A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood…

Question

A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood pressure and a normal urinalysis. An eight-week alarm trial has failed despite good family adherence. He is going on a three-night school camp in a fortnight, and the paediatrician has prescribed sublingual desmopressin 120 micrograms at bedtime to cover it. His mother asks how she should give it. Which one of the following is the most important instruction?

Accepted Answer

Restrict fluid from one hour before until eight hours after

Answer

Continue the alarm on the nights he takes it

Answer

Double the dose if he wets on the first night

Answer

Give it with a large glass of water

Answer

Take it only after he has emptied his bladder

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