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Nocturnal enuresis — MRCPCH FOP MCQ

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ModerateRenalNocturnal enuresisMRCPCH FOP

A 7-year-old boy wets the bed most nights. He has never been dry at night for six months, has no daytime urinary symptoms, normal urinalysis and no constipation. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Offer an enuresis alarm with practical support

Primary monosymptomatic nocturnal enuresis with normal urinalysis can be managed with an enuresis alarm when family motivation is suitable. Antibiotics are not indicated without evidence of infection. Severe fluid restriction can worsen bladder function and is not recommended. The pearl is to actively look for constipation and daytime symptoms because they change management.

Reference: NICE CG111 Bedwetting in under 19s