Patient's question:
Age-related appetite irregularity, always not eating, only reluctantly manages to finish a small bowl when adults feed him. Poor reading memory, completely unable to keep up. Weak constitution, very thin. Wets the bed every day.Doctor's answer:
According to your child's condition, it can be diagnosed as enuresis.Guidance:
1. General treatment: Develop a good routine and hygiene habits, avoid overexertion, and master the time and patterns of bedwetting. Use an alarm clock to wake the child up 1-2 times at night for urination. Allow the child to nap for 1-2 hours during the day and avoid excessive excitement or strenuous exercise to prevent deep sleep at night. Throughout the treatment, build confidence. Gradually correct shyness, anxiety, fear, and withdrawal, while taking care of the patient's self-esteem. Offer more encouragement and comfort, and less scolding or punishment to reduce their psychological burden, which is the key to successful treatment. Properly address the psychological factors that cause enuresis. Through medical history, understand the psychological triggers and potential conflicts that lead to bedwetting. For psychological stressors that can be resolved, address them as soon as possible. For conflicts and issues that have already occurred or objectively exist and cannot be resolved, focus on patient education and explanation to alleviate mental tension and prevent emotional distress. Avoid drinking water after dinner and empty the bladder before going to bed to reduce the frequency of bedwetting.
2. Behavioral therapy for children with enuresis:
1. Urination interruption training: Encourage the child to interrupt urination midstream, count from 1 to 10, and then finish urinating. This helps train and improve the ability of the bladder sphincter to control urination.
2. Urinary retention training: Let the child drink more water during the day and hold back when they feel the urge to urinate, with each retention lasting no more than 30 minutes. Train 1-2 times a day to expand the bladder and increase its capacity, thereby reducing nighttime urination.
3. Timed training: Use an alarm clock to wake the child 30 minutes earlier than usual bedtime, and have them walk around the room or splash cold water on their face to empty their bladder while fully awake. This also helps establish a conditioned reflex.
4. Parents should promptly notice bedwetting, encourage the child to empty residual urine, dry the area, change underwear, and handle the dry bed.
5. Summary and record: Ask parents to record daily factors or causes of bedwetting, the number of incidents, and mark both wet and dry nights on a schedule. Summarize weekly to identify patterns or causes. Offer encouragement when the child shows progress.