Most children between the ages of 2 and 4 are potty-trained, but some still wet the bed at night even after the age of 5. Bedwetting is not a serious condition, but it can be a challenge for many families. One of the common reasons for why bedwetting happens in older children is a communication issue between the brain and the bladder. When the bladder signals to the brain that it is filled with urine and the brain doesn’t send a response to the bladder to hold the urine until morning, bedwetting occurs.
Sometimes there is a delay in the development of the bladder or kidney during nighttime that causes bedwetting. There may be less space in the bladder at night or the kidney might make more urine at night. Other common reasons for bedwetting are stress or trauma and medical problems that a child might have. Some children might be more at risk for bedwetting due to genetics, a deep sleep pattern or poor sleep quality (common during the adolescent years or puberty), obstructive sleep apnea or snoring, constipation, bladder or kidney disease, neurologic disease, diabetes, ADHD, or taking certain medications.
For young children who are wetting the bed, you can continue potty-training them until they grow out of this. They may still have occasional bedwetting accidents after being trained, but these are usually of no concern. If it happens frequently, however, you may want to look into the issue more closely. One solution that could help is to set a bedwetting alarm during the night for your child to wake up to use the bathroom. There are also certain medicines that can help, but we recommend talking to the pediatrician before using any of them.
Another important tip to follow is to limit your child’s intake of food and drinks with caffeine or sugar in the evening. Salty snacks in particular should be avoided close to bedtime. Going to the bathroom within 2 hours of bedtime and regularly throughout the day can help. If your child is attending a sleepover or an overnight camp, you may want to consider providing them with disposable underwear with boxer shorts.
Bedwetting can affect your child’s emotional well-being and self-esteem, and cause them to feel too embarrassed to have sleepovers or struggle with staying focused in school. It is therefore important to stay positive and patient during the process. If one treatment isn’t working, do not give up. It often takes a combination of different methods and it can also take some time to resolve the problem. Never blame your child or punish them for bedwetting as it is not their fault. Make sure to remain sensitive to their feelings and remind them that they will outgrow this. It’s also important to not allow teasing from anyone in the family, including your other children.
If bedwetting is an ongoing problem in your home, you can schedule an appointment with the pediatrician who will take a complete medical history and inquire about urinary symptoms your child might have. These include the urge to urinate frequently or pain during urination. Your pediatrician will also want to gather information about your child’s sleep pattern, how often they have bowel movement, and any potential stressful events in your child’s life. A urine test along with a complete physical exam is often performed.
For help and guidance with bedwetting and finding the right solutions, please call our office.
