The child is seven years old, what should I do about bedwetting!

Patient's question:

Patient Gender: My son Zhi Fei is 7 years old this year and has developmental delays. Weight: 16 kg. So far, he cannot control nighttime urination and frequently wets the bed. Despite multiple wake-up reminders, there has been no improvement. I don't know why? Looking forward to your reply!

Doctor's answer:

It is well known that bedwetting is a very common phenomenon in infants and young children. If a child is still unable to control urination during the day or wake up from sleep to urinate after the age of three, it is referred to as primary enuresis. The exact cause of enuresis is still not completely clear, and it is believed to be related to the following factors:
(1) Genetic factors: Enuresis has a genetic tendency.
(2) Deep sleep: This is a relatively common factor. Children with this condition often play excessively tired before bed, sleep very deeply, and are difficult to wake up, often wetting the bed during dreams. If they drink a lot before bed, it is even more likely to occur.
(3) Delayed maturation of bladder function: Some children with enuresis have bladders that are smaller than normal, leading to relatively frequent urination but with small amounts of urine each time. This is because the bladder contracts and empties when there is little urine inside.
(4) Mental stress
(5) Disease-related factors: Cases of enuresis caused by organic diseases are not very common. Urinary tract infections, abnormalities, and conditions such as spina bifida and meningocele can cause enuresis. Additionally, asymptomatic bacteriuria and hypercalciuria can also lead to enuresis and should be noted.

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