KIDS AND BEDWETTING
Monday, March 29th, 2010
Bed-wetting: It’s a problem that can be frustrating and embarrassing to both children and adults. Most children wet the bed occasionally or even nightly during the potty-training years. In fact, it is estimated that seven million children in the United States wet their beds on a regular basis.
It is considered normal for children to wet the bed while sleeping during the last stage of the toilet-training process. However, If a child continues to wet the bed more than twice a month after age 5 or 6, it may be considered a problem. Not every child stops wetting the bed at the same age. Bladder function is a complex process and takes time to develop enough for a child to control it throughout the night.
There are both primary and secondary forms of bed-wetting.
With primary bed-wetting, the child has never had nighttime control over urination and it is usually part of the child’s natural development.
The secondary form is less common and refers to bed-wetting that occurs after the child has been dry during sleep for 6 or more months. This form is usually caused by some psychological stress or fear in the child’s life. In some cases it may be the result of an underlying medical condition such as constipation, urinary tract problems, or even sleep disordered breathing. If this is the case, a pediatrician should be contacted. The pediatrician can suggest several options of how to deal with bed-wetting. These options include behavioral modifications like stretching the bladder by delaying urination during the day, encouraging the child to use the restroom before bed, or using a alarm device to wake the child when it senses urination at night.
There are also medications to help control bed-wetting, but caution should be used when seeking out and using such remedies. A recent report by the FDA stated that some bed-wetting medications, especially when used nasally, may unbalance childrens electrolyte levels and could lead to seizures. Patients using these medications should consult their doctors.
Parents faced with their children wetting the bed should remember to use positive reinforcement and encouragement to help their kids out of this difficult phase. If your child has consistent problems wetting their bed at night, talk to their pediatrician for advice on how to help.
