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afya
Enuresis
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> usually dry by 3-4yrs enuretic if still wet 5yr without pathology primary or secondary (>6/12 dry previous) offer last drink 1hr pre bedtime (otherwise don't restrict fluids) Mx - NICE 2010 Look for cause - constipation, UTI, diabetes advise - fluids, toileting, diet star charts - for positive behaviour (used toilet pre bed) not for dry bed consider needs of family and pt <7yr - enuretic alarm >7yr - desmopressin or if alarm not worked or family dislike
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slimindex, index, Paeds