The Principles And Practice of Surgery V.2

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This affection is usually found in young persons, and is an exaggeration or persistence of the incontinence of infants, which is usually eliminated by training before two years of age. This type is usually nocturnal (nocturnal enuresis), but may also occur by day. In addition to want of training there may be accessory causes tending to maintain the condition, such as phimosis, worms, adenoids, highly acid urine, calculus, cystitis ; it is also associated with weak mental and psychic states or d
...efinite feeble-mindedness, and may persist to adult life.
Treatment. In the first place any accessory causes should be removed, such as adenoids, phimosis, worms. No fluid should be taken after 6 p.m.
and the child should be roused in the night, about an hour before the act of involuntary micturition usually takes place, till a habit of waking develops when a call to micturate comes. Tincture of belladonna, 10 to 30 minims three times a day, for six weeks or till signs of belladonna-poisoning (red, dry tongue and conjunctiva, dilated pupils, and nocturnal rambling) develop, will often have a good effect.


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