Paediatric Nephrology Specialist

Enuresis, Bedwetting & Bladder Health Clinic

Compassionate, non-judgmental treatment for daytime wetting, nighttime bedwetting, and urgency.

Bedwetting (nocturnal enuresis) and daytime urinary urgency are medical and physiological conditions, never behavioral disobedience or laziness. In children aged 5 and older, wetting causes intense emotional distress, self-esteem loss, and family tension. Our dedicated Bladder Health Clinic provides scientific urotherapy, alarm conditioning, and targeted pharmacology.

Common Symptoms & When to Consult

Signs and clinical presentations evaluated by our pediatric team

Persistent involuntary urination during sleep in children aged 5 years or older
Daytime urinary accidents, sudden unbearable urgency, or holding postures (squatting, crossing legs)
Frequent daytime urination (more than 7-8 times daily) or infrequent voiding (under 3 times)
Chronic constipation or hard, painful bowel movements alongside urinary leakage
Secondary bedwetting after a child has been completely dry for 6 or more months

Diagnostic Workup & Clinical Evaluation

Precision testing protocols avoiding unnecessary invasive tests

1

Detailed 48-hour Bladder & Bowel Diary analyzing fluid volumes and voiding frequency

2

Differentiating Monosymptomatic Nocturnal Enuresis from Non-Monosymptomatic Enuresis

3

Urinalysis to rule out asymptomatic UTI, diabetes mellitus, or proteinuria

4

Post-void residual bladder volume ultrasound to evaluate emptying mechanics

5

Assessment of sleep arousal thresholds and airway issues (snoring/sleep apnea)

Treatment & Therapeutic Protocols

Evidence-based, child-safe management strategies

Standard Urotherapy: scheduled daytime voiding, hydration timing protocols, and toilet posture

Aggressive correction of underlying functional constipation and fecal loading

Enuresis Alarm conditioning therapy (evidence-based highest cure rate for nocturnal enuresis)

Medical therapy with Desmopressin (oral lyophilisate) or anticholinergics when clinically indicated

The Pravas Care Guarantee

100% blame-free, reassuring environment for both child and parents
Structured treatment roadmap yielding over 80% resolution in compliant patients
Careful screening to identify hidden secondary organic triggers
Supportive behavioral reinforcement and milestone reward tracking
Physician's Clinical Perspective
“Punishment or withholding water arbitrarily worsens bladder instability. Scientific bladder retraining and nocturnal alarm conditioning cure over 80% of children.”
Dr. Pratima VermaMBBS, MD Pediatrics • MRCPCH (UK)

Frequently Asked Questions

At what age should bedwetting be medically evaluated?

Medical evaluation is recommended if a child is 5 years or older and still wetting the bed, or at any age if daytime leakage, painful urination, or a sudden relapse after months of dryness occurs.

How long does treatment take?

Most children show noticeable improvement within 4 to 8 weeks of starting structured urotherapy and alarm conditioning, with full dry-night stability achieved in 3 to 6 months.

Consultation Desk

Kondapur, Hyderabad

ConsultantDr. Pratima Verma
QualificationsMRCPCH (UK)
Wait TimesSame-Day Priority
Book Appointment OnlineCall 077023 45996

Clinic Location

Shop no 1, above Karachi Bakery, Narsingi, Hyderabad, Telangana 500089.

Hours (Mon - Sat):9:00 AM – 8:00 PM