Coping With Bedwetting: Your Step-by-Step Guide
What Causes Bedwetting?
Many things can cause bedwetting. It could be slower development of bladder control or heavy sleep. There may be hormonal factors. Stress and anxiety can be a cause. A child who's been dry and suddenly starts wetting the bed may have an infection, or something such as a move may be bothering her.
Let Your Child Help Find Solutions
If she's 4 or older, ask for her help. What might help her stop wetting the bed? Brainstorm together. Drinking less in the evening and cutting back on caffeinated soda may be worth trying. You can also offer options like disposable underwear or waterproof sheets. By keeping it positive and involving her you'll help build her confidence and encourage good bedtime habits.
Praise and Reward for Staying Dry
When your child has a dry night, praise her for it. Some families mark wet days and dry days on a calendar. Stickers or stars can make it fun. If your child stays dry a number of nights in a row, offer a small reward like a fun breakfast or small book. If she wets, be supportive and remind her that by keeping up her efforts results will come.
Does Waking During the Night Help?
Resist the urge to wake your child repeatedly during the night. If you use this approach, waking once a night should be enough, perhaps right before you go to bed yourself. Keep in mind that if you deprive your child of rest and sleep, you may increase his level of stress. Stress can be a bedwetting trigger.
Involve Your Child in Cleaning Up
When he wets the bed, he can put his PJs in the hamper or help you change the sheets. Make sure he understands it's not a punishment, just part of what has to be done. The idea is to make him more aware of his bedwetting without scolding him or making him feel ashamed.
Easing Sleepover Stress
If your child is nervous about sleepovers, remind her of the steps she uses to stay dry at home. Providing her with disposable underwear and extra clothes in case of an accident may help relieve anxiety. A sleeping bag with waterproof lining may also help.
Some medications (desmopressin, imipramine, or desipramine) may be helpful for short-term use on special occasions when your older child wants to stay dry, such as at camp or sleepovers.
Beforehand, notify the adult host that your child may have some worries about bedwetting. Discuss your child's plans for coping so everyone feels prepared.
Be Patient About Bedwetting
Scolding or losing your temper won't make your child stop wetting the bed. Don't bring up bedwetting in front of others in an attempt to shame her. Embarrassing her in hopes it'll make her stop will increase her stress and anxiety. Meanwhile, remember that bedwetting eventually does stop. Try practicing patience and providing support while you wait.
Dealing With Teasing in the Home
Bedwetting can make your child an easy target for teasing. To help him cope, make your home safe for him. Don't allow anyone in your family to tease about it. Explain to siblings that bedwetting is something their brother doesn't have control over and that he needs everybody's love and support.
Bullying at School About Bedwetting
Avoiding other children or coming home with unexplained injuries are signs your child may be being bullied. Listen to what your child says. Talk with her and let her know that you know it's not her fault. Then talk with people at the school and ask what they've seen. Be proactive and work with the school to find ways to make the teasing stop.
Reviewed by Kathy Empen, MD on August 17, 2011
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REFERENCES:
American Academy of Child & Adolescent Psychiatry: "Bedwetting."
KidsHealth: "Bedwetting."
National Kidney Foundation: "Bed-wetting: Information for Parents," “Medications to Treat Bed-wetting.”
FamilyDoctor.org: "Enuresis (Bed-Wetting)."
National Kidney and Urologic Disease Information Clearing House: "What I Need to Know About My Child's Bedwetting."
American Academy of Child & Adolescent Psychiatry: "Bedwetting."
A Child Grows in Brooklyn: "Cleaning Urine From Mattresses."
Ohio State University, Family and Consumer Sciences: "Quick 'n Easy Stain Removal."
Fort Valley State University, Cooperative Extension Program: "Removing Urine Stains from Carpets and Upholstery."
National Kidney Foundation: "Questions Kids Ask."
Canwest Global Communications, Canada.com: "Bedwetting: Back to School: Dealing With Teasing."
This tool does not provide medical advice. See additional information:
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
© 2011 WebMD, LLC. All rights reserved.
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