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Many thanks to Dr. Kiddoo for a helpful overview of the diagnostic and therapeutic considerations involved in managing enuresis in children .' However, the importance of the abdominal examination, in particular the palpation for stool, was somewhat glossed over. The potential for a stool-laden rectum to cause or worsen enuresis in children has been recognized for many years.2 In a recent retrospective study, Hodges and Anthony3 found that a significant fecal load, even without a history of constipation, may contribute to the pathophysiology of enuresis, and that laxative treatment with polyethylene glycol can help in resolving nighttime bedwetting. They suggest that an abdominal radiograph is not an unreasonable investigation to consider in addition to urinalysis and culture. Clinicians may wish to keep this in mind when faced with children who present with nocturnal enuresis.
机译:许多感谢Kiddoo博士,一个有用的概述的诊断和治疗方面的考虑参与管理儿童遗尿。然而,腹部的重要性考试,特别是触诊凳子上,有点掩饰。stool-laden直肠引起或恶化遗尿儿童已经认可years.2和Anthony3发现一个重要的粪便负载,即使没有便秘的历史,导致尿床的病理生理学,与聚乙烯泻药治疗乙二醇能帮助解决夜间尿床。射线照片不是一个不合理的调查考虑除了尿液和文化。当面对孩子礼物夜遗尿。

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