Bedwetting is a problem for many school age children and their families. The good news is that for many, the problem can usually be fixed through fairly simple treatment.
Bedwetting is very common.children between the ages of five and 15 who wet the bed regularly. At four years of age nearly one in three children wet the bed, but this falls to about one in 10 by age six, and one in 20 by age ten. This is shown in the following graph.
Written by Chummie Bedwetting Alarm. Posted in Bedwetting Blog, Bedwetting Children, Bedwetting Resources Support, Bedwetting Treatment, Parental Advice
Primary nocturnal enuresis commonly known as bedwetting is normal and impacts over 7 Million American children. If not addressed properly, enuresis can severely hamper a child’s self-esteem. Here are tips for effective enuresis treatment and enuresis solution that every bedwetting child’s parent should know.
Tips to help your child stop wetting the bed
Before you start, make it clear to your child you’re not cross, you’re just trying to help, and make sure you listen and get her on board with any new measures.
If you suspect that the bedwetting is stress-related – if there’s a change in family structure, you’ve moved home or your child is experiencing bullying, for example – try to work on this anxiety before you start on a new regime.
Staying dry and exercising control over the bladder (using her pelvic floor muscles) during the day might help – give her a timer or a watch with an alarm and see if you can prolong time between her toilet trips by 10 minutes each day.
Offer sips of drinks from about 4pm and nothing at all to drink one and a half hours before bedtime.
Try to avoid putting your child in pull-ups or a nappy it might help that they can feel when they’re wet at night time.
Make sure you have the right protective sheeting and lots of sheets and nightwear. Leave a low light on so your child can see her way to the toilet.
Once your child wets the bed, ask her to help you change herself and the bed sheets, remembering to stay sympathetic and gentle.
Some people use buzzers or alarms attached to night wear, which are triggered by moisture, so she can get up and go to the loo. The aim is to ‘re-programme’ the brain to alert her to wake before she has to wee.
Others say that once a child is old enough for sleepovers, there is an initial period of embarrassment as she inevitably wets the bed, but that overnight stays can act as a catalyst for retraining.
It may some take time to find a solution that works for your child, and you can bet that your child is finding it much more difficult than you are! Try to remain patient, don’t focus on the failures and seek support – there’s a thread on our forum if you want to share bedwetting stories now.
Tips for Effective Enuresis Treatment & Enuresis Solution
Behavioral bedwetting solutions
This type of solution is all about encouraging or conditioning your little one to stay dry at night. Even if it is developmental, positive encouragement increases your child's motivation and this can effectively impact self-esteem and development.
1. A simple thing you can do is limit the amount she drinks in the 1-2 hours before bedtime. Do not stress it by telling her "you will wet the bed if you drinks too much". Simply make sure she drinks enough during the day and don't make extra drinks part of the routine in the evening.
2. A very effective gentle method is to work with a reward chart. This is extremely useful with children aged 5-8. You can try it for a month or so. If it works, continue for another month if necessary. If you see no improvement after a month, it is better to let it rest, and then give it another try later on.
How? Make or print out a nice looking monthly calendar chart - download one for free from the sticker reward chart page. Each morning after a dry night, you praise enthusiastically and give him a cool/fun sticker.
No sticker after a wet night but also no reprimanding and not much paying attention to it (since you definitely want to avoid that it becomes a psychological fight).
3. Waking up. One of the solutions often seen as a bad idea, it is an option to wake your child after a few hours of sleep and take her to the bathroom - probably all sleepy and maybe not even waking up fully.
Why?! Although this will not help speed up the staying-dry ability, it can be a good trick to work on self-esteem. It is also helpful in specific situations like when staying at a hotel or with visitors around.
4. Bedwetting diapers are a good idea. Wearing a dry-night diaper takes a lot of pressure of both the child and yourself. They make a wet night less of an issue and are ideal to keep you both relaxed while awaiting the necessary physical development.
A special diaper is perfect to combine with the above solutions.
5. A bed wetting alarm wakes up your child when wetting herself at night. The idea is to condition her to wake up when she starts peeing.
Quite controversial but possibly successful, your doctor may advise this alarm in specific situations.
6. In very specific cases, you doctor may advise psychotherapy.
Children Bedwetting: Causes and Solutions
Until age 6 – 8, children bedwetting is no cause for alarm as it mostly resolves itself. Understanding causes, solutions and knowing when to seek medical advice helps you guide your child towards dry nights.
Bedwetting, or nocturnal enuresis, affects an estimated 4.2 million American adults, according to the National Association for Continence. Some adults have been wetting the bed since childhood (primary enuresis), while others develop the problem during adulthood (secondary enuresis). Bedwetting in adults is usually treatable and can be caused by a range of issues including: diabetes, physical injuries, medication, surgery, weak pelvic floor muscles, emotional stress, and genetics. If you are an adult bedwetter, here are several methods you can use to help achieve dry nights:
See a doctor. Many people who wet the bed at night are reluctant to talk to their doctor because they’re embarrassed. But by not seeking medical help, you won’t know the underlying cause, and therefore, won’t know how to effectively treat the problem.
