Bedwetting is a very common phenomenon in infancy and childhood. It is normal for babies to have this condition. It is physiological enuresis. As the child grows older, this symptom will gradually disappear. However, if the baby over 5 years old still wets the bed at night and the bedwetting lasts for a long time, parents need to pay attention to this symptom. It is best to take the baby to the hospital for examination and targeted treatment in time. Why does my baby wet the bed at night? 1. Weak spleen and stomach, dysfunctional function, leading to bladder gasification dysfunction; 2. The central nervous system is not fully developed, and the urine signal cannot be transmitted to the brain in a timely and accurate manner during the transmission process; 3. The bladder sphincter function is not fully developed, resulting in the bladder being unable to urinate normally. These three reasons influence and interact with each other. The longer the bed-wetting lasts, the worse the situation will be. Take comprehensive measures, including drug treatment, psychological counseling and behavior correction, necessary dietary control and a healthy environment. What can be done to treat bedwetting? First of all, we should start with our diet and daily life: 1. Adjust our diet: drink less water after 4 pm every day, and it is best to eat less liquid for dinner, and it is better to eat something salty or dry. Do not drink water before going to bed (except in summer), and do not eat fruits such as watermelon, oranges, raw pears, and milk to reduce the amount of urine stored in the bladder at night. 2. Reasonable life schedule: Children’s life, diet and daily routine should be regular. Avoid excessive fatigue and mental stress in your child. Finally, you can insist on taking a nap to avoid sleeping too deeply at night and being easily woken up by adults to urinate. 3. Don’t be too excited before going to bed: Children should develop the habit of going to bed on time. Parents should not tease their children before going to bed and make them too excited. Children should not be allowed to engage in strenuous activities or watch thrilling and tense movies and TV shows to avoid making them overly excited. 4. Make sure to urinate completely before going to bed: Children should be encouraged to develop a habit of urinating completely before going to bed every day to empty the urine in the bladder. 5. It must be pointed out that enuresis can make children shy, anxious, fearful and timid. If parents do not take into account the self-esteem of the child and resort to beating, scolding, threatening and punishing the child, it will make the child feel more aggrieved and depressed, increase the psychological burden, and the symptoms will not only not be alleviated but will be aggravated. When treating children with enuresis, treatment can only be carried out with comfort and encouragement. This is very important and is a prerequisite for the success of treatment. Adhere to behavioral therapy and set up a schedule: From the first day of treatment, ask parents to set up a schedule for their child to record every day (you can use a calendar). When bedwetting occurs, try to find possible factors that may have caused it and record them in your schedule, such as not getting enough sleep, being too excited before bedtime, being too excited during the day, consuming too much fluid in the evening, etc. When the child stops wetting the bed, five stars will be drawn on the schedule and the child will be given verbal praise or material rewards. Meet with your physician weekly. 6. Establish conditioned reflex: From the beginning of treatment, parents are required to wake up their children half an hour before the time when their children often wet the bed at night and get them out of bed to urinate. 7. Bladder function training: Encourage children to drink more water during the day and try to extend the interval between urinations to increase urine output and gradually increase bladder capacity. Encourage children to stop urinating, count from 1 to 10, and then empty their bladder to improve the control of the cystic sphincter. 8. Cooperate with drug treatment: Take clomipramine once a day half an hour before going to bed. For those under 7 years old, take 7 to 10 mg each time; for those over 7 years old, take 10 to 20 mg each time. Generally, the medication is taken for 3 months after it takes effect, and then the dosage is gradually reduced. Take the same dose once every two days before bedtime for one and a half months; then take the dose once every three days for one and a half months, until you stop taking the dose. The total course of treatment is 6 months. 9. Use small doses of clomipramine in combination with treatment. Its mechanism of action is that the drug has an anticholesterol effect on the bladder, which expands the bladder capacity and stimulates the cerebral cortex, making it easier for children to wake up and get up to urinate. During use, some children may experience sleep disturbance, decreased appetite, and irritability at the beginning of treatment. Generally, no treatment is required and the symptoms will disappear on their own in 1 to 2 weeks. |
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