Patient's question:
AgeDetailed medical history and purpose of consultation: Frequent bedwetting
Duration of current illness: 5 years
Current general condition: As previously mentioned
Medical history: Has been the same for 5 years
Previous diagnoses and treatment history and effectiveness: Diagnosed and treated several times with no effect.
Auxiliary tests:
Others:
Doctor's answer:
Hello, bedwetting in children, also known as enuresis, refers to the inability of children over the age of three to control urination after falling asleep, resulting in unconscious bedwetting. Habitual enuresis can weaken children, affect their physical health and intellectual development, and frequent bedwetting can also bring to the family. There are generally two types of enuresis in children: functional and organic. The majority of bedwetting cases in children are functional, caused by dysfunction of the higher central nervous system of the cerebral cortex. Common causes include psychological factors, such as excessive fatigue, mental tension, sudden fright, fear and shyness, difficulty adapting to a new environment, and not being accustomed to nighttime urination habits from a young age. A small number of cases of bedwetting in children are organic, often caused by conditions such as spina bifida, spinal meningitis, spinal cord injury, epilepsy, underdeveloped brain, small bladder capacity, urinary tract infections, bladder stones, phimosis, anal fissures, and pinworms. For organic conditions, it is important to seek medical treatment promptly. Once the disease is cured, the enuresis will also be resolved. For functional enuresis, it is completely curable, and the following points should be noted: ① Parents should treat their child's enuresis correctly. Bedwetting is unconscious, and parents should show sympathy, understanding, and help, never beating or abandoning the child. ② Relieve psychological burdens. Children aged three and older have begun to understand. Parents should persuade and comfort the child, letting them know that this is a temporary functional disorder that can be cured, thereby relieving their psychological burden and building confidence in the cure. ③ Establish a reasonable daily routine. Avoid letting the child play too hard during the day, allowing them to nap for 1–2 hours in the afternoon, not giving them liquid diets after 4 p.m., drinking less soup or water with dinner, and letting the child urinate once before going to bed at night.