Monitor your fluid intake. Try limiting your fluids a few hours before bed, but don’t completely restrict your intake because dehydration can irritate your bladder. Also, avoid drinking caffeinated and carbonated fluids at night.
Retrain your bladder by increasing your bladder’s capacity. Use the bathroom every hour throughout the day and resist the urge when you’re not scheduled to go. Gradually increase the time interval between bathroom breaks as you regain bladder control.
Completely empty your bladder before going to bed. Frequent urination during the day, especially due to an overactive bladder, can carry over into nighttime wetting in adults.
Stay dry using absorbent undergarments and bedding designed for nighttime protection. Disposable adult briefs and waterproof bed pads can reduce your worries of waking up to a wet bed.
Adult bedwetting is a frustrating medical condition that can take a toll on your emotional wellbeing. Online support groups can help you connect with others who experience and understand what you are going through. Take comfort in knowing that you are not alone and that there are bedwetting solutions to help you regain control of your bladder and your life.
Yes, it is still normal for a six year old to wet the bed.
No, medical treatment is usually not necessary.
Gentle guidance that avoids shame and guilt is crucial and most effective
Bed wetting, also called nocturnal enuresis, is a sleep disorder classified as a parasomnia.
It disturbs your child's sleep as he/she often awakes but doctors are almost sure it is not related to how he/se sleeps (even if we often think it's because they sleep too deeply).
Girls are usually dry by the age of six, and most boys by the age of seven. About 10% of all children still wet the bed at 7 years old, 5% at 10 years old.So on any primary school bus there will always be several kids who are not dry all night .Group of five children
As a parent guiding your boy or girl, your single main task is to avoid that he or she feels ashamed or guilty about it.
It's is a condition that he/she cannot help: it's a physical development that just has to happen, and happens later for some than for others. It can become psychological though by stigmatizing, and that's what you want to avoid.
Children bedwetting solutions
Because the exact cause is not always clear, there is not a single solution that guarantees results. But there are effective ways to guide and treat including behavioral guidance, medication and surgical treatments.
With any solution, it's most important not to make the kid feel ashamed and guilty. It is usually not a behavioral (ill will) or psychological problem but it can become one if the child is made to feel bad about it.
Children bedwetting causes
Scientists use the term primary bedwetting if there have not been a dry nights before. This is the most common case. Secondary bedwetting is when a boy or girl starts wetting the bed after having been dry for 6 months or more.
Primary bedwetting causes
Most researchers agree that an important cause of primary bedwetting is a delay in producing the vasopressin hormone in the kidneys. This hormone regulates urine production at night. Children bedwetting usually haven't fully developed this hormone-producing process. But they do develop it one day.
This shows so nicely how most bed wetting is not a behavioral thing, and how it simply resolves itself, in due time.
There are also other possible causes, one which may be genetic. That means a boy or girl whose parent(s) was dry at night relatively late, has a larger chance to have the same.
1% of children bedwetting, has an underlying medical cause (such as an infection or a structural issue). It is also one of the signs of sleep apnea; in combination with other symptoms like snoring and breathing difficulties, bedwetting can point towards apnea in children.
Secondary bedwetting causes
Sometimes, a child will suddenly wet the bed again after having been dry for a good while.
This has the typical example of starting to wet the bed again at the birth of a younger sibling, or when starting school: emotional stress is then a common cause. But in some cases, an infection or a structural physical problem can be responsible.
Extend Full Support
After encouraging your bedwetter child, you should also take action yourself. Make access to the toilet easier so that your bedwetting child can go use the toilet without hassle whenever they feel the urge. Install a night-light to ensure the room and toilet is well lit. Remove obstacles that can hamper the path towards the toilet.
Teach your Bedwetter Child Responsibility
While punishment and criticism does not work in preventing enuresis mishaps, there is nothing wrong in reminding your child to urinate before they go to sleep. It’s a way of teaching them to be responsible and is good for boosting self-confidence.
Control Fluid Intake at Night
The more fluids your child takes at night, the higher is the chance for an enuresis incidence. It is therefore advisable to keep track of their evening fluid intake. Make sure they drink enough fluid during the day and stop giving drinks 2 hours before bed time. Don’t give them caffeinated sodas. Caffeine is a strong diuretic and will stimulate urine production at night.
Avoid Giving Medication
There is no scientific evidence that medication treats enuresis. Aside from being expensive, enuresis medication may cause unwanted side effects. Tofranil, for instance, may cause mood swings, irritability, insomnia, and even convulsions in case of over-dosage. Please consult your doctor if you do decide to take bedwetting medications.
Take Advantage of Bedwetting Alarms
Behavioral experts have discovered that the best enuresis treatment and enuresis solution is a behavioral modification device like the Chummie bedwetting alarm. These devices help facilitate in imposing behavioral changes in the enuretic child that can eliminate bedwetting. Further, the Chummie bedwetting alarm is cost-effective as it eliminates the need to use expensive diapers.
So, there you have it: Tips on Effective Enuresis Treatment & Enuresis Solution you can use to address bedwetting problems. To learn more on bedwetting causes, enuresis treatment options, enuresis solution and what the Chummie bedwetting alarm can do for you visit the Chummie Enuresis Store.
