Health information

QUESTION: I am writing concerning an article I read a month ago with news of
a new treatment for bed wetting
My daughter is seven years old and the
problem is very embarrassing
We have tried drops for allergies, which helped
some, but the problem is still there
I can’t find any information on the new
treatment
Can you help me? Thank you.

ANSWER: The medication, which was just recently approved by the Food and Drug
Administration (FDA) is desmopressin acetate (DDAVP Nasal Spray marketed by
Rorer) and may be used in both adults and children
Normally the levels of a
hormone that prevents the kidneys from producing urine (called vasopressin)
rises at night, so little urine is formed or stored in the bladder
However,
in some individuals the quantity of this antidiuretic hormone stays low during
the overnight hours, and the amount of urine produced is much higher, and in
youngsters where the control of the muscles that keep the bladder closed is
not fully developed, results in bed-wetting at night
DDAVP is a synthetic
chemical resembling the hormone and fools the body into thinking that there is
sufficient hormone present, and so urine production is lowered
Although most
children can urinate on command by age four, It isn’t until they have passed
age five or six that they can hold their urine in when there is a bit of
pressure in the bladder
Girls are better at this than boys, and control
urination at an earlier age
When bed-wetting continues past age five in
girls or age six in boys, the new medication, which is expensive, can be
considered for use by your physician (it is “by prescription only”)
One or
two puffs from the nasal spray pump usually is sufficient to control the
problem
Once wetting is under control, the medication may be used on an
every other night basis
It takes about three months of regular use to
achieve regular dryness, and when the medication schedule is interrupted
before that, bed-wetting may recur immediately
A complete study is necessary
to be sure that the problem is only night bed-wetting (or nocturnal enuresis,
if you wish the medical terminology), and not the result of another medical
condition, diabetes or urinary tract obstruction for example.

The material contained here is “FOR INFORMATION ONLY” and should not replace
the counsel and advice of your personal physician
Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.

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