Question
Patient: A 15-year-old female, has been experiencing nocturnal enuresis for the past 3 years. She has taken Shuquan Wan before, which was effective at the time, but then the problem recurred. She has also taken traditional Chinese medicine, which worked for a while before it came back. She is very worried.
Answer
The first step in treating bedwetting is to undergo a urine test to rule out inflammation. However, the vast majority of cases are not due to inflammation but are functional, and hospitals cannot find anything wrong. There are several types: 1. Pituitary gland issues: Abnormal secretion of antidiuretic hormone (which has a diuretic effect), normal people have 2.5 times more urine at night than during the day, while bedwetting children only have 1.5 times more. They urinate more at night. 2. Underdeveloped or delayed development of the bladder: Issues with the bladder sphincter and detrusor muscle. Symptoms: frequent urination, urgency, wearing diapers during the day. 3. Issues with or delayed development of the micturition center: A. Cryptic spina bifida - Symptoms include difficulty waking up, feeling confused upon waking, and being disoriented. Severe cases may have sleep-wake disorder. B. Slow conduction of the micturition center - Symptoms include being able to wake up after urination.