A young child with bedwetting should first have which test conducted to assess underlying issues?

In the case of a young child experiencing bedwetting, the first step in evaluating underlying issues typically involves conducting a urinalysis. This test is essential as it helps identify potential urinary tract infections (UTIs), diabetes mellitus, or other conditions that may contribute to nocturnal enuresis. It evaluates the urine for signs of infection, glucose levels, and other abnormalities that might require further investigation.

Starting with a urinalysis is a practical approach since it is a non-invasive and straightforward test that can provide immediate insights into the child’s health. If the urinalysis reveals no issues, then further evaluations, such as a voiding cystourethrogram or imaging studies like an ultrasound, may be considered based on the child’s history and physical examination. Additionally, neuropsychological assessments are generally reserved for cases where behavioral or emotional issues are suspected as contributing factors, making them a lower priority in the initial assessment of bedwetting.