Bladder problems. In some people with enuresis, too many muscle spasms can prevent the bladder from holding a normal amount of urine. Some teens and adults also have relatively small bladders that can't hold a large volume of urine.
Genetics. Teens with enuresis often have a parent who had the same problem at about the same age. Scientists have identified specific genes that cause enuresis.
Sleep problems. Some teens may sleep so deeply that they don't wake up when they need to pee
Medical conditions. Medical conditions that can trigger secondary enuresis include diabetes, constipation, and urinary tract infections. Spinal cord trauma, such as severe stretching of the spinal cord resulting from a fall, sports injury, auto accident, or other event may also play a role in enuresis, although this is rare.
Psychological problems. Some experts believe that stress can be associated with enuresis. It's not uncommon to feel stressed out during the teenage years, and things such as divorce, the death of a friend or family member, a move to a new town and adapting to a new school and social environment, or family tension can all feel overwhelming.
How Is It Treated?
Doctors can do several things to treat bedwetting, depending on what's causing it. If an illness is responsible, which is not very common, it will be treated. If the history and physical examination do not suggest a specific medical problem and the urine tests are negative, several behavioral approaches can be used for treatment:
Manage what you eat and drink before bed. People with nocturnal enuresis can take some basic steps to prevent an overly full bladder by decreasing the amount of fluids they drink before going to bed. You can reduce the chances that you'll wet the bed by going to the toilet just before bedtime.
It may help to avoid eating certain foods in the evening: Foods that can irritate the bladder include coffee, tea, chocolate, and sodas or other carbonated beverages containing caffeine.
Imagine yourself dry. Using a technique called positive imagery, where you think about waking up dry before you go to sleep, can help some people stop bedwetting. Some people find that rewarding themselves for waking up dry also works.
Use bedwetting alarms. Doctors and nurses sometimes prescribe bedwetting alarms to treat teens with enuresis. According to the National Kidney Foundation, 50% to 70% of cases of enuresis respond to treatment with these moisture alarms. With these alarms, a bell or buzzer goes off when a person begins to wet the bed. Then, you can quickly turn the alarm off, go to the toilet, and go back to sleep without wetting the bed too much. Don't get discouraged if the alarm doesn't help you stop wetting the bed immediately, though. It can take many weeks for the body to unlearn something it's been doing for years. Eventually, you can train yourself to get up before the alarm goes off or to hold your urine until morning.
People who sleep very deeply may need to rely on a parent or other family member to wake them up if they don't hear the alarm. The key to bedwetting alarms is waking up quickly.the sooner a person wakes up, the more effective the behavior modification for telling the brain to wake up or send the bladder signals to hold the urine until the morning.
Sometimes doctors treat enuresis with medication although this is not usually the first course of action because no medication has been proved to cure bedwetting permanently, and the problem usually returns when the medication is stopped. Doctors sometimes prescribe a manmade form of ADH to decrease urine buildup during the night. Other medications relax the bladder, allowing it to hold more urine.
If you're worried about enuresis, the best thing to do is talk to your doctor for ideas on how to cope with it. Your mom or dad can also give you tips on how to cope, especially if he or she had the problem during adolescence.
The good news is that it's likely that bedwetting will go away on its own. In fact, 15 out of 100 kids who wet the bed will stop every year without any treatment at all.
Focus on the problem:
Bdwetting. Avoid blaming or punishing your child. Remember, your child cannot control the bedwetting, and blaming and punishing just make the problem worse.
Be patient and supportive. Reassure and encourage your child often. Do not make an issue out of bedwetting each time it happens. If you or your spouse wet the bed as a kid, remind your child that mommy or daddy had the same issue and eventually outgrew it.
Enforce a "no teasing" rule in the family. No one is allowed to tease the child about the bedwetting, including those outside the immediate family. Do not discuss the bedwetting in front of other family members.
Encourage responsibility. Help your child understand that the responsibility for being dry is his or hers and not that of the parents. Reassure your child that you want to help him or her overcome the problem. In addition, have your child help in the clean-up process.
Make clean-up easy. To increase comfort and reduce damage, use washable absorbent sheets, layer sheets among waterproof bed covers, and use room deodorizers.
Reduce evening fluid intake. Do not give your child anything to drink in the two hours before bedtime, especially drinks such as tea or sodas that contain caffeine.
Have your child go to the bathroom before getting into bed.
Set a goal for your child of getting up at night to use the toilet. Instead of focusing on making it through the night dry, help your child understand that it is more important to wake up every night to use the toilet.
Make sure the child has easy access to the toilet. Clear the path from his or her bed to the toilet and install night-lights. Provide a portable toilet if necessary.
Reward your child for remaining dry. A system of sticker charts and rewards works for some children. The child gets a sticker on the chart for every night of remaining dry. A certain number of stickers earn a reward.
Consider using diapers or pull-ups at night. Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. Others argue that pull-ups help the child feel more independent and confident. Talk to your child's doctor to determine what is best for your child.
Monitor your child’s bowel movements. Constipation can interfere with the complete and efficient emptying of the bladder. Talk to your pediatrician if your child has troubles with constipation.