What should I do if my 3-year-old still wets the bed and uses diapers now?

Patient's question:

The child uses diapers both for daytime naps and nighttime sleep. If not, they will wet the bed. During the day, they will call out when needing to urinate. Everything else is normal.
Regarding the assistance needed: At this age, children usually learn to call when needing to urinate, but she still wets the bed. What should we do? Please advise the experts...

Doctor's answer:

If the child sleeps a nap and sleeps at night, they both use diapers. If not, they will wet the bed. During the day, they will call to ask to use the bathroom. Everything else is normal.
Suggestions:
First, it’s important to help the child understand that enuresis is a temporary functional endocrine disorder and that the mental burden should be completely eliminated. With mutual cooperation in treatment, it can often be self-cured.
1. To prevent the child from sleeping too deeply at night and not waking up easily, avoid excessive fatigue during the day. It’s best to arrange for about an hour of sleep in the afternoon.
2. Reduce the amount of salt in dinner, limit water and soup intake.
3. Before taking a nap, prevent the child from becoming overly excited. Encourage them to empty their bladder before going to bed as a habit before napping.
4. Parents should cultivate the habit of the child going to bed and using the bathroom on their own. Before falling asleep, remind the child to silently repeat, "I will go to the bathroom at x o'clock tonight." Parents can also wake the child up before the time they usually wet the bed so they can use the bathroom while awake.
5. Training the child to hold their urine during the day can also be an effective method. Whenever they feel the urge to urinate, they should actively suppress it and not urinate immediately. Start by delaying it for a few minutes, then gradually increase the time.
During the treatment process, encouraging the child often boosts their confidence and can be more effective. On the days they don’t wet the bed, praise and encourage them to increase their motivation to participate in the treatment.
Additionally, parents should never scold or punish the child.
The above suggestions are for the question, "What should I do if my 3-year-old wets the bed and now uses diapers?" I hope this helps. Wishing you good health!

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