Question
How can you handle the issue of a 5-year-old child frequently wetting the bed?
Answer
Based on your description, the child’s condition may be enuresis. Treatment options include medication and non-pharmacological approaches. For medication, chlorpromazine can be considered, which helps to expand bladder capacity and stimulates the cerebral cortex, making it easier for the child to wake up and urinate. It is typically administered one hour before bedtime, with a dosage of 10 to 20 milligrams for children under 7 years old, and treatment should continue for 6 months. In the initial stages of treatment, some children may experience side effects such as sleep disturbances, decreased appetite, and excitability, which usually disappear on their own after 1 to 2 weeks. Additionally, even if there is an improvement in enuresis symptoms, training should not be discontinued to prevent the disappearance of established conditioned reflexes. Consistent treatment throughout the process is crucial.