Evaluating daytime accidental wetting
If you take
your child to the doctor for help with the child's accidental wetting, a
medical history and physical exam will be done to discover if the wetting is a
symptom of a medical condition. The doctor will ask you and your child
questions about the wetting, such as when and how often it happens. As part of
the physical exam, the doctor will examine the child's abdomen, rectum, spine,
and genital area and may watch the child urinate. Depending on the results of
the physical exam, the doctor may do other tests, such as:
If a child has both daytime and nighttime
accidental wetting, the doctor may treat daytime wetting first, because children
normally gain daytime control over their bladders sooner than nighttime
control. Accidental daytime or nighttime wetting may increase after treatment
If daytime wetting is caused by a medical condition,
you can have treatment for the medical problem and the daytime wetting will
Treatment for daytime wetting that is not caused by another
medical condition may include:
- Medicine. Oxybutynin (such as Ditropan or Oxytrol) may be
used to treat daytime wetting in children and adults. It
helps control the bladder muscle that releases urine.
- Surgery. If the child has daytime wetting that is
caused by birth defects within the urinary system, surgery to correct the
defect may be needed. But sometimes the surgery does not make the accidental
- Counseling. Sessions with a counselor may be
helpful for the child who has accidental wetting that is caused by emotional
stress. Counseling may involve psychotherapy or hypnosis (hypnotherapy). The
goal is to reduce or help manage the stress or to prevent stress.
treatment may be all that is needed to improve daytime accidental wetting,
especially if the wetting is not due to any medical condition or stress. Try
- Encourage your child to go to the bathroom
whenever the urge happens.
- Reward your child for being dry. You may
use hugs, stickers, or special treats as rewards.
- Don't make
your child wear a diaper. Wearing a diaper may make him or her feel babyish.
Also, it may be hard for a child to get the diaper off when using the toilet.
Wearing disposable underwear, such as Pull-Ups, may be helpful. But it may also make
the problem last longer, because the child may have less motivation to learn
If your child delays going to the bathroom and holds on to
urine until he or she loses control and wets, try the following:
- Encourage your child to use the toilet when you
notice signs that he or she may need to go, such as squatting, squirming,
crossing the legs, or standing very still.
- Offer more liquids to
drink. Drinking more liquids will increase the amount of urine in the bladder,
causing your child to need to go to the bathroom more often.
your child go to the bathroom every hour during the day.
your child to take extra time on the toilet so that he or she will be more
likely to empty the bladder.