Her 7-year-old son started wetting the bed again, at least 3-4 times a week, which disturbed her. I heard that bedwetting is normal for children and will heal on its own as they get older, but her own child is still wetting the bed at this age? Is bedwetting a disease, should I go to the hospital and see if I should do anything about it? 1, is bedwetting a disease in children? Generally speaking, most children can basically control urination at the age of 3, and bedwetting is rare after the age of 5. If a child over the age of 5 still wets the bed and wets the bed more than 2 times a month, it can be diagnosed as a disease called “enuresis”. According to a survey, the incidence of pediatric enuresis is about 15% at the age of 5 and 5% to 6% at the age of 10. Many parents believe that bedwetting is normal for children and that they will get better slowly when they grow up and do not need treatment. In fact, this is wrong. Long-term enuresis has serious harmful effects on the physical and mental health of children. Children with enuresis are weak, easily catch colds, and are often picky and anorexic. They are also prone to skin diseases and allergies because they often lie in damp bedding. They are also prone to abdominal pain caused by cold, and the supply and absorption of nutrients in the intestines are affected. Children with enuresis often have an inferiority complex and psychological burden, and are reluctant to let others know about it, do not like to have more contact with other children, do not want to participate in group activities, and are afraid to sleep in group dormitories. After a long time, they gradually develop a timid, lonely, introverted and over-sensitive personality. According to the survey, the intellectual development of children with long-term enuresis is also affected to a certain extent, and their IQ is 17%~23% lower than that of normal children. 2.What factors are related to enuresis? The causes of enuresis in children are complex and may be related to the following factors. (1) Genetic factors If both parents have enuresis in early childhood, the incidence of enuresis in children is 77%; if one of the parents has enuresis in early childhood, the incidence of children is 44%; if both parents have no history of enuresis, the incidence of children is 15%. (2) Physiological factors Many children with enuresis have disordered bladder function, with bladder capacity often 30% or more less than normal. The function of the secreted antidiuretic hormone is not mature enough to control nocturnal urination. Some children are too tired from playing during the day, nervous from studying, and sleep too late, so that they sleep too deeply and are not easily awakened, and their brains cannot accept the awakening of the bladder to urinate, and thus urine loss occurs. (3) Psychological factors If children are under excessive psychological stress, are frightened, take exams, etc., or if their relatives are killed or injured, have family discord, or have divorced parents, etc., this can lead to enuresis. If a child wets the bed, he or she will be blamed and scolded by parents, which will cause psychological burden and make the enuresis persist for a long time. (4) Disease Factors Urinary tract infections, vulvodynia, congenital urethral malformation and kidney function damage, etc. are prone to enuresis, and spina bifida, parasitic diseases, diabetes, urolithiasis, epilepsy, etc. are also related to enuresis. (5) Improper training Improper training of waking children at night to urinate can also easily cause enuresis. If the number of times is too many, the bladder will lose its effective stress response; if the number of times is too few, the child will easily lose the habit of waking up to urinate; if the training is too early, such as starting when the baby is a few months old, bedwetting will occur because the cognitive and language comprehension abilities are not yet mature; if the training is forced, no matter how much the baby struggles and cries, and no matter whether there is urine or not, it will also make the baby fearful of urination and cause urine loss. (6) Other factors (6) Other factors such as sudden change of new living room, sleeping environment or climate change, etc. In winter, as the body sweats less, the amount of urine increases, and the weather is colder, babies are reluctant to get up to urinate, so bedwetting can easily occur. 3.How to prevent enuresis in daily life? (1) Regular life The child’s life should be regular and avoid excessive fatigue and stress. Insist on taking a nap in winter to avoid sleeping too deeply at night. Develop good sleep habits and remind your child to urinate before going to bed, and give him/her a bath before bedtime if possible. Do not allow your child to be strenuously active and overly excited before bedtime, and do not tell thrilling and exciting stories to your child before bedtime. Strengthen personal hygiene and change the bedding in time when the child wets the bed. (2) Diet adjustment The winter weather is dry and cold, drink more water during the day and less water at night. Dinner should be light and dry, with less liquid food and less sweets and high protein diet. After dinner, try to drink less water and drinks, milk, etc., to reduce the amount of urine storage in the bladder at night. Do not eat foods that are too cold in winter, such as bitter melon, water chestnuts, Chinese mushrooms, hawthorn, radish and kumquat, etc. You can eat more red dates, white fruits and wolfberries to regulate your baby’s body. (3) Psychological treatment For children who wet themselves, parents should not use punitive means such as ridicule, scolding and threatening, but should comfort and encourage the child to eliminate tension and praise or reward when there is no bedwetting. In winter, when the weather is cold and the child does not want to leave the warm blanket in the middle of the night, parents should encourage the child to get up and urinate, so that the child can urinate in a more awake condition. (4) Functional exercise Try to extend the time between urination during the day so that the urine volume increases and the bladder volume gradually increases. Or encourage the child to “hold urine” by deliberately interrupting urination during the day, then “urinate again” and “interrupt again”, and so on several times, and finally finish urination, which can improve The ability of sphincter control can be assessed. (5) Behavioral training, such as alarm clock wake-up time and wetting alarm treatment, has good therapeutic effects. By waking up regularly with an alarm clock, a conditioned reflex can be established for the purpose of self-control of urination. With the use of wet urine alarm, the electric bell will automatically ring when there is urine loss, so that the child can be awakened from sleep and get up to urinate. (6) Medication Children with severe disease should be treated with medication under the guidance of a doctor according to their specific condition. Commonly used drugs include antidiuretic hormones, central stimulants, antidepressants, etc. Chinese medicine can also be used as appropriate. Chinese medicine believes that enuresis is mostly related to the incomplete function of internal organs, so attention should be paid to dialectical evidence and targeted medication.