Question

A six-year-old boy has the issue of daily bedwetting, accompanied by a lack of appetite, requiring adult feeding to barely consume a small bowl of rice. Additionally, he struggles with poor memory during reading and his learning abilities do not match his peers. Furthermore, he has a weak constitution and a thin build. How should this condition be diagnosed and treated?

Answer

Based on the boy’s condition, it can be diagnosed that he has enuresis. Here are some general treatment and behavioral therapy suggestions:

  1. General Treatment:
    • Establish regular work and rest times and hygiene habits, avoiding overexertion.
    • Identify the timing and pattern of bedwetting and set an alarm to wake the child up to urinate 1-2 times at night.
    • Limit daytime naps to 1-2 hours, avoiding excessive excitement or vigorous exercise to prevent affecting nighttime sleep depth.
    • Encourage the child to build confidence, gradually correct shy, anxious, or fearful emotions or behaviors, while also considering the child’s self-esteem. Offer more encouragement, reduce scolding and punishment, and alleviate psychological burden.
    • Find and resolve any mental factors that may cause enuresis, eliminating mental tension.
    • Reduce fluid intake after dinner and empty the bladder before sleeping to decrease the frequency of bedwetting.
  2. Behavioral Therapy:
    • Urination interruption training: Train the child to interrupt urination during the process, counting from 1 to 10 before fully emptying the bladder to enhance bladder sphincter control ability.