What is enuresis? How is it treated?

  The News Morning Post reported that nocturnal enuresis, commonly known as bedwetting, was once ignored by the public, who thought that children would get better when they grew up. In a questionnaire conducted by the Pediatric Hospital of Fudan University in some schools earlier this year, only 50 percent of children with enuresis were seen. In fact, except for a few children who can heal on their own, most children need to be treated. Other parents hide the problem and feel that they cannot let their children’s teachers and classmates know about it, so they miss the best time for treatment. Fortunately, with the improvement of national quality, the pursuit of physical and mental health go hand in hand, making nocturnal enuresis more and more important. In the face of this disease, it is not advisable to be ashamed or fearful, but to be impartial and actively treat it is the right way.  To develop good habits Take the opportunity of the “First Nocturnal Enuresis Summit” held in Shanghai recently, the reporter visited three pediatric experts, namely Wang Qian, the director of the International and Domestic Cooperation Department of Capital Medical University and deputy chief physician, Professor Xu Hong, secretary of the Party Committee and doctoral supervisor of the Pediatric Hospital affiliated to Fudan University, and Shanghai Children’s Medical Center, and Associate Professor Jiang Fan, Secretary of the Party Committee and Master’s Supervisor, to discuss with them a three-pronged approach to the prevention and treatment of enuresis.  The traditional concept is that medicine must be used to treat the disease. In fact, there is a lot more to consider in the periphery of medication. The better life behavior management is done, the better the compliance with medication will be. The underlying trigger of nocturia is the inability to wake up in the middle of the night. Therefore, parents need to set an alarm clock to wake their child at a fixed time to help him/her urinate on demand. In addition, adjust drinking habits and drink less fluids before bedtime. Excessive excitement and exercise before bedtime can increase bladder overactivity and trigger bedwetting. There is also the easily overlooked problem of constipation. The New England Journal has published that constipation accompanying enuresis can cause a pseudo-small bladder, so it is important to develop good bowel habits. Finally, the exterior of the genitals needs to be kept clean. These seemingly simple life management are in practice very demanding for parents and children.  Finding the right path to the doctor Some children do not have enough production of antidiuretic hormone in their bodies, which makes them urinate more at night; some children do not produce urine at night because the volume of the bladder does not match the volume of the bladder, i.e. the bladder is not large enough to store the urine produced; if the parents had the disorder as children, they may pass it on to their children; others have overactive bladder syndrome (OAB), in which the bladder actively contracts, whether awake or asleep, to stimulates urination. Many pediatric hospitals have special “abnormal urination clinics”, where doctors from various disciplines consult to make a diagnosis and prescribe the right medication.  It is important to emphasize that some institutions in society claim that nocturnal enuresis can affect intelligence and even fertility in order to attract attention. In fact, nocturnal enuresis may only affect the child’s psychology, behavior and personality, and has nothing to do with intelligence or fertility. Many children with enuresis are quite good and do very well in school. In addition, some parents mistakenly confuse the term “kidney” in Chinese and Western medicine and take many detours in their search for medical care. As with any disease, early diagnosis and treatment can help cure enuresis, so don’t let it develop into a definitive condition before seeking medical attention.  Children who are neglected can develop symptoms of anxiety. Conversely, children with enuresis are prone to low self-esteem and low self-esteem, which can easily be accompanied by anxiety. Thus, in actual treatment doctors take into account social, economic, family (such as poor parental compliance and insufficient level of awareness) and psychological factors to actively guide the child out of the shadows.  ”Even though many people in society do not take enuresis seriously, there are still many doctors who are passionate about this cause and try to relieve the pain of the children and benefit them.