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How Long Does Bedwetting Treatment Really Take?
How Long Does Bedwetting Treatment Really Take?
Almost every parent who calls my clinic eventually asks the same question, usually about two minutes into the conversation. How long is this actually going to take? I understand the... Read more...
Teenage Bedwetting: Surviving the Awkward Years
Teenage Bedwetting: Surviving the Awkward Years
A father called my clinic last month, his voice low so his son would not hear. His fourteen year old was still wetting the bed almost every night, and a... Read more...
A pediatrician calmly explaining bedwetting and constipation to a mother and her young son in a sunlit consultation room
When Constipation and Bedwetting Happen Together
Whenever I give a talk about bedwetting, somebody in the audience raises a hand and asks about constipation. It is one of the most common questions parents bring to my... Read more...
Summer Sleepovers and Bedwetting: A Parent’s Guide to Confidence and Comfort
Summer Sleepovers and Bedwetting: A Parent’s Guide to Confidence and Comfort
Summer is a time of adventure, late bedtimes, and childhood memories in the making. But for families navigating bedwetting, it can also bring a unique set of challenges, especially when... Read more...
Hot Weather and Bedwetting in Children: What You Should Know
Hot Weather and Bedwetting in Children: What You Should Know
As summer arrives, many families find themselves adjusting to new routines, higher temperatures, and different sleep schedules. If your child struggles with bedwetting, you might notice changes during hot weather... Read more...
Springtime and Bedwetting in Children: What’s the Connection?
Springtime and Bedwetting in Children: What’s the Connection?
Spring brings with it a sense of renewal — longer days, warmer air, and the vibrant return of green. For many families, it’s a time to shake off the quiet... Read more...
Understanding Restraint Mechanisms and Bedwetting in Children
Understanding Restraint Mechanisms and Bedwetting in Children
Bedwetting, also known as nocturnal enuresis, is a common concern among children, particularly those under the age of seven. While it can be distressing for both children and their families,... Read more...
bedwetting therapy alarm
Giggling and Bedwetting: Why Laughter Sometimes Leads to Leaks
For many children, laughter is pure joy—but for some, a hearty giggle can result in an unexpected bedwetting episode. This phenomenon, sometimes called “giggle incontinence,” is surprisingly common and often... Read more...
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Cold Weather and Bedwetting
As temperatures drop and the chilly months of winter set in, many parents notice an increase in bedwetting incidents among children. While bedwetting (or nocturnal enuresis) is a common issue... Read more...
Understanding Bedwetting and Stress in Children
Understanding Bedwetting and Stress in Children
Bedwetting, or nocturnal enuresis, is a common issue affecting many children, but its connection to stress is often overlooked. While it’s typically seen as a developmental phase, stress can significantly... Read more...
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Navigating Bedwetting Treatment with Divorced Parents
Bedwetting, also known as nocturnal enuresis, is a common childhood issue that can persist into adolescence and even adulthood. It can be a source of stress and embarrassment for both... Read more...
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Vacations and sleeping habits
Vacations are a time for families to escape the daily grind, explore new destinations, and create lasting memories together. However, amidst the excitement of travel, parents often worry about how... Read more...
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Bedwetting During Transition Seasons
As families welcome the changing seasons, from the bloom of spring to the chill of autumn, they also navigate various health and wellness challenges. One lesser-discussed issue that can perplex... Read more...
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ADHD and Bedwetting
Attention Deficit Hyperactivity Disorder (ADHD) is recognized for its core symptoms of inattention, hyperactivity, and impulsivity. While these symptoms predominantly affect cognitive functions and behavior, ADHD’s impact can extend to... Read more...
Balancing Bedwetting Alarms and Sibling Sleep
Balancing Bedwetting Alarms and Sibling Sleep
Dealing with bedwetting in children can be a complex task, especially when it involves using a bedwetting alarm in a room shared with a sibling. While these alarms are effective... Read more...
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Bedwetting During Wintertime
Bedwetting, or nocturnal enuresis, can pose unique challenges during wintertime. The colder temperatures and darker mornings can make it more difficult for children to get out of bed to use... Read more...
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Should my child wear diapers?
