Symptoms of enuresis in children

Enuresis in children is actually a condition called bed-wetting. Generally, it is a condition in which children urinate involuntarily when they are asleep. Normally, enuresis in children is more serious at the age of 4. If enuresis still occurs after the age of ten, people need to pay attention. There are many symptoms of enuresis in children. The following is a detailed introduction to the symptoms of enuresis in children.

Enuresis, commonly known as bed-wetting, usually refers to the involuntary urination of children while they are asleep. Generally, only 20% of children have enuresis by the age of 4, and 5% have enuresis by the age of 10. In a small number of patients, enuresis symptoms persist into adulthood. Those without obvious organic lesions of the urinary tract or nervous system are called primary enuresis, accounting for 70% to 80%. Patients with enuresis secondary to diseases such as lower urinary tract obstruction, cystitis, neurogenic bladder (urination dysfunction caused by neuropathy) are called secondary enuresis. In addition to bed-wetting at night, children often have symptoms such as frequent urination, urgency or difficulty urinating, and a thin urine stream during the day.

Symptoms of enuresis in children include: 1. The child falls asleep and does not wake up on his own; 2. It is difficult for parents to wake the child up after falling asleep, and the child does not realize he has finished urinating. Some children become aware of their urination after they have finished and continue to urinate in another place; 3. Many children start to wet the bed as soon as they fall asleep at night, usually once or more in the second half of the night, and in severe cases, they urinate three to four times a night.

The main causes of primary enuresis may be the following: ① Delayed development of the cerebral cortex: the spinal urination center cannot be inhibited, and the detrusor muscle contracts uninhibitedly after sleep, expelling urine; ② Too deep sleep: failure to wake up immediately when the bladder expands after falling asleep; ③ Psychological factors: For example, the child psychologically believes that he is not loved and cared for by his parents, and the child often has a strange temper, is shy, lonely, timid, and unsociable; ④ Genetic factors: the child's parents or siblings have a higher incidence of enuresis.

1. Medical history

Pay attention to whether there are genetic factors and whether enuresis started in infancy. Those who develop enuresis later and those who have urination symptoms during the day may have secondary enuresis. At the same time, patients with constipation or neurological diseases may have neurogenic bladder.

2. Physical examination

Perform a detailed physical examination, paying special attention to whether the anal sphincter tone is normal, whether there is spina bifida, whether there is decreased sensation in the perineum, and whether the lower limb movement is normal.

3. Laboratory examination

Urinalysis, urine culture.

4. X-ray examination

Plain films were used to observe whether there was spina bifida, and cystourethrography was performed to observe whether there was mechanical obstruction.