PATIENT EDUCATION
An Introduction to Children’s Health Education Picture Books on Bedwetting

The Bedwetting That Came Like a Flood and The Secret That Could Not Be Held Back


I. Introduction to The Bedwetting That Came Like a Flood

The Bedwetting That Came Like a Flood is a health education picture book for children and families, edited by Professor Xu Hong as part of a children’s bedwetting health education series. Through a fairy-tale-style adventure, the book transforms the medical topic of childhood enuresis into an engaging and accessible story for young readers and their parents. The story begins when a little rabbit’s carrot field is unexpectedly flooded. The animal friends follow the stream to find the cause and discover that a sleeping little giant has wet the bed, creating a “flood.” Confused and troubled by what has happened, the little giant turns to Doctor Owl for help in understanding why he wet the bed.

Under Doctor Owl’s guidance, the friends travel by a magical boat into the little giant’s body and begin an exploratory journey through the urinary system. Using vivid analogies such as “blood flowing like a river” and “the kidneys as factories that filter waste,” the book explains how water is absorbed, how blood circulates, how urine is produced by the kidneys, transported through the ureters, and stored in the bladder. Interactive elements, including simple matching exercises, further help children understand these concepts. The book also introduces the bladder diary as an important tool for recording fluid intake, urination times, and urine volume, thereby helping families identify possible causes of bedwetting.

After assessment and bladder diary recording, Doctor Owl finds that the little giant has excessive nighttime urine production, a relatively small bladder capacity, and difficulty waking in response to bladder signals. He is therefore diagnosed with enuresis. The book then introduces key treatment and management approaches, including desmopressin to reduce nighttime urine production, enuresis alarms to help children wake up in time, and healthy lifestyle habits such as eating dinner earlier, going to bed and getting up early, urinating before sleep, reducing fluid intake two to three hours before bedtime, limiting snacks, keeping warm, and maintaining regular bowel and bladder habits. The expert message at the end emphasizes that bedwetting is not the child’s fault and that parents should respond with understanding, encouragement, and support rather than blame or punishment. At the same time, recurrent bedwetting after the age of five should not simply be dismissed as normal; professional medical advice should be sought when needed. Overall, the book combines storytelling, scientific accuracy, and practical guidance, making it well suited for childhood enuresis education, parent-child reading, and family health promotion.

 

II. Introduction to The Secret That Could Not Be Held Back

The Secret That Could Not Be Held Back is a health education picture book on childhood enuresis for children and families, edited by Professor Xu Hong. Set against the backdrop of a summer camp, the book follows a child named Xiaoming as he experiences confusion, embarrassment, growth, and recovery after wetting the bed. By integrating medical knowledge into a warm and relatable story, the book helps children develop a correct understanding of bedwetting while guiding parents toward a scientific and supportive approach to disease management. The story begins one morning at camp, when Xiaoming hesitates to leave his tent because he wet the bed the night before. Teased by some of his classmates, Xiaoming feels wronged and upset. His teacher intervenes promptly and explains that bedwetting is not shameful and that many children may experience similar problems while growing up. To help the children better understand the issue, the teacher brings them to the health room, where Doctor Wang provides an explanation.

Through the doctor’s explanation, the book describes urine formation and the urination process in language that children can easily understand. It compares the kidneys to a “garbage sorting plant” and the bladder to a small “water pool,” helping young readers grasp how the body produces and stores urine. The book also explains common reasons for nighttime bedwetting in children, including increased urine production at night, immature bladder function, and insufficient arousal response to bladder signals during sleep. It highlights that frequent bedwetting after the age of five may indicate enuresis and should prompt timely consultation with a healthcare professional.

As the story develops, Xiaoming gradually rebuilds his confidence with support from his teacher, classmates, doctor, and family. The book introduces lifestyle interventions such as healthy eating, limiting fluid intake before bedtime, regular voiding, avoiding staying up late, and maintaining physical activity. It also describes the value of keeping a bedwetting diary and receiving standardized medical treatment. Desmopressin is presented as a first-line treatment recommended by domestic and international guidelines and should be used properly under medical supervision. In the end, Xiaoming overcomes bedwetting through consistent treatment and healthy habits, earning a “Healthy Growth Award.” Beyond conveying medical knowledge, the book emphasizes understanding, respect, and care. It clearly states that bedwetting is not a child’s fault and that parents should offer companionship and support rather than criticism or punishment. With its warm narrative and rich educational content, this picture book integrates disease education, emotional support, and healthy habit formation, making it a meaningful and engaging parent-child health education resource.

III. Positioning of the Two Picture Books

The Bedwetting That Came Like a Flood focuses more on presenting urine production, bladder diaries, the diagnosis of enuresis, and treatment pathways through a fantasy-adventure narrative. In contrast, The Secret That Could Not Be Held Back takes real-life situations as its starting point, highlighting psychological support for children experiencing bedwetting, understanding from peers, family companionship, and standardized management. The two picture books complement each other and can be used together for childhood enuresis education, parent-child reading, and the promotion of health education at the community level.