Question
Since February this year, when the three-and-a-half-year-old girl stopped using diapers, she has been wetting the bed four to five times every night. How should the treatment be approached?
Answer
Most children stop having nocturnal enuresis by the age of three, but some may still experience it at this age and it should gradually improve with age. If a child still has nocturnal enuresis problems at the age of five or older, further examination should be conducted, and psychological behavioral therapy and medication may be necessary. If a child is diagnosed with “primary nocturnal enuresis,” they should receive appropriate treatment. Additionally, since the child has Down syndrome, attention should be paid to their daytime urination. It should be noted that primary nocturnal enuresis usually does not have a significant negative impact on a child’s growth and development, but as the child becomes aware of their situation, it may negatively affect their psychological development and self-esteem.