Few questions cause parents more anxiety than this one. The short answer is that it depends on your child's age, on the stage of treatment you're in, and on the... Read more...
food and bedwetting - bedwetting therapee
Can certain foods cause bedwetting?
Certain foods and beverages can potentially contribute to bedwetting, especially in children who are more susceptible to these effects. However, it’s important to note that individual reactions can vary, and... Read more...
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Bedwetting and sleepovers
When considering whether to allow a bedwetting child to sleep away from home, parents need to take several factors into account. These include the child’s age, frequency of accidents during... Read more...
day dribbling - bedwetting therapee
Day dribbling in children
Dribbling urine during the day, also known as daytime urinary incontinence, can have various causes in children. Here are some common factors that may contribute to this condition: Immature bladder... Read more...
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Is there a connection between bedwetting and ADHD?
There is some evidence to suggest a connection between bedwetting (nocturnal enuresis) and attention deficit hyperactivity disorder (ADHD), although the relationship between the two conditions is complex and not fully... Read more...
genetics therapee - bedwetting therapee
Can genetics influence bedwetting?
Bedwetting, also known as nocturnal enuresis, can be influenced by a combination of genetic and environmental factors. Studies have shown that bedwetting tends to run in families and that there... Read more...
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Can food allergies cause bedwetting?
Food allergies can sometimes cause bedwetting in children, although it is not a common symptom. Bedwetting, or nocturnal enuresis, is usually caused by developmental delays in bladder control, such as... Read more...
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What is the role of the parents in bedwetting alarm treatment?
Bedwetting alarm treatment is a common approach for managing bedwetting in children. The treatment involves the use of an alarm device that sounds when the child wets the bed, which... Read more...
The ABC’s of Bedwetting: Z
The complete bedwetting dictionary: Z 📚📚📚 ☀️ Zzz, Deep Sleep and Bedwetting If there is one factor that defines the typical bedwetting child, it is the depth of their sleep. Parents almost always describe the same picture. A child who sleeps "like the dead", who is impossible to wake at night, who can be carried from the bed to the bathroom without ever opening their eyes. This is not an accident. It is the heart of the issue. The mechanism that should wake a child to recognise a full bladder... Read more...
The ABC’s of Bedwetting: Y
The complete bedwetting dictionary: Y 📚📚📚 ☀️ Young Age and Bedwetting Bedwetting is normal at a young age. A child of three or four who still wets the bed is not "behind". They are within the normal range of development. The mechanism that wakes a sleeping brain to recognise a full bladder typically matures somewhere between ages four and seven, and there is wide individual variation. Most paediatricians do not consider bedwetting a clinical concern until age five. This is one reason I generally do not recommend formal bedwetting treatment... Read more...
high acidity urine bedwetting - bedwetting therapee
What is the meaning of high acidity in the urine?
The term “high acidity” in urine refers to the pH level of urine, which is a measure of how acidic or alkaline it is. The pH scale ranges from 0... Read more...
The ABC’s of Bedwetting: X
The complete bedwetting dictionary: X 📚📚📚 ☀️ X-Rays and Imaging Tests Parents sometimes ask whether their bedwetting child needs an X-ray, ultrasound, or other imaging test. In the great majority of cases (perhaps 95%) the answer is no. Bedwetting in otherwise healthy children is a developmental issue with no underlying anatomical abnormality, and routine imaging adds expense and stress without providing useful information. Imaging may be warranted in a small minority of cases: when there are signs of a urinary tract infection, daytime symptoms (such as severe urge syndrome or... Read more...
adult bedwetting therapee
Do adults experience bedwetting?
While bedwetting (also known as nocturnal enuresis) is more common in children, it is possible for some adults to experience it as well. In fact, bedwetting affects an estimated 1-2%... Read more...
The ABC’s of Bedwetting: V
The complete bedwetting dictionary: V 📚📚📚 ☀️ Vasopressin Vasopressin, also called antidiuretic hormone or ADH, is the body's signal to the kidneys to produce less urine. In a healthy person, vasopressin levels rise during sleep, telling the kidneys to slow urine production through the night. This is why most adults can sleep eight or nine hours without needing the toilet. In some children with bedwetting, the night-time rise in vasopressin is reduced or absent. The kidneys continue to produce daytime quantities of urine, the bladder fills before the brain has... Read more...
bladder control
What is the relation between age and bladder control?
