Johnny is six years old and wets the bed almost every night. Sometimes he even wets his pants at school. What is his diagnosis, and what treatment plan do you recommend?

Based on the symptoms described, it is possible that Johnny may have a condition known as nocturnal enuresis, or bedwetting. Nocturnal enuresis is common in children and is often due to delayed maturation of the bladder control system. It can also be caused by emotional stress, urinary tract infections, or other medical conditions.

I would recommend that Johnny be evaluated by a healthcare professional to rule out any underlying medical issues. Once any medical causes have been ruled out, a treatment plan can be developed. This may include behavioral interventions such as limiting fluids before bedtime, using a bedwetting alarm, and implementing a reward system for dry nights. In some cases, medication may be prescribed to help improve bladder control.

It is also important to provide support and understanding for Johnny, as bedwetting can be embarrassing and stressful for a child. Encouraging open communication and providing reassurance can help alleviate any anxiety or shame he may be feeling.