Patient's question:
A five-year-old child often wets the bed. Is there any good solution?Doctor's answer:
Hello: Based on the situation you described, the child's condition should be classified as enuresis.Medication
Take clomipramine, once daily one hour before bedtime. For children under 7 years old, the dosage is 10 mg + 20 mg per time. After improvement, continue taking the medication for 3 months, then gradually reduce the dose. Use the same dosage every other night before bedtime for one and a half months. Then, switch to taking the medication every three days for another one and a half months until discontinuation. The total treatment duration is 6 months.
A small dose of clomipramine is used in combination with treatment. Its mechanism of action involves its anticholinergic effect on the bladder, which increases bladder capacity, as well as stimulating the cerebral cortex, making it easier for the child to wake up and urinate. During the treatment process, some children may experience insomnia, reduced appetite, and increased excitability at the beginning. These symptoms usually resolve on their own within 1-2 weeks without intervention.
If the child's enuresis shows improvement, it is crucial not to interrupt the training, as the established conditioned reflex may disappear, leading to wasted effort. This also highlights the importance of consolidation therapy throughout the entire treatment process for enuresis.