What should be done about pediatric enuresis?

Patient's question:

Male, 14 years old, enuresis at night, initially many times, now about once a night if not called back, around 1 a.m. (about 3 hours after falling asleep) (has undergone routine urine tests, X-rays show congenital sacral fissure, previously took traditional Chinese medicine, had acupuncture, experienced a period of nocturnal self-awakening or not sleeping) Concerns: Is enuresis definitely caused by a sacral fissure? Does this have primary enuresis? If there is a generational hereditary history in the family, is it the main factor for generational heredity? How should it be trained and treated?

Doctor's answer:

Bedwetting can also occur again in adults. The recurrence of enuresis is related to various factors such as behavior, heredity, growth and development, neurological, psychological, and organic factors, as well as improper upbringing. In adults, enuresis is mostly related to a lack of bladder training during childhood, except for a small portion with hereditary factors, and is not significantly associated with sacral spine fissures. Treating bedwetting is not complex; it mainly involves targeted behavioral therapies, such as: 1. Controlling the approximate time of bedwetting, setting an alarm clock before bed, and using the restroom upon waking; 2. Drinking less water before bed to reduce nighttime urination. It generally does not take long to overcome it.

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