Patient's question:
Medical Description: The patient is a 15-year-old female who has been experiencing frequent nocturnal enuresis (bedwetting) from 3 years ago until now. She was previously treated at the Affiliated Hospital of Tangshan North China Coal Medical College.History of Treatment and Effects: She has taken Shouquan Wan (a traditional Chinese medicine) in the past, which was initially effective, but the condition recurred after a period of time. She has also tried Chinese herbal medicine, but the symptoms returned after some time. She is very worried.
Desired Help: Can the condition be completely cured?
Doctor's answer:
First, identify the cause and then treat accordingly. Bedwetting should first be addressed with a urine test to rule out inflammation. However, the majority of cases are not due to inflammation but rather functional issues, and hospitals may not find anything significant. The following are the main types:1. Problems with the pituitary gland: Abnormal secretion of antidiuretic hormone (ADH), which has a diuretic effect. In normal individuals, nighttime urine production is 2.5 times higher than during the day, but in bedwetting children, it is only 1.5 times higher. Excessive nighttime urination.
2. Underdeveloped or delayed bladder development: Issues with the bladder sphincter or detrusor muscle.
- Symptoms: Frequent urination, urgency, daytime wetting.
3. Problems or delayed development of the micturition center:
- A. Congenital spinal dysraphism
- Symptoms: Difficulty waking up from sleep, confusion upon waking, disorientation. Severe cases may exhibit enuresis during sleep.
- B. Slow transmission of the micturition center
- Symptoms: Ability to wake up after urination.