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Doctor insights on: Bedwetting On Purpose

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8 yr old boy. Bedwetting, periodic night terrors, deep sleeper. Catheterized as toddler in er. On 1/2-1 ddavp (desmopressin) .2 nightly for 2 mos. What is next step to help him? Long trm effects of ddavp (desmopressin)?

8 yr old boy.  Bedwetting, periodic night terrors, deep sleeper.  Catheterized as toddler in er. On 1/2-1 ddavp (desmopressin) .2 nightly for 2 mos.  What is next step to help him?  Long trm effects of ddavp (desmopressin)?

Nocturnal enuresis: Sounds like enuresis is nocturnal only. Is he a dysfunctional voider? Is he constipated? You should consult with a pediatric urologist. Somtimes anti-cholinergic agents help. Ddavp used long term really have not much effect. It is a hormone secreted naturally by kidneys to concentrate urine. ...Read more

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Dr. George Klauber
96 doctors shared insights

Bedwetting (Definition)

Children that urinate involuntarily during the nighttime have bedwetting, this is something that 15% of children >5yo can still do. By 10yo 95% of children are dry at night. Less than 1% ...Read more


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Sister on law breast feeds while using heroin. What are the effects?

Sister on law breast feeds while using heroin. What are the effects?

She should be in : Jail. Call children protective services asap. If you know thi is happening, you are part of the endangering, aiding and abetting process. Please do the right thing. ...Read more

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Does hypnotherapy work on children with bed wetting?

Does hypnotherapy work on children with bed wetting?

Sometimes: Better to try simple measures first, ie restricting fluids, lifting to toilet at night, bedwetting alarm or medication. ...Read more

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What is the purpose of using electronic health records?

What is the purpose of using electronic health records?

Transmitting info...: Electronic health records are a means to transmit medical information from patient to provider (& between a patient's providers) quickly & easily. It's meant to improve patient care by (1) faster transmission (waiting for someone to send postal mail or even a fax is now passe), (2) avoiding duplication of tests & therapy (as providers can see what has already been performed), & (3) compiling data. ...Read more

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For bedwetting, in an 8 yr old child, what is the max amount of ddavp (desmopressin) he can take each night?

For bedwetting, in an 8 yr old child, what is the max amount of ddavp (desmopressin) he can take each night?

Check with your doc: Usually start off with .2mg and can increase by increments of .2mg (to .4mg) and max .6mg at bedtime. ...Read more

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What exactly is the problem with staying on benzodiazepines for life?

What exactly is the problem with staying on benzodiazepines for life?

Increased risks: There are risks of dependency including increased dysfunction with either relationships or work as well as the possibility of increased risk of depression that some describe. There is also a higher chance for respiratory suppression when combined with other medications or alcohol and this could lead to death if severe. ...Read more

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What is the usual recovery time from using benzos on a daily basis for 6 months (1mg clonazepam)?

What is the usual recovery time from using benzos on a daily basis for 6 months (1mg clonazepam)?

Depends: This depends on several factors. Most important is the reason that the clonazepam was taken in the first place, completely resolved. It is possible that other types of medication and or psychotherapy may have been successfully utilized and the problems are resolved. In this case gradually tapering the clonazpam perhaps to 1/2 mg/day and then even to 1/4 mg over a few weeks would do the trick. ...Read more

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Doctors, what are the dangers of binge drinking while on cyproterone acetate?

Doctors, what are the dangers of binge drinking while on cyproterone acetate?

Am referring your: Question to the endocrinology folks. This drug is not used in the United States, and it's major use would be for either prostate cancer or certain endocrine disorders. In either case, drinking of any kind, let alone binge drinking, is not in the best interests of anyone's health, let alone yours. Binge drinking contributes to accidental deaths, sexual trauma, unwanted pregnancy, other tragedies. ...Read more

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I am preparing semi automatic system for calculating the kinematics of flex-ex movement of cervical spine based on fluoroscopy. How can I convince the doctors about usefulness of this solution?

I am preparing semi automatic system for calculating the kinematics of flex-ex movement of cervical spine based on fluoroscopy. How can I convince the doctors about usefulness of this solution?

What are the goals, : Benefits, costs and risks especially when exposing patients to this amount of radiation in terms of the usefulness of this information above and beyond what is currently available ? You need to answer those questions. ...Read more

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What is the general consensus on adding intuniv to my child's stimulant for under-controlled ADHD symptoms?

What is the general consensus on adding intuniv to my child's stimulant for under-controlled ADHD symptoms?

Could help ,but.....: Before adding a second med, or a cocktail of meds, please make sure that the diagnosis is revisited, the child receives a proper dose, and there are not other coexisitng factors affecting the therapeutic response. ...Read more

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What is the purpose of using a pca - patient control analgesia?

What is the purpose of using a pca - patient control analgesia?

Better pain control: With patient controlled analgesia you get better pain control with less side effects and usage of narcotics is less than when narcotics are given intravenous by nurses as needed. ...Read more

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Specialist wrong for putting her on actiq suckers (for cancer what are some of the first side effects of the drug)?

Specialist wrong for putting her on actiq suckers (for cancer what are some of the first side effects of the drug)?

Depends: This is a short acting form of fentenyl similar in potency to imediate release morphine. Works best if used for "break-through" pain that is not relieved with long acting pain meds like fentenyl patch. One would go to this higher level analgesic when intermediate level pain meds like vicoden or Codeine are not working well. Sedation is main side-effect. ...Read more

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On cholystramine for ibs, and just got put on toviaz (fesoterodine) for urine incontinence. Any information on these drugs?

On cholystramine for ibs, and just got put on toviaz (fesoterodine) for urine incontinence. Any information on these drugs?

Meds: Cholestyramine binds bile salts. It has numerous side effects...one which is constipation Toviaz is an anticholinergic medication that prevents bladder spasm. Common side effect can be dry mouth and constipation. Make sure your physicians are aware that you are on both of these meds. ...Read more

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Daily use of Benadryl (diphenhydramine) for sleep aid on a 16 month old. Are there long term side effects?

Daily use of Benadryl (diphenhydramine) for sleep aid on a 16 month old.  Are there long term side effects?

Nothing major: Benadryl can alter the sleep pattern some with diminished time in deep (recuperative) sleep stage. I would never consider chronic use in an infant. I would encourage you to write down all your prior sleep related efforts along with what happens at bedtime.Bring this in to discuss with the kids doc. ...Read more

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Would using a nightly moisturizer help prevent new wrinkles especially for someone who sleeps on the side of their face in bed?

Face tape helps: Moisturizers can help, but as we age we lose collagen in the skin and it is easier for wrinkles to form. Products such as tretinoin may stimulate collagen and increase skin thickness. That helps with wrinkles. Some people use tape on their face when they sleep to avoid "sleep lines". You can also get a special pillow that makes you sleep on your back. ...Read more

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How effective are tactics used on tv shows to treat troubled teens?

How effective are tactics used on tv shows to treat troubled teens?

As above : It depends on what r the problems ? how supportive the environment and how committed for change they r, but seeing a mental health professional is better. ...Read more

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What's the effect of stimulants on kids with adhd?

What's the effect of stimulants on kids with adhd?

Typically quite good: Stimulants are by far the most thoroughly studied medications used to treat a child psychiatric disorder. 65-85% of the time, they markedly decrease key symptoms of inattention, poor focus, impulsivity, & hyperactivity. They work quickly but also wear off daily. Side effects are well known, dose-related, & for most kids tolerable. Sadly, they do not "cure" adhd, nor are they the whole answer. ...Read more

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