Dr j. Golmirzaei Child & adolescent psychiatrist.

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Presentation transcript:

Dr j. Golmirzaei Child & adolescent psychiatrist

Enuresis Definition Etiology Epidemiology Differential Diagnosis

Treatment Rate of spontaneous remission 15% per year Behavioral conditioning with bell and pad DDAVP Imipramine Anticholinergic Combination

Outcome & follow-up 6 months treatment 6 months later treatment Observation 16% Imipramine 16% DDAVP 10% Behavioral 56% First line

Encopresis Defination Epidemiology Etiology Differential Diagnosis

Subtypes Retentive (most frequent) Non-retentive Volitional(least frequent)

First line of treatment for retentive subtype is Education about bowel functioning Physiological treatment (laxative or mineral oil) Behavioral Biofeedback

Case report : Imipramine for non-retentive encopresis

Psychodynamic assessment for volitional encopresis

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