The child wakes up and finds the bed wet from urine.
When Should I Call My Doctor?
Most children will have bladder control at night by about 5 years of age. Talk to your doctor if your child is about 5 years old and is still wetting the bed. Your doctor can help determine if the bed-wetting is just a normal part of your child's development or is caused by a condition that may need treatment.
Most children will stop bed-wetting by the time they reach puberty. However, bed-wetting can remain a problem for up to 1% of adults.
Most treatment aims to gradually reduce the number of bed-wettings until the child grows out of it. Treatment is rarely appropriate before age 6.
If your child's bed-wetting is caused by an infection or physical abnormality, a treatment plan will be created for that issue. Since this is uncommon, most children may be treated with one or more of these ways:
Motivation and Family Support
Bed-wetting is rarely an intentional act. Children are usually upset and ashamed when it happens. Do not punish the child. It is important that parents offer encouragement. The bed-wetting will stop with time. Do not let siblings tease the child who wets the bed.
Keep careful records of the child's progress. Offer consistent support. A simple motivational method is the use of positive feedback, such as a star chart.
Avoid giving the child anything to drink after 6:00-7:00 PM in the evening. Have your child urinate before going to bed. Sugar and caffeine should also be avoided after late afternoon.
A conditioning device may be recommended. One example is a pad with a buzzer that sounds when wet. The pad is worn in the child's underwear. The alarm will wake the child up to use the toilet. Parents may need to help the child get to the bathroom and reset the alarm.
Dry bed training is another type of therapy. With this training, you follow a schedule where you wake your child up during the night to use the bathroom.
Some doctors suggest bladder-stretching exercises. While awake, the child gradually increases the amount of time between urinations. Do not try this method without talking to the doctor. Holding in urine can lead to daytime wetting and urinary tract infections.
Excess intake of fluid is rarely the cause of bed-wetting. Restricting fluids prior to bed does not help all the time. Still, it is reasonable to have all children empty their bladders prior to bed. Some parents wake their children every few hours to urinate.
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