What to do if your child wets the bed

Bedwetting in children is a problem that worries many adults. It is normal for young children to wet the bed, but if children still wet the bed after reaching a certain age, parents should pay attention to it. There are many reasons why children wet the bed, and enuresis is one of them. It is important to understand the reasons why children wet the bed so that you can prescribe the right medicine. So what should you do if your child wets the bed?

1. General treatment

Do not blame or beat the child. Instead, give encouragement so that the child is 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. Medication

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. ③Take 25 mg of ephedrine orally before bedtime. It can increase the contractility of the bladder neck and posterior urethra.

3. Bladder training

During the day, instruct the child to extend the interval between urinations as much as possible, gradually extending it from once every 1/2 to 1 hour to once every 3 to 4 hours, in order to expand the bladder capacity.

4. Conditioning training

Use a set of enuresis alarm devices to train the child to wake up before enuresis. An electronic pad and an electric bell are placed under the child's body. 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% recovery can be achieved after 1-2 months of training.