Patient's question:
The child frequently wets their pants, at least 1-2 times a day, but never wets the bed at night. Their appetite is good, and they don't have a fever. Their weight is 16kg, and their bowel movements are normal, occurring 1-2 times a day. When the child says they need to urinate, they can't hold it anymore and end up wetting their pants. They have been doing this since they started walking...Doctor's answer:
Consider that if you have a urinary tract infection, you will experience symptoms such as frequent urination and urgency.2. If you notice that your child has a small bladder capacity, implement bladder function training: Supervise the child to drink more water during the day and try to shorten the interval between two urinations. Encourage the child to interrupt urination during the process, count from 1 to 10, and then finish urinating to reduce the control of the bladder sphincter, gradually increasing the bladder capacity.
3. Eliminate stress factors. If you notice that your child urinates in their pants again when they are tense, anxious, or excited, then implementing relaxation training is the key to treatment. Once the child learns to relax, their overall body tension level will decrease, and the phenomenon of wetting their pants will also disappear on its own. If you find that your child is not accustomed to using the toilet outside and frequently wets their pants, try to find the reason. If they dislike the dirty toilets outside, you can teach them many corrective methods, such as placing toilet paper around the edge of the toilet seat or wiping the toilet seat clean with paper before using it. If the child is still unwilling to use even very clean toilets, parents must go to the toilet with them to find the source of their distress, help them relax, and then let them see the dirty things and smell the odor until they no longer have an allergy to the toilet. Give timely praise as soon as there is progress.
Also consider pediatric enuresis. This refers to children over the age of 5 who cannot control their urination, often wetting their beds at night and sometimes wetting their pants during the day. Enuresis is more common in childhood. Statistics show that 10-20% of children at 4.5 years old experience bedwetting, about 5% at 9 years old, and only 2% at 15 years old. This condition is more common in boys, with a male-to-female ratio of about 2:1. The highest incidence occurs in children aged 6-7. Most children with enuresis can recover on their own within a few years after the onset, with higher recovery rates in girls. However, some children, if left untreated, may continue to experience symptoms into adulthood.
Treatment:
1. Adjust the diet. After 4 p.m., drink less water. Dinner should be light, preferably solid and slightly salty and dry. Avoid drinking water before bed (except in summer), as well as fruits like watermelon, oranges, pears, and milk to increase nighttime bladder storage capacity.
2. Establish a proper living routine.
3. Avoid excessive excitement before bed.