The child often wets the bed but sometimes doesn't.

Patient's question:

Main symptoms at the age of four: Less urine, more frequent urination, bedwetting as if not aware of the onset time: Always tested, test results: Normal. Previous treatment history and effectiveness: None. What kind of assistance is needed: Is he unable to hold urine anymore? Can he be better when he grows up?

Doctor's answer:

Genetic factors of enuresis are usually dominant and inherited across generations. If both parents have a history of enuresis, their child has a 3/4 chance of bedwetting. If only one parent has a history of bedwetting, their child has a 1/2 chance of developing the condition.
Disease factors:
- Pinworms (insect bites to the urethral opening)
- Urinary tract infections
- Kidney diseases
- Local inflammation of the urethral opening
- Spinal bifida
- Spinal cord injury
- Sacral nerve dysfunction
- Epilepsy
- Brain underdevelopment
- Excessively small bladder capacity
However, enuresis caused by diseases accounts for only a small proportion. The majority of children who wet the bed are related to psychological factors, hygiene habits, environmental factors, and the like.

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