Nocturnal Enuresis (Bedwetting)
Pediatric Cases Devanandan Rajesh•Gender: Male•Age: 9 years (Pediatric)• Chronicity: 4 years
Presenting Complaints & History
- Daily bedwetting during deep sleep
- Waking up late in the morning with heavy sleep
- Anxiety and low self-esteem in school
- Mild urinary urgency during daytime
Clinical Assessment
A 9-year-old schoolboy from Vadanapilly presenting with nocturnal enuresis. Suffered daily since early childhood, causing severe embarrassment and refusal to attend overnight school camps. Previously tried alarm therapies and desmopressin sprays with no success.
Diagnostic Investigations: Renal ultrasound normal; urine routine and culture negative for UTI.
Homeopathic Therapeutics & Management
Kreosotum was chosen for bedwetting during first sleep where the child dreams of urinating, combined with Equisetum for bladder irritation.
Selected Constitutional Remedies: Kreosotum and Equisetum Hyemale
Lifestyle & Nutritional Support
Restrict fluids after 7 PM; wake child up for toilet once at midnight; practice bladder-holding exercises during the day.
Clinical Outcome
Follow-up Period: 9 months- Bedwetting frequency reduced to twice a week in 3 weeks
- Daytime urinary urgency resolved completely by Month 2
- Complete resolution of bedwetting by Month 4; self-esteem restored
- No relapse reported during the 9-month follow-up
✓Medically reviewed by Dr. Navaneeth K. Unni
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