Suggestion: Hello: Adult bed wetting is related to physiological problems, such as urethritis, spinal cord nerve injury, congenital urinary tract structural abnormality, etc. Patients usually have poor sleep quality and lack self-confidence, but it is not easy to wake up after falling asleep at night. Therefore, I suggest you go to the hospital for urology or neurology for diagnosis, so that you can prescribe the right medicine.
What good treatment does adult bedwetting have?
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.
Adult bedwetting, especially patients who have not fully recovered from childhood, is generally related to the following factors: 1, dysuria during the day, urgency, frequent urination, wanting to pee when meeting water or touching water, prolonged urination time and obvious abdominal pain. This shows that the function of bladder sphincter is poor. 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. Although it has been a long time, it can be completely cured. As long as we start with tonifying the kidney and strengthening the brain, regulating the spleen and stomach, promoting the recovery of bladder function and dredging the nutrient nerves, we can comprehensively and comprehensively regulate the body as a whole. I believe it can be completely cured with our joint efforts. The enuresis treatment center of Hebei Zhanwei Institute of Traditional Chinese Medicine (formerly the enuresis department of Shijiazhuang Brain Hospital) reminds you that the key is that you have confidence. Bedwetting is not a serious disease. Only by taking it seriously and actively cooperating with the treatment, I think a healthy and happy life will always belong to you.
Causes and solutions of bed wetting in adults. 20 points
You belong to enuresis with kidney-yang deficiency, which is mainly caused by poor urine sensing function of bladder central nervous system, kidney-yang deficiency and poor bladder gasification. It should be treated comprehensively, not only by tonifying yang, but also by balancing yin and yang. Only in this way can the disease be truly cured. Adult enuresis is not a serious illness, it can be completely recovered, so we must have confidence.
What about female adults wetting the bed?
There are many reasons for enuresis, and the same patient can have several different reasons. 1. Patients' neuroendocrine system function declines, which is characterized by: (1) detrusor instability or low bladder compliance, and decreased bladder functional capacity. 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 early enuresis is caused by too deep sleep 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 nocturnal EEG studies show that (1) arousal 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 can lead to mental, psychological and behavioral abnormalities in patients, and these abnormalities will become the cause of persistent and refractory enuresis in 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. 4. 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. There are some differences between secondary enuresis and primary enuresis: (1) The development degree and timing of the structures and functions of various parts related to micturition control are unbalanced, 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 mellitus and sickle cell anemia leading to polyuria.
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What is the reason for adult bed wetting?
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 qi 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 for adult bed wetting?
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 should adults do if they often wet the bed?
Hello, bedwetting may be enuresis. Active treatment is recommended.
Suggestion:
1. Exercise of bladder function: urge patients to drink more water during the day, extend the interval of urination as much as possible, promote the increase of urine volume and gradually increase bladder capacity. Encourage patients to stop micturition in the middle of micturition, count from 1 to 10, and then completely discharge urine to improve the control ability of bladder sphincter.
2. Go to the hospital for a checkup
What if adults still wet the bed?
If adults often wet the bed, it is enuresis. Enuresis is a chronic disease. Although it does not hinder eating and drinking, it causes ideological pressure on people and has a serious impact on happy life. The pain is only known to the patient himself. Don't be shy. Early treatment is better. Dr. Sui Zhenli from the Department of Enuresis, Zhanwei Institute of Traditional Chinese Medicine, Hebei Province pointed out that bedwetting is a disease. Pay attention, the methods of traditional Chinese medicine and western medicine can completely solve your pain. Be sure to have confidence!