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Enuresis, or bed-wetting during sleep, is a common problem for school-age children, affecting about one in five first-graders. Nonmonosymptomatic enuresis — also involving daytime symptoms, such as frequency, urgency, or incontinence — is more common than simple monosymptomatic enuresis or nocturnal enuresis. In a clinical practice review, the authors discuss the usual causes of both types of enuresis and strategies for helping patients with this problem.
Reduced bladder capacity caused by constipation or, less likely, cystitis, urethral obstruction, or neurogenic bladder
Nocturnal polyuria, usually from increased fluid intake in the afternoon and evening
Impaired nighttime arousal resulting from sleep-disordered breathing
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