What is missing from children's bedwetting

Bedwetting in children is a relatively common situation. It can be said that it is normal for babies to wet the bed. Mothers can use diapers for their babies, but some children continue to wet the bed as they grow older. The cause of bedwetting in children is usually enuresis. Some parents think that the baby's bedwetting is caused by a lack of trace elements in the body. So what is lacking in children's bedwetting? Let’s take a look at it next.

1. What is missing from children’s bedwetting?

Bedwetting in children is usually caused by enuresis, which is commonly known as bedwetting, and usually refers to involuntary urination in 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 (urinary 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.

2. Diagnostic basis

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. Clinical manifestations

In addition to bed-wetting at night, there are often symptoms such as frequent urination, urgent or difficult urination, and thin urine stream during the day.

3. 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.

4. Urodynamic examination

Uroflowmetry is performed to observe whether there is lower urinary tract obstruction, and intravesical pressure measurement is performed to observe whether there is non-inhibitory contraction.

3. Common symptoms

Children urinate involuntarily while sleeping. In addition to bed-wetting at night, there are often symptoms such as frequent urination, urgent or difficult urination, and thin urine stream during the day.