”Doctor, I came here to thank you for curing my daughter’s bedwetting. A parent of a child said excitedly as soon as he stepped into our pediatric enuresis clinic. His daughter, who is 10 years old, has been suffering from bedwetting. When she was 6 or 7 years old, her parents thought she was still young and would be fine when she got older. But the child is getting older, bedwetting is not good, but also affects the child’s psychology, the child is under a lot of pressure all day long, fear of bedwetting at night, rest is not good, the daytime class is not in the spirit, more serious is the child more and more low self-esteem, lack of self-confidence, originally very lively little girl, personality is becoming more and more withdrawn, reluctant to play with classmates, afraid of bedwetting to let classmates know the teacher, the school organization summer camp and other group activities never She never dared to participate in group activities such as school camps. The parents then realized the seriousness of enuresis and went to a number of local hospitals, but they all said there was no doctor who could see this disease. After half a year of treatment, the child’s enuresis was cured and now he is more and more confident and his academic performance is improving. …… In fact, children who continue to wet the bed after the age of 3 weeks need to be alerted, and after the age of 5 weeks, children without central nervous system pathology may experience involuntary leakage during sleep. involuntary leakage of urine during sleep, at least 2 times a week and for ≥ 3 months, must see a doctor! What are the dangers of enuresis? Many parents believe that every child wets the bed, so it is not a disease. In fact, although enuresis does not directly cause acute injury, long-term nocturnal enuresis brings greater psychological stress to the child and family, which not only affects the child’s quality of life, but some children may have psychological, behavioral and other systemic problems that are detrimental to physical and mental growth. It is recommended that once a diagnosis of enuresis is made, the cause should be actively sought and treated, rather than ignored or waited for. How many children suffer from enuresis? 16% of 5-year-olds, 10% of 7-year-olds, and 5% of 11-12-year-olds suffer from nocturnal enuresis; 15% of children with enuresis heal spontaneously each year, dropping to 1-2% after age 15, and about 0.5%-2% still persist into adulthood. Why is enuresis more of a concern for children over the age of 5? Urination is a complex reflex activity controlled by the central nervous system. During the micturition period, nerve impulses are sent from the micturition center to the parasympathetic lower motor neurons in the sacral medulla, which send nerve fibers to the bladder to make the detrusor muscle contract, while the sympathetic nerves in the thoracic segment are centrally inhibited and the bladder neck and posterior urethra relax to promote urination. Children are prone to frequent urination, nocturnal enuresis and even incontinence because their brains are not yet well developed and the inhibition of the basic urinary centers is weak. 3 years old onwards, there is a buffer time of 2 years between 3 and 5 years old, if bedwetting persists beyond 5 years old, parents should consult a doctor to find the cause and treat it actively. What are the causes of enuresis? Enuresis is associated with genetic factors, bladder dysfunction, arousal disorders, neurological delays, dysregulation of the antidiuretic hormone secretion rhythm, and psychological factors. The most common causes are: children’s bladder muscles develop more slowly than normal children’s bladder capacity is smaller than normal children do not produce enough antidiuretic hormone to produce large amounts of urine what should I do if my child is over five years old and still wetting the bed? Once a child is diagnosed with enuresis, in addition to following the doctor’s orders, life improvement is also crucial to the treatment of enuresis. On the one hand, life improvement is an important adjunct to the treatment of enuresis with medication or alarms, and without attention to life improvement, the effectiveness of treatment will be greatly reduced. The main points of life improvement include: 1. Regular life and rest: staying up late or irregular life will worsen the symptoms of bedwetting, pay attention to early to bed and early to rise and eat at a fixed time, breakfast and lunch should be full. Dinner should be eaten early and less often, and go to bed after dinner for 2-3 hours as much as possible. 2, pay attention to the intake of water: too much water intake before bedtime may lead to bedwetting, but water is indispensable for the human body, so please take in enough water in breakfast and lunch, and control the intake of water (juice, tea, milk, etc.) in moderation after lunch, and please control the water intake to about 200ml after dinner until bedtime. 3, control the intake of salt: the intake of excessive salt will lead to thirst to make people take in too much water, which will induce bedwetting, and, after the intake of excessive salt, even without the intake of excessive water will also induce bedwetting. 4, pay attention to constipation: constipation refers to too few stools (less than twice a week) or poor bowel movements (with bleeding or pain), and a large accumulation of stools in the large intestine will compress the bladder and may lead to bedwetting as a result. Please eat as much vegetables, fruits, beans and potatoes that contain more dietary fiber as possible. 5, go to the bathroom before bed: make it a habit to go to the bathroom before bed. Remember to go to the toilet again when you still can’t fall asleep after 30 minutes-1 hour in bed. 6, pay attention to the cold when sleeping (do not get cold): cold will lead to increased urine volume and bladder shrinkage. Especially in winter, you can wear an extra layer of underwear and socks when you sleep to ensure that your body does not get cold. 7. Don’t force your child to go to the toilet in the middle of the night: Parents waking their children up in the middle of the night to go to the toilet will not have any effect on the treatment of enuresis, but will disturb sleep and affect the secretion of growth hormones. However, when staying away from home, as an emergency response you can get up in the middle of the night to go to the toilet. 8, the child bedwetting must not be scolded: research has found that children who have been bedwetting for a long time are more or less psychologically stressed, and the older they are, the greater the pressure. So parents should face their children’s bedwetting correctly, do not aggravate the child’s pressure, and actively give the child treatment, more love and encouragement to help children build self-confidence.