What should I do if my child wets the bed? These methods should be known

In the eyes of many adults, bedwetting is very normal for children, so many adults ignore the harm of bedwetting in children. Bedwetting in children may also be enuresis. Regarding the issue of what to do when children wet the bed, the attitude of adults is very important, and bedwetting should be treated with drugs at the same time.

(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. ③ Take 25 mg of ephedrine orally before bed. 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) Conditioned reflex 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. 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.