Bedwetting in Children: Causes, Treatments, and When to See a Doctor

Bedwetting, also known as nocturnal enuresis, is a common issue among children, even those who have been toilet trained. While it can be frustrating for both parents and children, it's important to understand that bedwetting is usually not a serious condition and most children will outgrow it with time.

Types of Bedwetting

There are two main types of bedwetting:

• Primary bedwetting: This type of bedwetting has been ongoing since early childhood without a significant break.

• Secondary bedwetting: This type of bedwetting starts after the child has been dry at night for at least 6 months.

Causes of Bedwetting

Primary bedwetting is often due to one or a combination of the following factors:

• The child's bladder is not yet developed enough to hold urine for the entire night.

• The child does not wake up when their bladder is full.

• The child produces a large amount of urine during the evening and night hours.

• The child has poor daytime toilet habits, such as ignoring the urge to urinate.

Secondary bedwetting can be a sign of an underlying medical or emotional problem, such as:

• Urinary tract infection

• Diabetes

• Structural or anatomical abnormality

• Sleep apnea

• Neurological problems

• Emotional problems, such as stress or abuse

Bedwetting and Other Conditions

Children with attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) may be more likely to experience bedwetting. Experts are still researching the reasons behind these links, but it's important to be aware of the potential connection.

Is Bedwetting Inherited?

Bedwetting tends to run in families. If a parent wet the bed as a child, their child is more likely to do the same. Most children who inherit bedwetting will stop around the same age their parent did.

Managing Bedwetting at Home

There are several steps you can take at home to help your child stop wetting the bed:

• Avoid blaming or shaming your child, as bedwetting is not their fault.

• Encourage your child to use the bathroom before bedtime and during the night.

• Limit fluid intake before bedtime, especially drinks containing caffeine.

• Use waterproof mattress covers and pads to protect the bed.

• Consider using a bedwetting alarm, which can help train your child's body to wake up when their bladder is full.

When to See a Doctor

If your child is still wetting the bed between ages 6 and 7, or if bedwetting is accompanied by other symptoms such as frequent urination or a burning sensation when peeing, it's important to consult with your pediatrician. They can help determine if there is an underlying medical condition causing the bedwetting and recommend appropriate treatment options.

Remember, bedwetting is a common issue that most children will outgrow with time and patience. By providing support and understanding, you can help your child navigate this challenging phase and maintain a positive self-image.

For more information on bedwetting and its management, visit The National Association for Continence.