Is nocturnal enuresis a psychological or physiological disease?

Patient's question:

When a child is sleeping or watching TV, there may be bedwetting, but at other times, they behave normally. There are no other health issues. Their diet is also fine.
They usually wet the bed while sleeping, and sometimes while watching TV. They have also wet themselves twice during class. They said they were too afraid to tell the teacher they needed to use the bathroom, and when watching TV, they didn’t want to miss the content.

Doctor's answer:

It is recommended to first check for the possibility of hidden spinal dysraphism. Additionally, be mindful not to overexert during the day, as if you sleep too deeply at night and have urine, it may be difficult to wake up, leading to bedwetting. Of course, it is also important to avoid drinking too much fluid before going to bed at night. Reduce nighttime urine output, and it is suggested to buy a timed alarm clock to schedule regular bathroom breaks.
Bedwetting has long been a concern for parents. When treating this condition, consider adopting general treatment methods. Only by using proper methods can parents help children recover from the disease as soon as possible, ensuring it does not affect their growth and development. Therefore, parents are urged to pay close attention to their children's condition and take them to a doctor for timely treatment.

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