Desmopressin enuresis
Common Questions and Answers about Desmopressin enuresis
ddavp
My father had a brain tumor removed and now has to take a nasal spray called Desmopressin. His endocranologist only wants him to use it one time a day, but the problem is he goes to the bathroom sometimes every 15 minutes!!!! He is also on 1/2 mg of Dexamethasone and that's part of the problem. Sometimes he takes two puffs a day but the doctor doesn't want him to do that daily.
There is a drug called Desmopressin (DDAVP) it reduces urine production at night. But drinking too much liquid with the medication can cause problems, and Desmopressin should be avoided if you have symptoms such as a fever, diarrhea or nausea. Be sure to carefully follow instructions for using this drug.
Desmopressin is given orally as a tablet and is only for patients over 5 years old.
I have seen urologists, done physical therapy, taken desmopressin, set alarms to wake up in the night, cut back my liquid intake in the evenings, had my bladder checked for abnormalities (there are none), used moisture-sensitive alarms, and attempted to train myself to make sure that I am fully awake when I get up in the night to urinate.
Sadly, none of these solutions have worked. People say that bedwetting is a problem that people grow out of, but I am starting to believe that I never will.
I have a 10 y.o. girl who has primary enuresis and wets her bed nightly, has seen a urologist (no medical conditions), taken meds and used an alarm without success on numerous occasions. We are all frustrated and her self esteem is fragile. She has never had a sleepover. She is a deep sleeper and we know it is a sleep disorder. The programs offered are cost prohibited. Does anyone have some guidance, suggestions? The Malem multi sound and vibratory alarm doesn't wake her.
t mention in your question what medication you were taking. Commonly central DI is treated with desmopressin. Desmopressin works by limiting the amount of water passed in the urine.
I don't know why you would suddenly notice a decrease in your symptoms after 34 years. I would recommend making an appointment with your regular doctor to see what might be causing this. Until you can be seen, it is important that you remain aware of your fluid intake and output.
talk to your doctor about desmopressin, it works.
It is important that you maintain equanimity about this. Nocturnal enuresis is not something that is within a child's control. If you are negative and critical, your daughter will take that in and think of herself as defective in some way. Nocturnal enuresis occurs with a small percentage of children her age and it will eventually stop. Try to be patient, understanding and supportive.
today the consultant gave me tablets called desmopressin acetate. i understand they reduce urine amounts. will try but cant see them working well.
Any new ideas or anyone with same prob please help.
Hi,
By age 11, most boys have become fully continent. Enuresis, or occasional incontinence like in your son may persist longer in a few kids. Most outgrow this.
But if it bothers you, pl seek an appointment of a urologist, as wait-and-watch advise will just not help ease yor anxiety.
All the best.
Is there a medication for Diabetes Insipidus other than Desmopressin? The headaches as a side affect are dibilitating.
This discussion is related to <a href='/posts/show/557217'>peuatrygland diabetts</a>.
I am a occupational therapy student and have a case study on an 8 year old boy who has developed enuresis at night, he has started to soil himself, as a result is being bullied at school, he is reluctant to go to school and complains of physical symptoms stomach ache and head ache
his mother died at the age of five, his dad has recently started a new relationship
please can you help, give any suggestions as to why he may being doing these things
What follows is an answer I recently provided for another question that I believe is also applicable in this case. Many children have problem with day-time enuresis. The issue is often the case that they really aren’t aware of their need to use the toilet, so this is no indication at all of your son being lazy. It’s something that he needs help with so that he’s better able to recognize when he has to go.
s also suffering with nocturnal enuresis which every night compared to perhaps once a week a couple of years ago. We are trying to get an appointment with a neurologis again but the appointments are not available until 2 to 3 months from now. Has anyone experienced anything similar, any advice?
Nocturnal enuresis has nothing to do with toilet training in the sense that it applies during the day. A certain percentage of children (approx. 5-10% depending on age) remain enuretic at night even when they are trained during the day. You should not be waking her up - there is no point. Over time this will resolve itself, with you really doing nothing. This depends more on development than on anything you do or do not do.
You might consider an enuresis alarm that will waken you up as soon as you start to wet. It may train you then to wake up BEFORE you start to wet. And of course radically reduce your fluid intake for 4 hours before you go to bed.
Not that I am an expert on this subject but I wet the bed when I was younger and didn't stop until I was a teenager. I was never great at school but somehow managed to scoot by unnoticed. After high school graduation I went to a community college until my grades were good enough for exceptance into a large university- which I graduated from and went on to have a fufilling career and a wonderful family. The reason I'm writing this is because things do turn around.
This is very unusual behavior for a child her age, not so much for the nocturnal enuresis (about 5%-7% of children are still wet at night at that age), but because of the daytime enuresis. I would not automatically think of this as a psychological issue, though it could be. Has she been evaluated by a pediatric urologist?
DDAVP, Stimate, Minirin) is a synthetic replacement for vasopressin, the hormone that reduces urine production. It may be taken nasally, or as a tablet. Lack of the hormone vasopressin is more common in men than in women. Typically, those that do not produce enough will "correct" by the end of puberty (19-25 years old for men). Check with your urologist about the possibility of this treatment. Best of luck.
The nocturnal enuresis is nothing to worry about. Five-ten percent of children his age are still wet at night.
It is not unusual for children who were born prematurely to show this pattern - their achievement of developmental tasks is often a bit delayed. Nocturnal enuresis is still prevalent in more than ten percent of children your son's age, regardless of overall developmental status. Eventually it will be fine, but there really is nothing you can do to 'teach' him about that. Even when he achieves full toilet training during the day, he may still display nocturnal enuresis.
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