Enuresis in people with intellectual disabilities
In our experience, behavioral techniques, pharmacotherapy with drugs such as desmopressin, tricyclics, selective serotonin reuptake inhibitors for compulsive aspects, and others have yielded unsustainably unremarkable results. Although response to interventions based on organic pathophysiology such as post-voidal residual urine, detrusor instability are variably effective, a significant majority of individuals continue to live with it and through maintaining dignity and respect, carers adapt accordingly with essentially palliative measures such as incontinence pads, timely and acceptable degree of diurnal prompts to toileting and fluid intake management as tolerated.
With warm personal regards,NikhilDr. Surender N. Gupta,MBBS; PGDHHM;PGDMCH;PGDCHFWM;FAIMS;;MA (Phil);FIMS;MAE (Epidemiology); OCCRTI
HFA_PHC_Johns Hopkins University, Baltimore, USA
Faculty cum Epidemiologist-in-Charge, District Chamba;
Regional Health and Family Welfare Training Centre,
Chheb, Kangra-Himachal Pradesh, India.
Pin-176001.01892-265472 (Fax); 01892-263472 (Office)
-Editorial Board Member_African Journal of Environmental Science and Technology;-Member_National Editorial Advisory Board_Indian Journal of Emergency Pediatrics;
-Editorial Board Member_Wudpecker Journal of Medical Sciences;-Editorial Board Member_Journal of Environmental Science & Water Resources
E-mail IDs: drsurendernikhil@...