Question
Patient: Female, 15 years old, has been experiencing nocturnal enuresis for 3 years. She has received treatment at the affiliated hospital of Tangshan North China Coal Medical College. What were the past treatment methods and outcomes? She has taken Shuquan Wan, which initially showed some effectiveness but soon recurred. She has also tried traditional Chinese medicine therapy, but the same problem reappeared. She is very disturbed and hopes to find a definitive solution.
Answer
The first step in addressing bedwetting is to conduct a urine test to rule out the possibility of infection. However, in most cases, bedwetting is not caused by infection but by functional issues. Hospital examinations usually do not reveal any abnormalities. Bedwetting can be categorized into several types: 1. Pituitary gland dysfunction leading to abnormal secretion of antidiuretic hormone; normally, the concentration of antidiuretic hormone at night is 2.5 times that of daytime, but for bedwetters, it is only 1.5 times. 2. Underdevelopment or delayed development of the bladder, causing abnormal function of the bladder sphincter and detrusor muscle, manifested as frequent urination, urgency, and involuntary urination during the day. 3. Abnormal or delayed development of the micturition center, which may be related to hidden spinal bifida or slow conduction of the micturition center. These issues may lead to nocturnal enuresis or difficulty in urination. Treatment should be individualized based on the specific situation, identify the root cause, and administer medication accordingly.