What is the problem when a child urinates during the day but does not wet the bed at night?

Patient's question:

The child is ten years old. They urinate in their pants during the day but do not wet the bed at night. It happens specifically when they laugh out loud. The daytime urination is particularly severe. If you remind them to use the restroom, they don't wet their pants. A hospital ultrasound and urine tests were normal. I asked what is wrong with the child and what other tests should be done.

Doctor's answer:

Dear parent,
Hello. Based on the situation you described, this could be a symptom caused by kidney deficiency and small bladder. It is best to pay attention to drinking more water and urinating more frequently, avoiding holding urine for long periods. Additionally, it is important to engage in more exercises to improve overall health. In this case, it is generally recommended to consult a traditional Chinese medicine practitioner and take herbal medicine for regulation. It is also advisable to practice more Kegels (pelvic floor exercises) regularly.

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