What are the treatments for bedwetting in children?

Some children will wet the bed more frequently, and even when they reach a certain age, they will still wet the bed. When your child reaches the stage where he cannot wet the bed, but still shows symptoms of bedwetting, it proves that there is a pathological reason in his body. Let us learn about the treatments for bedwetting in children.

1. Through behavioral therapy: Behavioral therapy mainly uses bladder function training and awakening therapy.

1. Bladder training: Instruct children to drink as much water as possible during the day to expand the bladder capacity. When the child needs to urinate, ask him to hold his urine as much as possible until he can no longer bear it, thereby increasing the bladder capacity. In addition, when children urinate during the day, they should try to divide the urination process into multiple times to strengthen the control of urination by the external urethral sphincter and internal abdominal muscles, so as to control the sagging of the bladder neck and achieve the purpose of controlling enuresis at night.

2. Wake-up treatment: Use a wetness alarm or alarm clock, place the moisture sensor on the child's underwear, and the alarm will sound to wake the child up when the child urinates, so as to train the child's sensitivity to bladder expansion and wake up in time.

2. Treatment through medication:

1. Artificially synthesized antidiuretic hormone. Insufficient secretion of vasopressin, that is, antidiuretic hormone, is the theoretical basis for the clinical application of artificially synthesized antidiuretic hormone. Studies have found that in addition to its antidiuretic effect, vasopressin can also improve sleep disorders and promote wakefulness. Antidiuretic hormone can concentrate urine, thereby reducing urine volume and intravascular pressure, lowering the bladder neck, reducing detrusor contraction, and improving enuresis. This treatment method is effective in the short term, but the recurrence rate is high after discontinuation of the medication. Drinking water must be restricted during medication use to prevent side effects such as water poisoning and hypertension.

2. Anticholine drugs. Oxybutynin is currently the most widely used cholecystokinin receptor blocker in the treatment of enuresis. Its therapeutic mechanism is that it can relieve bladder smooth muscle spasms, relax the detrusor muscle, and reduce its contraction frequency, thereby playing a therapeutic role. It is the first choice drug for enuresis combined with unstable bladder.

3. Meclofenoxate is a central nervous system stimulant that can excite and help wake people up. Recent studies have shown that it can promote brain metabolism and improve memory.

3. Traditional Chinese Medicine Treatment:

Acupuncture: Acupuncture has a good effect on enuresis and is one of the methods of alternative drug treatment in clinical practice. Method of tonifying the kidney and nourishing the essence: main acupoints are Guanyuan, Zhongji, Shenshu, Sanyinjiao, combined with Bladdershu, Zusanli, Qihai, Lieque.

4. Psychological support:

Psychological support is the most basic measure in the entire psychological intervention process. Scientific explanations and support must be given to the children's psychological state to eliminate their negative emotions such as tension, anxiety and depression and help them eliminate their sense of shame. When the child's good response continues for a period of time (such as 2 weeks), parents should give larger material rewards. Reward is a positive reinforcement process in the establishment of conditioned reflexes.

The above is the treatment method for bedwetting in children. Only through drug treatment and psychotherapy can we achieve a treatment method that takes both internal and external factors into consideration. Some children wet the bed because of habit or their own will. In this case, we must remind our children that bedwetting is incorrect and give them psychological guidance.