Bed-wetting is still very common in children aged 5- 12. Most parents think it's better to grow up. However, many children still often wet their beds when they are 14- 16 years old, and even when they are 18 -23 years old, they still wet their beds. Some patients have been admitted to an ideal university, so it's time to live on campus. Here is a brief explanation. I hope that parents and friends of patients can learn more about enuresis, pay attention to it, diagnose it early and treat it early, so that children can recover as soon as possible and live a happy youth life.
In fact, children wet the bed regardless of age. There are many reasons for children to wet the bed, which have a great relationship with diet, living habits, physical development, heredity and living conditions. Although most children grow up year by year, the situation of bed wetting has not changed much, so they need treatment. Some children are getting smaller every year, from once a night to once a month, and situations like this can still heal themselves. However, if the child has entered adolescence and secondary sexual characteristics and menstruation have appeared, then there is still bed wetting, which must be taken seriously. When a child enters adolescence, it marks that the body is close to maturity. When the body is at its best, there should be no disease.
So why do older children wet the bed? According to our 30-year clinical observation, bed wetting among young people aged 65,438+04-23 is mostly related to the following aspects. First, most patients hold their urine for a short time during the day, with frequent urination and urgency. If you have urine, you want to hold it for a while, but you can't hold it, indicating that the bladder sphincter function is poor. Secondly, some patients can hold their urine during the day, but they just can't wake up at night. Some don't know when they have finished urinating, but most of them wake up after urinating. Others dream of looking for a toilet and wetting the bed after finding it. This shows that the patient is caused by urine signal transmission error and imperfect central nervous system function. Third, when you sleep at night, you need to get up 2-4 times. I pee a lot every time I get up. When you wet the bed, you don't know after you pee. What's more, I still wet my bed when I get up in the morning. This shows that the pituitary gland secretes insufficient antidiuretic hormone, which is caused by excessive urine during sleep. Fourth, physical weakness, night sweats, easy to catch a cold, backache and leg weakness, physical retardation and other phenomena, the first thing to consider is kidney deficiency, kidney deficiency, poor bladder gasification function and so on. Fifth, see how the spleen and stomach function, picky eaters, partial eclipse, small appetite, eat less. Eat raw and cold, whether you have diarrhea. Whether there is diarrhea on cloudy days or when the weather gets cold. If there is, it means that it is spleen and stomach deficiency and cold, which can also cause bed wetting. The reason can be one aspect or several aspects. Clinically, more than 86% of patients have bedwetting problems.
Only by tonifying the kidney and strengthening the brain, conditioning the spleen and stomach, promoting the recovery of bladder function, dredging the nutrient nerves and comprehensively conditioning the body, can we wake up and stay up all night after comprehensive treatment. Both are indispensable. Only comprehensive treatment, I believe, can be completely cured. The department of enuresis of Shijiazhuang Brain Hospital in Hebei Province reminds you that enuresis is not a serious illness. As long as it is taken seriously, it can be cured. You must have confidence.
What is the reason why adults wet their beds at night?
2. Too much urine is formed at night, so I dare not drink water. Drink a little water, and you will have symptoms at night. This situation is caused by insufficient secretion of antidiuretic hormone by pituitary gland and kidney deficiency. Some patients have backache, weakness of limbs, poor spirit during the day, irregular holidays, fear of cold, cold hands and feet, etc. 3. Nervous dysfunction, dreaming of looking for a toilet when sleeping at night, waking up after urinating or not waking up after urinating, fear of cowardice, sensitivity to daily affairs, inferiority complex, reticence, love to lose temper and excitability, all of which are caused by autonomic nervous function and bladder central nervous function disorder. 4. Some patients also have poor digestive function of spleen and stomach, dare not eat cold food, like diarrhea, easy to catch a cold, sallow and emaciated, and so on. Therefore, only by understanding the reasons can we prescribe the right medicine, and only in this way can we recover as soon as possible. There are incentives for adults to wet the bed, which are mostly related to careless eating at night, great mental stress, staying up late, excessive excitement in nightlife, overwork, physical weakness after giving birth, and poor rest at night when nursing children. If occasional bed wetting is a physiological refractory period, it is not a disease. If there are frequent problems, it is enuresis, and it is best to make a diagnosis and treatment in time.
What is the reason why adults wet the bed?
There are many reasons for enuresis, and the same patient can have several different reasons.
First, the patient's neuroendocrine system function is slow, manifested as:
(1) The detrusor is unstable or has low compliance, and the functional capacity of the bladder is reduced. Patients often have frequent urination, urgency and even urge urinary incontinence during the day or before going to bed.
(2) The sensory function of bladder filling and contraction is incomplete, and bladder filling and contraction failed to wake up patients.
(3) Urethral insufficiency, that is, urethral instability.
(4) Insufficient secretion of antidiuretic hormone (ADH) in pituitary gland leads to increased urine output at night.
Second, sleep factors:
It is generally believed that enuresis is caused by too deep sleep in the early stage and too high awakening threshold. In fact, enuresis has nothing to do with the depth of sleep, and enuresis does not occur during deep sleep.
A large number of continuous EEG studies at night show that:
(1) Awakening dysfunction is an important cause of enuresis. Lack of bladder filling and contraction consciousness and deep sleep caused by excessive fatigue may lead to arousal disorder.
(2) The dysfunction of micturition control is more obvious after falling asleep, which shows that the delay of micturition control function plays an important role in the etiology of enuresis.
(3) Patients with enuresis have disordered sleep cycle, especially those who are often woken up at night.
