Patient's question:
Medical Description: The patient is a 15-year-old female who has been experiencing frequent nocturnal enuresis (bedwetting) from 3 years ago until now. She was previously treated at the Affiliated Hospital of Tangshan North China Coal Medical College.History of Treatment and Effect: She has taken Shouquan Wan (a traditional Chinese medicine) in the past, which was initially effective, but the condition recurred after a period of time. She has also taken traditional Chinese medicine, but the symptoms returned after some time. She is very worried.
Help Needed: Can this condition be completely cured?
Doctor's answer:
First, identify the cause and then treat accordingly. Bedwetting should first be diagnosed with a urinalysis to rule out inflammation. However, the majority of cases are not due to inflammation but rather functional issues, and hospitals may not find anything significant. The following are the main types:1. Problems with the pituitary gland: Abnormal secretion of antidiuretic hormone (which has a diuretic effect). In normal individuals, nighttime urine production is 2.5 times higher than during the day, but in bedwetting children, it is only 1.5 times higher. This leads to excessive nighttime urination.
2. Underdeveloped or delayed bladder development: Issues with the bladder sphincter or detrusor muscle.
- Symptoms: Frequent urination, urinary urgency, daytime wetting.
3. Problems or delayed development of the micturition center:
- A. Congenital spinal dysraphism (hidden spinal defect)
- Symptoms: Difficulty waking up from sleep, confusion upon waking, and disorientation. Severe cases may exhibit sleep enuresis.
- B. Slow transmission of the micturition center
- Symptoms: Ability to wake up after urination.