How to solve the problem of a child not being able to hold urine while at work

Patient's question:

Previously, I used to wet the bed at night, but recently I don't wet the bed at night anymore. During daytime tutoring, I said I couldn't hold my urine. When I said I was going to be dismissed from school, I didn't feel like I had any urine.
Treatment history and effectiveness: It was mentioned that Waking the Spleen and Nourishing the Child Granules were used. What kind of help is needed: The child needs to undergo which detailed examinations, because the mother could have been kidney-deficient during pregnancy. Is it possible that the condition was caused by kidney deficiency?

Doctor's answer:

Incontinence is classified into four categories based on the cause of onset:
1. True Incontinence: Due to conditions such as bladder or urinary tract infections, stones, tuberculosis, tumors, etc., which cause excessive contraction of the bladder detrusor muscle and excessive relaxation of the urethral sphincter, leading to the inability to hold back urine from the bladder.
2. False Incontinence: Caused by lower urinary tract obstruction (urethral stricture) or bladder detrusor muscle weakness, anesthesia (congenital malformations, traumatic lesions, tumors, or inflammation that damage the lower motor neurons responsible for bladder control), resulting in bladder overdistension and a decrease in internal pressure, forcing urine to flow out involuntarily.

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