Information to be obtained | Significance or interpretation |
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Growth data: weight and height | Failure to thrive may be associated with a renal problem. |
How often does the patient wet the bed? | The prognosis is better if there are dry nights. |
Was the patient previously dry? | Patients with secondary enuresis often have daytime symptoms, as well. |
Daytime symptoms? | Treat daytime enuresis first, particularly if the patient has symptoms of overactive bladder. |
Voiding symptoms (pain, weak stream, insufficient emptying of the bladder)? | Significant symptom, refer for further examination |
Urinary tract infections? | Significant symptom, refer for further examination |
Thirst, copious drinking? | Renal problem, diabetes, polydipsia? |
Constipation? | Constipation provokes enuresis, so it should be treated first. |
Soiling? | This is almost certainly due to constipation; the treatment of constipation is of primary importance. |
Conduct disorders? | Cause or consequence? Consult a specialist, as necessary. |
What is the child's experience of nocturnal enuresis? | Motivation for treatment, choice of treatment |