow but sustained response. If these measures fails, I used to give bladder stabilising agents like oxybutynine for about 3-4 months. Before this, we need to have a physical examination, urine routine and sometimes an ultrasound to rule out any specific cause. Some whitish appearance on inners after drying- need not be worried, although a urine routine test to look for excess protein is suggested. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician