Voiding Disorders in Pediatrician's Practice.
Voiding disorders result usually from functional disturbance. However, relevant organic diseases must be excluded prior to diagnosis of functional disorders. Additional tests, such as urinalysis or abdominal ultrasound are required. Further diagnostics is necessary in the presence of alarm symptoms,...
| Publicado en: | Clinical Medicine Insights: Pediatrics pp. 1 - 8 |
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| Autores principales: | , , , |
| Formato: | consumer/patient teaching materials pictorial tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
11/27/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147245293&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147245293 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795565 B3KV jtl: Clinical Medicine Insights: Pediatrics issn: 11795565 maglogo: Y pubinfo: dt: 11/27/2020 pid: 20732 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 147245293 147245293 147245293 10.1177/1179556520975035 147245293 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Voiding Disorders in Pediatrician's Practice. aug: au: Rakowska-Silska, Magda Jobs, Katarzyna Paturej, Aleksandra Kalicki, Bolesław affil: Department of Paediatrics, Paediatric Nephrology and Allergology, Military Institute of Medicine, Warsaw, Poland sug: subj: Urination Disorders Diagnosis Urination Disorders Diagnosis Urination Disorders Therapy Urination Disorders Therapy Professional Role Physicians, Family Pediatricians Child Adolescence Urinalysis Ultrasonography Urination Disorders Symptoms Enuresis Overactive Bladder Child: 6-12 years Adolescent: 13-18 years ab: Voiding disorders result usually from functional disturbance. However, relevant organic diseases must be excluded prior to diagnosis of functional disorders. Additional tests, such as urinalysis or abdominal ultrasound are required. Further diagnostics is necessary in the presence of alarm symptoms, such as secondary nocturnal enuresis, weak or intermittent urine flow, systemic symptoms, glucosuria, proteinuria, leukocyturia, erythrocyturia, skin lesions in the lumbar region, altered sensations in the perineum. Functional micturition disorders were thoroughly described in 2006, and revised in 2015 by ICCS (International Children's Continence Society) and are divided into storage symptoms (increased and decreased voiding frequency, incontinence, urgency, nocturia), voiding symptoms hesitancy, straining, weak stream, intermittency, dysuria), and symptoms that cannot be assigned to any of the above groups (voiding postponement, holding maneuvers, feeling of incomplete emptying, urinary retention, post micturition dribble, spraying of the urinary stream). Functional voiding disorders are frequently associated with constipation. Bladder and bowel dysfunction (BBD) is diagnosed when lower urinary tract symptoms are accompanied by problems with defecation. Monosymptomatic enuresis is the most common voiding disorder encountered by pediatricians. It is diagnosed in children older than 5 years without any other lower urinary tract symptoms. Other types of voiding disorders such as: non-monosymptomatic enuresis, overactive and underactive bladder, voiding postponement, bladder outlet obstruction, stress or giggle incontinence, urethrovaginal reflux usually require specialized diagnostics and therapy. Treatment of all types of functional voiding disorders is based on non-pharmacological recommendations (urotherapy), and such education should be implemented by primary care pediatricians. pubtype: Academic Journal doctype: consumer/patient teaching materials pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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