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Case studies

WE ARE PLEASED TO BE ABLE TO BRING YOU THESE 2 VIDEOS, WHICH YOU CAN SHARE WITH YOUR PATIENTS AND THEIR PARENTS. WE KNOW THAT PARENTS AND CHILDREN ALIKE WILL FIND THEM VERY HELPFUL AND REASSURING.

The first film expresses the very personal view of 2 Mums whose children have experienced bedwetting. They share their views and experiences of the aspects that have been challenging for both them and their children and how they have approached them.
 

The second, very emotive, animated film is set to the voices of 2 children who talk about their first-hand experience of bedwetting - sharing both their concerns and their hopes.



 

Your stories

Joshua, 5 years & 3 months

MEDICAL HISTORY: Presented 6 months ago. Bedwetting has persisted every night since toilet training before third birthday. He has been advised to limit evening drinks, wake to take to the toilet prior to mother going to bed and to keep a diary of wetting.

CLINICAL CHALLENGES:

  • Mother has returned as continues to be wet every night despite following advice
  • No day-time incontinence
  • Physical examination was normal, no UTI
  • Mother is concerned about the ongoing wetting in view of his age
  • Patient sleeps soundly, is hard to wake in the morning after 11-12 hours sleep
  • Mother 28 weeks pregnant with fourth child and anxious for resolutions

Sophie, 8 years

MEDICAL HISTORY: Presented with night-time bedwetting 1 year ago. Advised she will grow out of it and to limit night-time drinks. No follow-up consultation arranged at the time.

Patient has presented to the practice 5 times over the last 18 months with a variety of minor complaints – throat infection, growing pains, abdominal pain and constipation.

CONSULTATION SUMMARY:

  • Initial complaint of intermittent abdominal pain
  • Mother concerned that Sophie still wets the bed – patient described this as 'occasionally' and was vague about details (frequency, amount)
  • Mother has restricted drinks before bed and Sophie says she does not drink much
  • Patient seemed withdrawn and tearful, unhappy to discuss

Leo, 9 years

MEDICAL HISTORY: Bedwetting has been mentioned by parents in various other consultations. Leo has been wearing pull-ups and parents have been unconcerned in the past, assuming he will grow out of it.

CONSULTATION SUMMARY:

  • Patient wears pull-ups every other night and parents report very wet on 4-5 mornings a week
  • Child is anxious to stop using pull-ups as they are getting tight and uncomfortable, but he gets rashes without. Parents have resisted as they are concerned about his skin and the washing. They would rather wait until he is dry every night. When he has been without pull-ups he has often wet twice in the night
  • Physical exam and urine normal

CHALLENGE: Leo has the opportunity to go on a school residential in 6 months, but parents are reluctant to let him do this if he has not grown out of the wetting.