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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2418
Experience:  GP with over 27 years experience including emergency medicine
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My 19 year old grandson with lifelong nocturnal enuresis has

Customer Question

My 19 year old grandson with lifelong nocturnal enuresis has been under the care of the enuresis services since he was 7/8 with varying degrees of success.He has received all the standard examinations and treatments .Currently on Tolteroldine Tartrate which has been relatively successful,but relapsed back to 2/3 nights a week for past month.
He is a fine good looking young man who has recently completed a 3 year extended college diploma in agriculture with distinction.
He has as a result of his enuresis missed out on all the normal activities of growing up and has experienced the resulting consequences. He has virtually been been abandoned by NHS and as result has become withdrawn and in my opinion depressed.Canyou advise ? Private consultation is an option.David Lowman.
Submitted: 24 days ago.
Category: Medical
Expert:  Dr. Phil, MD replied 24 days ago.

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Expert:  Dr. Phil, MD replied 24 days ago.

does he take any meds?

Customer: replied 24 days ago.
tolterodine tartrate.
Customer: replied 24 days ago.
See my original question and symptoms,nothing more to add.
Expert:  Dr. Phil, MD replied 24 days ago.

has he had a sleep study?

Customer: replied 24 days ago.
No
Expert:  Dr. Phil, MD replied 24 days ago.

that would be the next step

he could have a sleep issue causing it like apnea

is this helpful?

Customer: replied 24 days ago.
He does sleep heavily,but as far as I know never undergone a sleep study.
Customer: replied 24 days ago.
Not very,I think sleep apnoea has been discussed in the past.
Expert:  Dr. Phil, MD replied 24 days ago.

so it could be an issue then

the only way to test for it is with a sleep study

Customer: replied 24 days ago.
Although I am not personally aware of a sleep study, as I have previously stated he has under gone all the standard examinations provided by the NHS of which I would have thought sleep apnoea would have been a consideration.
Although I am not a doctor of medicine I have worked in the “care profession “ all my working life and therefore have a working knowledge of medical matters ,but not in the specialty of enuresis .
Expert:  Dr. Phil, MD replied 24 days ago.

discussed and test for are 2 totally different things

Expert:  Dr. Phil, MD replied 21 days ago.

Thanks for this question.

I strive for 5 star service for all customers.

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