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 has been treated at the affiliated hospital of a medical college.History of Treatment and Effects: 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 tried Chinese herbal medicine, but the symptoms returned after some time. She is very worried.
Desired Help: Can this condition be completely cured?
Doctor's answer:
First, identify the cause and then treat accordingly. Bedwetting should first be diagnosed with a urine test 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. There are mainly the following types:1. Problems with the pituitary gland: The antidiuretic hormone (ADH) secreted by the pituitary gland is abnormal. 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 include frequent urination, urgency, and daytime wetting.
3. Problems or delayed development of the micturition center:
A. Spina bifida: Symptoms include difficulty waking up from sleep, confusion upon waking, and disorientation. Severe cases may involve enuresis during sleep.
B. Slow transmission of the micturition center: Symptoms include the ability to wake up after urination.