How to treat nocturnal enuresis in a 3.5-year-old girl?

Patient's question:

The diapers were stopped in February of this year. Since stopping the diapers, there have been four to five wet nights each night.

Doctor's answer:

Most children over the age of 3 no longer experience enuresis (bedwetting or wetting pants) after sleep. A small number of children may still do so even after the age of 3, but enuresis should gradually improve with age. If a child still enureses after the age of 5, further examination is recommended. If diagnosed with "primary enuresis," psychological behavioral therapy + medication should be provided.
Additionally, your child has Down syndrome. I wonder how their daytime urination is. It should be noted that primary enuresis generally does not have a significant negative impact on physical growth and development. However, if the child is aware of the issue, it may primarily affect their psychological development, self-esteem, and other aspects.

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