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Bedwetting Tips
Bedwetting (or nocturnal enuresis or sleepwetting) is involuntaryurination while asleep.Most
children outgrow it between the ages of 6 and 10. In most cases, bed-wettingis not a disease but rather a normal variation in development. A childwho has been dry for several months or longer may start to wet thebed again. This can happen without a clear cause or may be causedby a urinary tract infection or emotional problem.
Last Updated -21st December 2005
Primary enuresis is when the child has never been dry at night orwould not sleep dry without being taken to the toilet by another personor has some dry nights but continues to average at least two wet nightsa week with no long periods of dryness. Secondary enuresis occurswhen a child goes through an extended period of dryness and beginsto experience night-time wetting again. Secondary enuresis is oftencaused by emotional stress.
Children usually achieve nighttime dryness by developing one or bothof two abilities. There appear to be some hereditary factors in howand when these develop.
- One is a hormone cycle in which a minute burst ofan antidiuretic hormone happens daily at about sunset reducing kidneyoutput of urine well into the night so the bladder doesn't get fulluntil morning. This hormone cycle is not present at birth. Manychildren develop it between the ages of two and six, others betweensix and the end of puberty, and some not at all.
- The other is the ability to awaken before sleepwetting.For some children this is a natural extension of learning to beaware of and control their bladders while awake. For others, a varietyof factors suppress or disrupt this awareness when asleep, and theyare unlikely to develop it. Taking children to use the toilet whilenot fully awake can prolong dependence on that by encouraging themto urinate while nearly asleep.
Treatment
- One prescription drug used to treat bedwetting withmuch success in older individuals is Imipramine, which is also avery mild antidepressant sometimes used to treat ADD/ADHD.
- Another medication, DDAVP, is a synthetic replacementfor the missing burst of antidiuretic hormone. Whether used dailyor occasionally, DDAVP simply replaces the hormone for that nightwith no cumulative effect.
- Some psychologists and experts recommend the useof night-time training devices such as a bedwetting alarm to helpcondition the child first to wake up at the sensation of moistureand then at the sensation of a full bladder. Success with alarmsis increased and relapses reduced when combined in programs whichmay include bladder muscle exercises, dietary changes, mental imagery,stress reduction, and other supportive activities.
Home Treatment
- Do not punish, embarrass or blame your child.
- Have your child empty his or her bladder beforegoing to bed.
- Remind your child to get up during the night tourinate. You may provide a bedside potty chair and night light.
- Do not force your child to wear diapers at night.Try waterproof or extra-absorbent underwear instead.
- A thick pad or a vinyl mattress cover will protectthe mattress.
- Encourage your child to take responsibility forchanging his or her clothing after wetting.
- Wash underwear and bedding with 1/2 cup vinegarto elimate odor.
When To Call a Physician
- If bed-wetting occurs in a child older than 6 yearsof age and home treatment is not successful after 4 weeks.
- If bed-wetting becomes more frequent or severe despitehome treatment.
- If bed-wetting occurs in a child who had previouslybeen dry for several months.
- If a child over age 4 is having accidental wettingsand stool leakage.
- If a child over age 3 has daytime bladder controlproblems after having been toilet-trained.
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Disclaimer: The Bedwetting Tips / Informationpresented and opinions expressed herein are those of the authors anddo not necessarily represent the views of TipsAndTreats.com and/orits partners.
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