Study of Nocturnal Enuresis in Children of South Karnataka

Background: Nocturnal enuresis in children is the result of emotional problems in the majority of them. Hence, the cause of NE has to be ruled out as either organic or emotional. Method: A midstream morning urine sample was collected and examined within 30 minutes for proteinuria, glucosuria, and infection. An abdominal ultrasound was carried out for a bladder volume and bladder capacity study. Behavioral therapy, i.e., fluid restriction, star charting, lifting and waking, bladder retention exercise, and counseling for psycho-social factors, was carried out. Monthly follow-up for at least six months was done. Results: In the clinical manifestation, 23.3% daily bed wetting, followed by 18.3% urgency and 15% frequency, was noted. In the study of comorbidities, 16.6% disturbed family followed by 15% poor attention is studied, and at least 3.3% congenital anomalies are noted. In the comparative study of non-pharmacological results, relapse was significant in pharmacological results. Conclusion: In the present pragmatic study, it is proved that stressful conditions of children lead to phobia and anxiety, resulting in nocturnal enuresis.