Question
The child frequently wets the bed during the day and night, with small amounts of urine, sometimes like dripping and uncontrollable, without any sensation. Urination is normal, different from the symptoms of primary nocturnal enuresis. Inquire about the cause, treatment methods, recommended hospitals, costs, and hope to receive treatment. The condition has persisted for 8 years, and the current situation is the same as before, with no special medical history and no previous diagnosis or treatment.
Answer
Based on the description, your child may have nocturnal enuresis. The causes of nocturnal enuresis are numerous, including insufficient nocturnal vasopressin secretion, bladder dysfunction, sleep arousal disorders, and spinal developmental issues. Treatment methods mainly include arousal therapy, medication (such as oral protriptyline one hour before bedtime), and surgical procedures for spina bifida. It is recommended that you first try arousal therapy to build your child’s confidence and train bladder autonomous voiding function. If arousal therapy and medication are ineffective, it is advisable to seek further medical examination.