Patient's question:
Patient Age: 3.5Detailed Medical Condition and Purpose of Consultation: My daughter has been wetting the bed up to two or three times every night since she was 1.5 years old. She experiences frequent urination with small amounts of urine, sometimes wetting her pants during the day with a feeling of being unable to hold it in, and she is very timid. How can this be treated?
Medical History: No history of the disease in parents
Doctor's answer:
Hello: Bedwetting in children, also known as enuresis, refers to the inability of children over 3 years old to control urination after falling asleep, resulting in unconscious bedwetting. Habitual enuresis can weaken children, affect their physical health and intellectual development, and frequent bedwetting can also bring to the family.?? There are generally two types of enuresis in children: functional and organic. Most cases of bedwetting in children are functional, caused by dysfunction of the higher central nervous system in the brain. Common causes include psychological factors, such as excessive fatigue, mental tension, sudden fright, fear and shyness, difficulty adapting to a new environment, and the lack of a habit of urinating at night from a young age. A few cases of bedwetting in children are organic, often caused by conditions such as spina bifida, spinal meningitis, spinal cord injury, epilepsy, underdeveloped brain, small bladder capacity, urinary tract infections, bladder stones, phimosis, anal fissures, and pinworms. For organic conditions, it is important to seek medical treatment promptly. Once the disease is cured, enuresis will also be resolved. For functional enuresis, it can be completely cured by paying attention to the following points: ① Parents should treat their child's bedwetting correctly. Bedwetting is unconscious, and parents should show sympathy, understanding, and support. They must never beat or abandon the child. ② Relieve psychological stress. Children over 3 years old have begun to understand things. Parents should persuade and comfort the child, letting them know that this is a temporary functional disorder that can be cured, thereby relieving their stress and building confidence in recovery. ③ Establish a reasonable daily routine. Avoid letting the child play too hard during the day, allow them to take a 1–2-hour nap in the afternoon, and avoid giving them liquid diets after 4 p.m. Reduce the amount of soup and water in the evening meal, and before going to bed, let the child