Bladder control is closely related to age, particularly in children who are still developing their bladder function. As children grow and mature, their bladder capacity increases and their ability to... Read more...
The ABC’s of Bedwetting: U
The complete bedwetting dictionary: U 📚📚📚 ☀️ Urge Syndrome "Urge syndrome" describes a particular pattern. The child experiences sudden, intense urges to urinate during the day, often with little warning. These urges may be so urgent that the child cannot reach the bathroom in time, leading to daytime accidents. Urge syndrome can occur alongside nighttime bedwetting or on its own. The mechanism is an overactive bladder. The bladder muscle contracts involuntarily, creating the sensation of urgency long before the bladder is actually full. Many children with urge syndrome have a... Read more...
The ABC’s of Bedwetting: Q
The complete bedwetting dictionary: Q 📚📚📚 ☀️ Quality of Life Bedwetting affects far more than the bedsheet. Children who wet the bed live with the constant awareness of a secret they must keep, from teachers, friends, and future sleepover hosts. By the teenage years, the social cost has often grown into avoidance of dating, of overnight school trips, of summer jobs that involve sleeping at a workplace. Adults who never received treatment as children report similar avoidance long into their relationships and careers. For the family, quality of life is... Read more...
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When to seek bedwetting treatment?
Bedwetting is a common issue that many children and even some adults experience. While it is often a natural part of a child’s development, there are certain circumstances when it... Read more...
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What is the connection between bedwetting and sleepwalking?
Bedwetting and sleepwalking are both types of parasomnias, which are abnormal behaviors or experiences that occur during sleep. While they are two distinct phenomena, they can be connected in some... Read more...
The ABC’s of Bedwetting: P
The complete bedwetting dictionary: P 📚📚📚 ☀️ Psychology of Bedwetting For decades, bedwetting was wrongly considered a psychological problem: a sign of emotional disturbance, anxiety, or parental conflict. We now know better. The great majority of cases are physiological, not psychological. The brain has simply not yet learned to recognise a full bladder during sleep. That said, psychology does play a role, but mostly in the opposite direction. The psychological cost of bedwetting on the child is real. By age 7 or 8, children with bedwetting routinely experience embarrassment, social... Read more...
The ABC’s of Bedwetting: O
The complete bedwetting dictionary: O 📚📚📚 ☀️ Overprotective Parents In thirty years of treating bedwetting, I have noticed a recurring pattern. Well-meaning parents, in their desire to protect their child from embarrassment or discomfort, unintentionally prolong the bedwetting itself. The most common form of overprotection is to keep an older child in pull-ups long past the point where they would benefit. Another is to wake the child during the night and walk them to the bathroom, a habit that interrupts the very learning the brain needs to do. A third... Read more...
foods and bedwetting
Do certain foods cause bedwetting?
There is no conclusive evidence that suggests that certain foods cause bedwetting. However, some foods and beverages can act as diuretics, meaning they increase urine production and the need to... Read more...
The ABC’s of Bedwetting: M
The complete bedwetting dictionary: M 📚📚📚 ☀️ Medications and Bedwetting The most commonly prescribed medication for bedwetting is DDAVP (desmopressin), known in some countries by the brand name Minirin. DDAVP is a synthetic version of vasopressin, the hormone that signals the kidneys to produce less urine. By giving the child this hormone at bedtime, urine production drops and the bladder is less likely to overflow during sleep. DDAVP can be useful in specific situations, most notably for occasional dry nights at sleepovers or camp. However, it has serious limitations as... Read more...
Do boys suffer from bedwetting more than girls?
Yes, it is more common for boys to experience bedwetting (also known as nocturnal enuresis) than girls. Studies have shown that bedwetting affects approximately 15-20% of 5-year-olds, 10% of 7-year-olds, and 5% of 10-year-olds. Among these children, boys are more likely to be affected than girls, with some studies suggesting that boys are twice as… Read more...
How stressful is bedwetting for children?
