2 doctors weighed in:

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)?

2 doctors weighed in
Dr. Ashu Syal
Pediatrics - Nephrology & Dialysis

In brief: 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.

In brief: 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.
Dr. Ashu Syal
Dr. Ashu Syal
Thank
Dr. Martin Raff
Internal Medicine - Infectious Disease

In brief: Psychiatrist

Hopefully he is seeing an experienced pediatric psychiatrist.
If not please do this asap. May need very long term therapy. This requires a sensitive and communicative therapist who can bond with your son and establish a long-standing relationship. Do not start this if it will be interrupted suddenly. Good luck. Hope the little guy feels better soon.

In brief: Psychiatrist

Hopefully he is seeing an experienced pediatric psychiatrist.
If not please do this asap. May need very long term therapy. This requires a sensitive and communicative therapist who can bond with your son and establish a long-standing relationship. Do not start this if it will be interrupted suddenly. Good luck. Hope the little guy feels better soon.
Dr. Martin Raff
Dr. Martin Raff
Thank
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