Bedwetting in Kids

As a parent, discovering that your child is still wetting the bed can be concerning. In this article, we’ll explore what nocturnal enuresis is, how it is evaluated by a pediatrician, and what treatment options are available.

At Bootin and Savrick Pediatric Associates, our experts are eager to provide you with helpful tips on how to manage and treat your child’s bedwetting while offering encouragement along the way. Contact us today to book a visit!

What is Nocturnal Enuresis?

Nocturnal enuresis (commonly known as bedwetting) refers to the involuntary release of urine during sleep after the age when most children have achieved bladder control. This condition can be frustrating for both children and parents, but it’s essential to remember that it is a normal part of development for many kids. While it’s more common in younger children, some may continue to wet the bed into their school years.

What Are the Different Types of Enuresis?

There are two main types of enuresis:

Primary Nocturnal Enuresis: This occurs when a child has never had a prolonged period of being dry at night. In other words, the child has always had difficulty controlling their bladder during sleep.
Secondary Enuresis: This type occurs when a child has previously been dry at night for at least six months but then begins wetting the bed again. Secondary enuresis can be particularly concerning because it might indicate an underlying medical or emotional issue.

How Common is Bedwetting in Children?

Bedwetting is a fairly common childhood condition. Research indicates that around 15% of children at the age of five wet the bed, and this number gradually decreases as children develop and gain better bladder control.

By age seven, about 10% of children still experience bedwetting, and the numbers continue to decline in older children. However, it’s not uncommon for some children to continue wetting the bed into their teenage years.

What Are the Causes and Risk Factors of Bedwetting in Children?

Several factors can contribute to bedwetting, and it’s often a combination of these elements rather than a single cause. Some of the primary causes and risk factors include:

Delayed Bladder Maturity: Some children’s bladders develop at a slower rate, making it difficult for them to hold urine throughout the night.
Genetic Factors: Bedwetting tends to run in families. If one or both parents experienced bedwetting as children, there’s a higher likelihood that their child might also wet the bed.
Deep Sleep Patterns: Children who are deep sleepers may not wake up when their bladder is full, leading to bedwetting.
Small Bladder Capacity: Some children have a smaller bladder capacity, which means they need to urinate more frequently.
Hormonal Factors: The antidiuretic hormone (ADH) helps regulate urine production during sleep. Some children may not produce enough ADH, resulting in the production of more urine than their bladder can hold.
Constipation: Chronic constipation can put pressure on the bladder, leading to urinary symptoms and bedwetting.
Emotional Stress: Stressful events, such as starting school, moving to a new home, or family changes, can sometimes trigger secondary enuresis.

When Does Bedwetting Become a Concern?

While bedwetting is a common childhood condition, certain signs may indicate the need for further evaluation by a pediatrician:

Age: If your child is over the age of seven and still wetting the bed regularly, it might be time to consult with a healthcare provider.
Secondary Enuresis: If your child was previously dry at night and begins to wet the bed again, it could signal an underlying issue that needs to be addressed.
Daytime Wetting: If bedwetting is accompanied by daytime wetting, frequent urination, or other urinary symptoms, it’s important to seek medical advice.
Signs of Constipation: Since constipation can contribute to bedwetting, it’s crucial to monitor your child’s bowel movements. If constipation is present, it should be treated promptly.

When to See a Doctor

If bedwetting is causing distress for your child or family, or if you notice any concerning symptoms, it’s important to schedule an appointment with your pediatrician. At Bootin and Savrick Pediatric Associates, our team of experienced pediatricians in Houston, Texas, is here to help you navigate this phase of your child’s development.

During the evaluation, the doctor will take a comprehensive medical history, perform a physical exam, and may ask questions about your child’s urinary habits, fluid intake, and any recent life changes. In some cases, additional tests, such as a urinalysis or imaging studies, may be recommended to rule out underlying medical conditions.

Treatment for Bedwetting

Treatment for bedwetting varies depending on the individual child’s needs and the underlying cause. Some common approaches include:

Behavioral Strategies: These strategies may include limiting fluid intake in the evening and encouraging regular bathroom trips before bed.
Bedwetting Alarms: A bedwetting alarm is a device that sounds when it detects moisture, helping your child wake up and use the bathroom. Over time, this can train the brain to recognize the need to urinate during sleep.
Medication: In some cases, medication may be prescribed to reduce urine production at night or to help relax the bladder. Medications are typically used as a short-term solution.
Addressing Constipation: If constipation is a contributing factor, treating it can often help reduce or eliminate bedwetting. This may involve dietary changes, increased fluid intake, and the use of stool softeners or laxatives.
Counseling or Therapy: If emotional stress or anxiety is believed to be a trigger, counseling or therapy can be beneficial for both the child and the family.

Tips for Parents and Things to Remember

Managing a child’s bedwetting can be challenging, but it’s important to approach the situation with patience, understanding, and encouragement. Here are some tips for parents:

Stay Positive: Reassure your child that bedwetting is a common and temporary issue. Avoid punishment or negative comments, as these can increase stress and make the situation worse.
Use Protective Bedding: To make cleanup easier, consider using waterproof mattress covers or disposable bed pads.
Encourage Good Bathroom Habits: Remind your child to use the bathroom before bed and establish a consistent bedtime routine.
Monitor Fluid Intake: While it’s important for your child to stay hydrated, try to limit fluids in the evening, especially drinks that contain caffeine.
Be Patient: Remember that most children outgrow bedwetting on their own, and it’s rarely a cause for concern.

Moving Forward with Confidence

Bedwetting is a common and often temporary childhood condition. With the right support and guidance, most children overcome it successfully. If your child wets the bed and you’re concerned or seeking advice on how to treat bedwetting, the experienced pediatricians at Bootin and Savrick Pediatric Associates in Houston, Texas, are here to help.

Schedule an appointment today to discuss your child’s bedwetting and explore the best treatment options. We are committed to helping your child achieve better bladder control and a dry, restful night’s sleep.

Medically reviewed by Debra Bootin, MD

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