Treatment of pediatric enuresis

  Treatment of pediatric enuresis I. General treatment Parents should give a high degree of care and love to the affected child. Do not blame and scold the child, but give encouragement so that the child will have the determination to cure enuresis. Forbid drinking after dinner, put the child to urinate before bedtime, and wake the child up at night to urinate once or twice.  Second, the drug 1, promethazine: a central stimulant, can reduce the depth of sleep, 25 to 50mg per night orally for 3 to 4 months. If relapse after discontinuation of the drug, the drug can be given again.  2, parasympathetic blockers: Probenecid or hydroxybutynin (Oxybutynin, i.e. ditropan, uridorin). Taken orally before going to sleep, can make the force urinary muscle relaxation, inhibit bladder contraction.  3.Ephedrine 25mg orally before bedtime. It can increase the contraction of the bladder neck and posterior urethra.  Bladder training Ask the child to extend the interval of urination as much as possible during the day, gradually from once every 1/2 to 1 hour to once every 3 to 4 hours, in order to expand the bladder capacity.  Conditioned reflex training Use an alarm device to train the child to wake up before he/she loses urine. Once the electronic pad is wet, the electric bell will be connected to the circuit to wake the child up to urinate; if the effect is not good, promethazine can be added to reduce the depth of sleep. Generally, 70-80% of primary enuresis can be cured after 1 to 2 months of training.  V. For older children or adults, psychotherapy such as hypnotherapy can be chosen.