A 5-year-old boy wets the bed on four nights each week and has never been dry for more than a few nights at a…

Question

A 5-year-old boy wets the bed on four nights each week and has never been dry for more than a few nights at a time. He has been dry by day since he was three, has a normal urinary stream, opens his bowels daily without straining, and has no daytime urgency or wetting. Examination and urinalysis are normal. His mother has stopped giving him anything to drink after 4 pm, and makes him strip his own wet sheets each morning. Which one of the following is the most appropriate advice for his mother?

Accepted Answer

Let him drink freely during the day

Answer

Fit a bedwetting alarm now

Answer

Lift him to the toilet overnight

Answer

Prescribe desmopressin at bedtime

Answer

Withhold screen time after each wet night

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