[20F] Experiencing nocturnal enuresis

Patient Description

A 20-year-old female reports experiencing involuntary urination during sleep, known as nocturnal enuresis, several times a week for the past few months. The patient notes that she is a deep sleeper and does not always wake up with the urge to urinate, which was previously a normal occurrence. There is no mention of other urinary symptoms, such as frequency or urgency during the day, and no additional medical history is provided.

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Arora's Assessment

What might be happening

Based on the information provided, you may be experiencing:

  • Nocturnal Enuresis: This is a condition where an individual, usually a child, involuntarily urinates during sleep. It's less common but not unheard of in adults. It can be caused by a variety of factors such as a small bladder, excessive urine production, stress, or an underlying medical condition.

    • Treatment typically involves lifestyle changes such as limiting fluid intake before bedtime and setting alarms to wake up to use the bathroom. In some cases, medication may be prescribed.
  • Urinary Tract Infection (UTI): UTIs can sometimes cause incontinence, especially if they progress to involve the kidneys. However, they are usually accompanied by other symptoms such as pain or burning during urination, frequent urination, and lower abdominal pain.

    • Treatment involves antibiotics to clear the infection.
  • Sleep Disorders: Certain sleep disorders, such as sleep apnea, can cause nocturnal enuresis. This is because the body may produce more urine during sleep apnea episodes.

    • Treatment involves managing the underlying sleep disorder, which may involve lifestyle changes, use of a CPAP machine, or in some cases, surgery.

What you can do

You should definitely consult a healthcare professional about this issue. They can provide a formal diagnosis and appropriate treatment. In the meantime, here are some steps you can take:

  1. Limit fluid intake in the evening, especially caffeinated or alcoholic beverages which can stimulate urine production.
  2. Try setting an alarm to wake up in the middle of the night to use the bathroom.
  3. Keep a symptom diary noting when the incontinence occurs, what you ate or drank that day, and any other symptoms you may be experiencing. This can be helpful information for your healthcare provider.

What you should look out for

Please seek immediate medical attention if you experience:

  • Pain or burning during urination
  • Frequent urination
  • Blood in your urine
  • Lower abdominal pain
  • Fever or chills

These could be signs of a urinary tract infection or another serious condition. Please remember that while I strive to provide accurate information, I am an AI and not a substitute for professional medical advice.

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11 mo ago

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People Also Ask


What are the common causes of nocturnal enuresis in adults?

Common causes of nocturnal enuresis in adults include a small bladder capacity, excessive urine production at night, stress, sleep disorders like sleep apnea, and sometimes underlying medical conditions.


How can lifestyle changes help manage nocturnal enuresis?

Lifestyle changes such as limiting fluid intake before bedtime, avoiding caffeine and alcohol in the evening, and setting alarms to wake up and use the bathroom can help manage nocturnal enuresis.


Could a urinary tract infection be causing my nocturnal enuresis?

While nocturnal enuresis can sometimes be linked to a urinary tract infection, UTIs usually present with additional symptoms like pain or burning during urination, frequent urination, and lower abdominal pain.


What are the signs that I should see a doctor for my symptoms?

You should see a doctor if you experience pain or burning during urination, frequent urination, blood in your urine, lower abdominal pain, or fever and chills, as these could indicate a urinary tract infection or another serious condition.


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