How to treat bedwetting in children

The problem of children wetting the bed is a problem that many parents will face. Some parents will blindly blame their children. In fact, this will not only fail to effectively solve the problem, but may also worsen the bedwetting situation. It is recommended not to blindly scold or beat children. You can remind them to urinate before they go to bed, or wake them up at night to urinate, or help them with some bladder training.

1. In general treatment , do not blame or beat the child. Instead, give encouragement to the child so that he or she will be determined to cure enuresis. Parents show great care and love to their children. Do not drink water after dinner, urinate before going to bed, and wake up the child to urinate 1 to 2 times at night.

2. Drug treatment ① Imipramine: It is a central nervous system stimulant that can reduce the depth of sleep. Take 25-50 mg orally every night for 3-4 months. If the disease relapses after stopping the medication, the drug can be given again. ② Parasympathetic nerve blockers: propantheline or oxybutynin (Oxybutynin, also known as ditropan, urodopine). Taken orally before going to bed, it can relax the detrusor muscle and inhibit bladder contraction. ③ Take 25 mg of ephedrine orally before bed. It can increase the contractility of the bladder neck and posterior urethra.

3. Bladder training: Instruct the child to extend the interval between urinations as much as possible during the day, gradually extending it from once every 1/2 to 1 hour to once every 3 to 4 hours to expand bladder capacity.

4. Conditioned reflex training: Use a set of enuresis alarm devices to train the child to wake up before enuresis. Place an electronic pad and an electric bell under the child. Once the electronic pad is wetted by urine, the circuit will be connected and the electric bell will sound, waking the child up to urinate. If the effect is not good, imipramine can be added to reduce the depth of sleep. Generally, 70-80% of primary enuresis can be cured after 1-2 months of training.

5. Ask your children to urinate every night . Because children's bladders are smaller than adults', they must urinate regularly to avoid bedwetting. If they get up at night to urinate, they will basically not wet the bed. Remember to drink less water after dinner.