Patient's question:
The child is ten years old. Previously, they did not wet the bed, but recently, for the past fifty-something days, they have been wetting the bed. The first time they wet the bed, it was after twenty-something days before they did it again. But now, they wet the bed every night while sleeping. Before, they would just wake up from the toilet right after going to bed and wet the bed within less than half an hour. When they didn't wet the bed, they hardly used the bathroom at night. Now, even after wetting the bed while sleeping, they don't use the bathroom for the rest of the night.Treatment history and effectiveness: None.
What kind of help is needed: I would like to ask what is going on and what should be done.
Doctor's answer:
Enuresis can be divided into two categories: primary and secondary. Primary enuresis is more common, with a family history in about 80% of cases, and without organic inflammation. Secondary enuresis is mostly caused by systemic and urinary diseases, such as diabetes and diabetes insipidus. Other factors, such as intellectual disability, neuropsychiatric trauma, urinary tract malformations, and infections, particularly cystitis and urethritis, can also lead to secondary enuresis.The treatment effectiveness of primary enuresis with medication is approximately 80%. The most commonly used drug is desmopressin, an antidiuretic that increases urinary output. In contrast, the symptoms of secondary enuresis typically disappear after the underlying disease is treated.