Third, mental, psychological and behavioral abnormalities:
Enuresis will lead to mental, psychological and behavioral abnormalities of patients, and these abnormalities will become the cause of persistent and refractory enuresis of patients, especially some older children and adults.
Fear of enuresis, hope to urinate many times to prevent enuresis, such patients' psychology is the same. Affected by this psychology, patients will still remind themselves to urinate during sleep, so the detrusor center of the frontal lobe is in a state of high excitement, which increases the sensitivity and contractility of the bladder, and urination can also occur when the bladder capacity is small. If the brain produces a dream that allows urination, the detrusor will be strengthened, the consciousness of urination will be hazy, and the urethral sphincter will be relaxed, resulting in enuresis, which will lead to the decline of bladder functional capacity.
In addition, ADH secretion and psychological changes are controlled by the hypothalamus of the brain, so they are closely related.
Fourth, others:
Urinary system diseases such as phimosis, redundant prepuce, hypospadias and urethral stricture; Long-term constipation or diarrhea, anal fissure, irritable bowel syndrome and other gastrointestinal diseases; Pituitary or renal diabetes insipidus; Diabetes; Food allergic reaction, etc. Intestinal parasitic diseases, such as pinworm; Physical diseases such as heart, liver, kidney and lung can all be the causes of enuresis, and the above reasons account for about 10% of enuresis patients.
Traditional Chinese medicine theory also believes that the etiology of this disease is various, which is caused by kidney deficiency and loss of bladder appointment due to the loss of control of visceral function or part of visceral function. Generally, there are two ends: deficiency, mainly kidney-qi deficiency, spleen-lung deficiency and bladder failure; Excess is mainly due to damp-heat of liver meridian, and heat forces bladder meridian, which can't be restrained.
The causes of secondary enuresis and primary enuresis are different:
(1) The development degree and timing of the structures and functions of various parts related to micturition control are out of balance, which breaks the enuresis state obtained in a certain period.
(2) The micturition and control skills acquired by children in the development process are not firm, and they are easy to degenerate, resulting in enuresis.
(3) Some diseases make the insignificant dysfunction of micturition control become significant dysfunction. For example, urinary tract infection increases the sensitivity of bladder, and some food allergies, excessive fatigue, excessive spirit, nervousness and fear cause sleep changes.
(4) Other systemic diseases: chronic diseases of heart, lung, liver and kidney increase nocturnal urine output; Diabetes insipidus, diabetes and sickle cell anemia lead to polyuria.
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What is the root cause of bed wetting in adults?
The etiology of enuresis is complex, mostly functional diseases, and no problems can be found by instrument examination. Some of them are caused by organic diseases and belong to secondary enuresis. The primary disease can be detected through the instrument, and the primary disease needs to be cured in a targeted manner before enuresis can be completely recovered. The department of enuresis of Zhanwei Institute of Traditional Chinese Medicine in Hebei Province suggested that B-ultrasound, magnetic resonance imaging, urine test and blood test could be used to make a definite diagnosis. As long as the diagnosis is clear, the treatment is logical and logical.
What is the reason why adults often wet the bed and how to deal with it?
Clinically, enuresis includes two situations, one is enuresis, which is also commonly known as bed wetting; The second kind refers to enuresis, that is, not only in bed, but also in clothes or other places that are not suitable for excretion when you are not sleeping or awake. Pathologically, the former is mostly caused by uncoordinated neurological functions, mostly simple and persistent, that is, there are no other accompanying symptoms except bed wetting. The latter are mostly organic diseases, such as damage to the nervous system and space-occupying lesions of related organs, which are mostly concomitant and transient, that is, there are other obvious pathological manifestations besides bed wetting, which can be improved with the improvement of other diseases. This paper discusses bed-wetting without organic enuresis. Physiology and pathology of bedwetting The process of urination is that mixed liquid urine, such as excess water, electrolyte, garbage and metabolites of cells in the body, is gradually stored in the bladder. When the bladder reaches a certain volume, the pressure of urine is located in the baroreceptor on the bladder wall, and the urination signal sent by the baroreceptor is transmitted to the central nervous system through the peripheral nervous system. After analysis and treatment, the central nervous system sends out urination instructions in time, and the instructions reach the bladder, which makes the urethral sphincter relax and exert strength. From this physiological process, if the nervous system is damaged or the bladder and other related organs have space-occupying lesions, it can cause abnormal urination, that is, enuresis. This kind of enuresis can occur day and night, whether in bed or not, whether awake or not, and often occurs at the same time as other diseases. Bed-wetting is different: first, bed-wetting is to discharge urine on the bed when the client is unconscious; Secondly, bedwetting is generally not accompanied by other typical signs of nervous system lesions or space-occupying lesions; Third, the physical and chemical examination of bedwetting patients is within the normal range. According to this analysis, bedwetting is only caused by immature nervous system or uncoordinated nervous function. Adult bedwetting causes, such as the low threshold of bladder baroreceptor reaction, lead to a small amount of urine stored in patients' bladder, which can cause pressure to send out urination signals to cause urination, so patients have small urine bubbles and frequent urination. Adult bedwetting causes dysfunction of excitation and inhibition of urination center, and patients often have blurred vision and disorientation when they urinate or get up in their dreams. When the average person is sleeping, the work of the urinary system should be in a depressed state, while the patient who wets the bed is often the opposite, and the urinary system is still working excitedly.
What causes bed wetting in adults?
There is something wrong with kidney function. Or you have too much sex. See a doctor. They are also sold in pharmacies. I can't remember the name of the medicine. Not expensive either. Transparent bottle.