There are many different disorders that one may encounter during growth and development. Elimination disorders is a common one often faced during childhood, when a child performs inappropriate elimination of urine or feces. The purpose of this paper is to discuss the diagnosis and treatment of elimination disorders. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, “This group of disorders includes enuresis, the repeated voiding of urine into inappropriate places, and encopresis, the repeated passage of feces into inappropriate places. Both disorders may be voluntary or involuntary and co-occurrence may also be observed (American Psychiatric Association, 2013).” Elimination disorders typically …show more content…
Enuresis is mostly common in Asians and African-Americans in the United States. According to the American Psychiatric Association (2013), in order to be diagnosed with enuresis, a child must fail to achieve toilet training by the age of five. Also, the child must wet the bed or their clothes at least twice a week for a minimum of three months straight. This is usually done involuntary, but it can also sometimes be voluntary. There are three different types of enuresis: nocturnal enuresis, diurnal enuresis, or a combination of both. The most common type is nocturnal enuresis, which is voiding during your sleep. It is commonly known as bedwetting. Diurnal enuresis is the opposite, voiding when you are awake. According to Baroukis (2008), this usually occurs due to the child postponing voiding until it is too late or having a strong sudden uncontrollable urge to urinate. “Children with enuresis who do not have daytime signs and symptoms of bladder dysfunction suffer from monosymptomatic enuresis. If bladder symptoms are present during the day, the enuresis is called non-monosymptomatic (von Gontard, …show more content…
When a child fails to have bladder/bowel continence within a specific age, they have developed an elimination disorder. The two types of disorders are enuresis (involuntary voiding) and encopresis (involuntary discharge of feces). The treatment of elimination disorders includes education, behavioral therapy, and pharmacological therapy. It is very important to treat elimination disorders quickly and early to avoid possible long lasting effects such as low self esteem, depression, or