Patient's question:
My son is 8 years old, but if he isn't reminded to urinate at night, he often wets the bed. Sometimes it's just a small amount of urine. What could be the reason for this? According to some information, it is an external manifestation of internal organ diseases, with three possible causes:1. Weak spleen and stomach, functional disorder, leading to dysfunction of the bladder's gasification function;
2. Underdeveloped central nervous system, where the signal for urination cannot be transmitted to the brain on time;
3. Imperfectly developed bladder sphincter muscle, causing the bladder to be unable to empty normally.
Could you please advise which medication is relatively effective and has minimal side effects from a pharmacy? Since it's for my child, I'm most afraid of side effects and don't dare to take anything indiscriminately. Going to the hospital is too troublesome. Thank you for your help.
Doctor's answer:
Hello: So it's essential to actively take the child to the hospital for examination and confirmation, as a simple statement like yours cannot be conclusive! The age at which normal children learn to control urination and defecation varies greatly. Generally, children aged 1-2 years still cannot control their urination and defecation on their own, and about half or more of children aged 2-3 years can control it. However, control over nocturnal enuresis (waking up during sleep to urinate without wetting the pants or bed) is still poor, and most can control it only by the age of 4-5. After the age of 5, they should be able to fully control nocturnal enuresis. If a child cannot control urination by the age of 5, it is called enuresis. Enuresis can be divided into two major categories: one is primary enuresis, where the habit of controlling urination has never been successfully trained from a young age; the other is secondary enuresis, where the habit of controlling urination was once trained but was disrupted due to some reason, leading to bedwetting or wetting pants again.Secondary enuresis is often caused by certain diseases, such as urinary tract infections like urethritis or cystitis, or diseases affecting other organs of the body. Post-surgery, especially after febrile illnesses, can also lead to temporary enuresis if it affects the nervous system or causes overall weakness in the child, leading to functional disorders. Once the primary disease improves and the child's overall condition improves, enuresis will also disappear. Another situation is psychological factors leading to enuresis, such as fright, threats, severe criticism or punishment, or long-term tension or sudden misfortune, which can cause changes in urination habits. For children with secondary enuresis, it's important to actively treat various primary diseases and improve the child's overall condition, which can quickly cure the secondary enuresis.
For primary enuresis...