What methods are there to treat bedwetting in children?

Patient's question:

My son is 11 years old and frequently wets the bed. What could be the reason? About his past treatment and effectiveness: He had ultrasounds and urine tests, which were all normal. He has taken many Chinese herbal medicines, but they haven't been very effective. What kind of help would you like: What are some good treatment methods?

Doctor's answer:

Enuresis is caused by many factors and is classified into primary enuresis and secondary enuresis in medicine. The majority of children have primary enuresis, with a natural recovery rate of only 15% per year, which means that 85% of children still suffer from bedwetting.
Recommendations:
Primary treatment involves bladder function training and conditioning therapy. Encourage the child to drink as much water as possible during the day to expand the bladder capacity. When the child needs to urinate, advise them to hold it in as long as possible until they can no longer tolerate it, thereby reducing bladder capacity. Additionally, when the child urinates during the day, encourage them to do so in multiple small increments to strengthen the external urethral sphincter and abdominal muscles, which helps control bladder neck curvature and achieve nighttime control over enuresis.
Conditioning therapy uses a wetness alarm or alarm clock, with a moisture sensor placed in the child's underwear. When urination occurs, the alarm sounds to remind the child, training them to become more sensitive to bladder fullness and wake up in time.
You can also visit People's Hospital for a consultation.

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