Bedwetting can be a stressful and embarrassing experience for children. It can impact their self-esteem and self-confidence, leading to feelings of shame and isolation. Children who wet the bed may feel different from their peers and worry about being teased or bullied. In some cases, bedwetting can also limit their social activities, such as sleepovers… Read more...
The ABC’s of Bedwetting: L
The complete bedwetting dictionary: L 📚📚📚 ☀️ Learning Process Behavioural bedwetting treatment is fundamentally a learning process. The bedwetting alarm does not "stop" bedwetting the way a medication might suppress it. Instead, it teaches the child's brain to make a connection it has not yet made on its own: between the feeling of a full bladder during sleep and the action of waking up. The first nights with the alarm are usually difficult. The child does not wake to the sound, and the parent has to help. After a week... Read more...
What is the connection between bedwetting and the child’s bladder?
Bedwetting, also known as nocturnal enuresis, is a condition where a child involuntarily releases urine during sleep. The connection between bedwetting and the child’s bladder lies in the bladder’s ability to store and release urine. In children with bedwetting, the bladder may not be able to hold enough urine overnight, or the child may not… Read more...
The ABC’s of Bedwetting: K
The complete bedwetting dictionary: K 📚📚📚 ☀️ Kidneys and Urine Production The kidneys play a quiet but critical role in the story of bedwetting. As blood passes through them, they filter waste and excess water and produce urine. The urine is then carried down two tubes called ureters to be stored in the bladder until it is released through the urethra. What matters for bedwetting is not how the kidneys work, since they work normally in almost every bedwetting child, but how much urine they produce overnight. In adults and... Read more...
Bedwetting and deep sleep
What is deep sleep? Deep sleep is a stage of sleep characterized by slow brain waves and high activity in the brain stem, which controls basic life-sustaining functions like breathing and heart rate. It is an important stage of sleep as it helps with physical recovery and rejuvenation, as well as learning and memory consolidation…. Read more...
The ABC’s of Bedwetting: J
The complete bedwetting dictionary: J 📚📚📚 ☀️ Juvenile Enuresis "Juvenile enuresis" is the medical term used to describe bedwetting in children and adolescents. The word "enuresis" comes from the Greek "en-ouresis", meaning "to urinate within". When the involuntary release happens during sleep, it is called "nocturnal enuresis". Juvenile enuresis is much more common than parents realise. At age 5, about 15% of children still wet the bed regularly. By age 10, the figure is still around 5%. By the teenage years, perhaps 1 to 2% of children continue to have... Read more...
Does bedwetting run in the family?
Bedwetting can be caused by a variety of factors, including physical, psychological, and environmental. Physically, bedwetting can be caused by an overproduction of urine at night, a small bladder capacity, or a delay in the development of the nervous system. Psychological causes can include stress, anxiety, or emotional trauma. Environmental factors such as changes in… Read more...
The ABC’s of Bedwetting: I
The complete bedwetting dictionary: I 📚📚📚 ☀️ Idiopathic Enuresis When doctors describe bedwetting as "idiopathic", they are saying something specific. There is no identifiable underlying medical cause. The kidneys work normally. The bladder works normally. There is no anatomical defect, no infection, no neurological problem. And yet the child wets the bed. For most children with bedwetting, this is the correct diagnosis. The vast majority of cases, perhaps 95%, are idiopathic. The frustration that parents feel ("if nothing is wrong, why is it happening?") is understandable, but the answer is... Read more...
The ABC’s of Bedwetting: W
The complete bedwetting dictionary: W Wetting while giggling (Giggle Incontinence): The term ‘giggle incontinence’ refers to the sudden urination that occurs during waking hours when one is giggling or laughing. The phenomenon occurs as a result of a hard physical laugh. During its most extreme condition, urine is released only after the bladder has been… Read more...
The ABC’s of Bedwetting: T
The complete bedwetting dictionary: T ‘The Critical Period’ for outgrowing bedwetting: There is a very small likelihood that medical issues will be the primary cause of bedwetting, which affects only 1% of bedwetters. There may, however, be an indirect connection. Most children will outgrow bedwetting spontaneously between the ages of 2-4; this period is known… Read more...