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 had their first bedwetting episode. It was over twenty days before they had another episode. But now, every night they wet the bed while sleeping during their nap. If they don't wet the bed, they rarely use the bathroom at night. Now, even after waking up from the nap and wetting the bed, they don't use the bathroom again for the rest of the night.Past treatment history and effectiveness: None.
What kind of help is needed: I'd like to ask what could be causing this 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 strong family history in about 90% of cases, and no 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 abnormalities, 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.