Desmopressin compared to alarm for treatment

Evans, Malmsten, Maddocks, Popli, and Lottmann (2011) compared long term (6 month) desmopressin with alarm treatment for bedwetting.    Thirty-two percent of patients will have a 50% reduction in wet nights and 37% of patients will be dry with the alarm.  This is compared with desmopressin having 37.5% had a 50% reduction of wet nights … Read moreDesmopressin compared to alarm for treatment

Diet Restriction to Reduce Bedwetting

Cochrane reviewed two trials on dietary restriction to decrease bedwetting. A low antigen diet restricts diary, gluten, eggs, and most meats.  A small trial showed an improvement with dietary restriction but a relapse occurred in 6/9 children given test foods compared with 0/9 given placebo  foods. The second trial of dietary restriction only had one … Read moreDiet Restriction to Reduce Bedwetting

2010 Cochrane Review of Alternative Therapies

Cochrane Database is an amazing way to have an unbiased review of the literature without reading every single article. Several researchers complete a systematic review of all the research to answer a question and determine an answer.  The question in review for this article is “does alternative therapy treat bedwetting?” In 2011, they complied all … Read more2010 Cochrane Review of Alternative Therapies

Chiropractic Care and Bedwetting

I was thrilled to find a review by Cochrane on Chiropractic Therapy for bedwetting.  I frequently see patients that have had 4-8 sessions without improvement and now they are ready to seek a western medical approach. Chiropractors focus on irregularities of spinal structure and then they manipulate those structures to realign them.  Cochrane reviewed three … Read moreChiropractic Care and Bedwetting

Acupuncture to treat bedwetting

Four Acupuncture Studies were reviewed by Cochrane.  One trial appeared superior to sham acupuncture. Sham acupuncture is following the process without placing the needles in the correct location. Twenty-six children out of 56 were still wet after acupuncture versus 38 out of 55 still wet after sham acupuncture.  Unfortunately, the quality of the study was … Read moreAcupuncture to treat bedwetting

Psychotherapy or Counseling to treat bedwetting

Psychotherapy or counseling showed positive effects in reducing bedwetting but specific interventions were not well described. Cochrane reviewed six trials with psychotherapy or counseling as the intervention group. During treatment, psychological or supportive interventions resulted in less wet nights than desmopressin or rewards, such as a star chart. Psychological support was less effective than imipramine. … Read morePsychotherapy or Counseling to treat bedwetting

Hypnosis to treat Bedwetting

Cochrane reviewed 3 trials in regards to hypnosis. This includes guiding the child through the anatomy of the body and the brain-bladder connection, visualization, relaxation, and also, self-hypnosis.  One trial compared hypnosis versus Imipramine  After stopping Imipramine, 19 of the 25 children started wetting again and of the hypnotic group, only 8 out of the … Read moreHypnosis to treat Bedwetting

Obstructive Sleep Apnea & Allergies

Tsai et al. (2017) evaluated 8,616 children to identify if there was a prevalence in allergic disease and obstructive sleep apnea with bedwetting. This was a very large research study. They found that children with allergic rhinitis, atopic dermatitis, allergic conjunctivitis, or obstructive sleep apnea had a higher chance of bedwetting. My opinion: It’s helpful … Read moreObstructive Sleep Apnea & Allergies

Unrecognized Megarectum

Hodges and Anthony (2012) reviewed 30 patients’ bowel habits to identify megarectum (large rectal vault) and classic constipation symptoms. Constipation is a known cause of bedwetting. O’Regan first noted it in the 19080’s. Unfortunately, a thorough evaluation of constipation is no longer done for patients with bedwetting.  Providers typically ask, “any symptoms of constipation?” but … Read moreUnrecognized Megarectum