Patient's question:
16 days oldDetailed medical condition and consultation purpose: He needs to urinate twice every night, around 1 a.m. and 4 a.m. If an adult forgets to wake him up, he will definitely wet the bed. Sometimes, even if he is woken up in the middle of the night, he is confused and is usually taken to the toilet. At times, he might even say, "I didn't urinate, why is my pants wet?"
He hasn't seen a doctor yet, but he has tried cooking cuttlefish with pig small intestines, which doesn't seem to have worked either.
He wants to ask the doctor: Are there any special foods that can help treat this? If he sees a doctor, which department should he go to?
Doctor's answer:
Hello: Based on the situation you described, if the child still exhibits symptoms of bedwetting, then the current condition should be classified as enuresis. It is recommended to consult a pediatrician.Modern Western Medicine Treatment Methods
1. Medication Therapy
This condition can resolve on its own as the child grows older, and special treatment is not required. In severe cases, tricyclic antidepressants can be used. The commonly used drug is imipramine. The effective treatment dose is 1–2.5 milligrams per kilogram of body weight. Clonidine (Nocturin) 0.1 grams, taken 2–3 times daily or once before bed, can be effective for some children.
2. Behavioral Therapy
The most commonly used method for treating enuresis is intermittent reinforcement. The method is as follows: The child is advised to sleep on a specially designed bed sheet with two electrodes placed inside. The other ends of the electrodes are connected to a bell and a power source. When the child wets the bed, the circuit is completed, and the bell rings, which can wake the child or parents. If the child does not wake up, the parents should wake them and encourage them to urinate. After repeated applications, a conditioned reflex can be established, so that once the bladder is full, the child can automatically wake up and urinate.