Elimination Disorders

Question 1

What enuresis?

Answer 1

Inability or unwillingness to control urination.
Most common form in nocturnal (at night).
70% cases: child never achieved nighttime urinary continence; 30% cases: regression.

Question 2

What is the diagnostic criteria for enuresis?

Answer 2

repeated involuntary or intentional voiding of urine in bed or on clothing that causes distress or dysfunction; occurs 2x week for 3 months in 5 y/o (or equivalent developmentally)

Question 3

What is the etiology enuresis?

Answer 3

Clear genetic factor exists in development of enuresis; mothers who had this condition 3.6x more likely to have it.
More common in boys who acquire bladder control at a later age than girls.
Rule out medical conditions – UTIs, back malformation, physiological contributors

Question 4

What is encopresis?

Answer 4

Term is used to describe withholding feces and ignoring the need to defecate.
After ignoring the need, they eventually lose the ability to recognize the impulse.
May also have ADD/ADHD, conduct disorder, OCD, or cognitive delay.

Question 5

What is the diagnostic criteria for encopresis?

Answer 5

repeated defecation (voluntary or involuntary) in inappropriate places in an individual who is at least 4 or equivalent developmentally; occurs 1x m for 3m

Question 6

What is the etiology for encopresis?

Answer 6

a poor diet with low fiber and high intake of sugary fluids, stress, low physical activity level, and unpredictable daily routine

Question 7

What is the prognosis for encopresis?

Answer 7

can lead to chronic bowel difficulties that persist into adulthood for as many as 30% of those with childhood condition