Enuresis: Medical History

Medical history (history of illness) represents an important component in the diagnosis of enuresis (enuresis).

Family history

Social history

  • Is there any evidence of psychosocial stress or strain due to your family situation?
  • Does your child have school problems?

Current medical history/systemic history (somatic and psychological complaints).

  • When does your child wet? During the day and/or at night?
  • How often does your child wet? Every day? Several times a week?
  • When does your child wet? Only at home? Only outside of home?
  • How often does your child go to the bathroom during the day? Does it have to get up at night to go to the toilet?
  • How does your child urinate? Have you ever observed stopping maneuvers?
  • Is there an interruption in the urinary stream? Does your child have to strain/press?
  • Does the underpants have a yellow spot during the day?
  • Has your child ever had a urinary tract infection(s)?
  • In your opinion, is your child developing in a timely manner?
  • Are there any behavioral problems with your child?

Vegetative anamnesis incl. nutritional anamnesis.

  • Does your child suffer from constipation? Stool smearing?
  • Does your child defecate? If so, when and how often?
  • How much does your child drink daily? What does it drink predominantly? When does it drink? Increased in the evening?

Self history incl. medication history

  • Pre-existing conditions
  • Operations
  • Radiotherapy
  • Allergies
  • Medication history

Reference to keeping a daily diary

A diary (micturition log; urinary diary; bladder diary) should be kept for 2/14 days with the following entries:

  • Frequency of micturition on 2 days
  • Micturition volume
    • 1. morning urine
    • Maximum micturition volume (not including 1st morning urine).
    • Average micturition volume (without taking into account the 1st morning urine).
    • Nocturnal urine volume (1st morning urine + nocturnal urine volume).
  • Drinking amount/24 h on 2 days
  • Time to fall asleep and time to get up
  • Complaints such as incontinence, sudden urge to urinate or pain.
  • Urinary incontinence events in 14 days.
  • Fecal incontinence events in 14 days, including frequency of bowel emptying.