What management would be appropriate for a 7-year-old girl who bed wets 4 times a week?

For a 7-year-old girl experiencing bedwetting, also known as nocturnal enuresis, the use of an enuresis alarm is considered an appropriate management strategy. This method is effective because it trains the child’s body to recognize the sensation of a full bladder during sleep, facilitating the behavioral change required to achieve dryness at night. The alarm responds to moisture and wakes the child when bedwetting occurs, promoting awareness and conditioning new responses.

The enuresis alarm is typically recommended after reassurance regarding the normalcy of bedwetting at this age, as it's not uncommon for children to outgrow it. This tool not only helps address the physical aspect of the issue but also can improve the child's confidence and self-esteem as they start to manage the situation independently.

In contrast, reassurance alone may not provide the necessary intervention for a child who frequently wets the bed, and scheduling a follow-up without a proactive approach would delay necessary treatment. Medication can be considered in some cases, particularly for those with underlying issues or severe cases, but it is generally not the first line of treatment due to potential side effects and the importance of behavioral interventions.