Parenting & Children's Health

Child Bedwetting: Are You and Your Child Frustrated?

Written by
Dr. Payas Joshi
and medically reviewed by iCliniq medical review team.

Published on Apr 17, 2018 and last reviewed on Sep 07, 2018   -  2 min read

Abstract

Abstract

Bedwetting can have a deep physical and psychological impact on your child's health and development. Not only the child but it leads to frustration among all the family members. This article discusses various causes of bedwetting in your child and what questions should be answered by the caregiver for proper evaluation of the problem.

Child Bedwetting: Are You and Your Child Frustrated?

Bedwetting or nocturnal enuresis is a common condition in newborns and young children where there is an accidental passage of urine during sleep. At 6 years of age, about 15 % of the children still wet the bed. Expert advice should usually be sought only if the child is more than 6 years old as many children gain control spontaneously and treatment is usually not indicated before the age of 6.

Causes

1. Heavy sleeper: a child who does not awaken to the stimulation to void.

2. Nocturnal polyuria: the urine production is more than 130 % of EBC (expected bladder capacity). EBC = 30 ml + (age in years x 30). It is common in sleep-disordered breathing (SDB), heart ailments, metabolic problems, and excess nocturnal fluid and solute intake.

3. Small bladder capacity: look for maximum voided volume during the day, which will be less than 50 % of EBC. In this case, a voiding diary is to be made by the caregiver of the child.

4. Overactive bladder/neurogenic bladder: In practice, a very small percentage of children may have this.

5. Genetic: If one of the parents had a similar illness, 50 % of the children will have it. If both the parents have a similar history, 75 % of the children will have it.

How Can You Help Your Child?

  • Do not give your child any fluid up to one and a half hours before bed.
  • Make it a habit to void the bladder the last thing before putting your child to bed.
  • Do not mock your child for wetting the bed or allow others to do so.
  • Make sure to discuss this issue with your child's pediatrician so that they can rule out physical causes like constipation, urinary tract infection or diabetes.
  • Rewarding them with a treat or outing for staying dry on seven or ten consecutive days may motivate some kids.

Questions Your Child's Doctor Might Ask You

  1. How frequently does the child wet the bed?
  2. Has there been a dry period of six months or more?
  3. What does the child consume few hours prior to sleep? Does it include fluids?
  4. Does your child have problems with increased frequency of urination during daytime or burning sensation during urination?
  5. Is it associated with dribbling of urine or incomplete emptying?
  6. Is there a history of constipation?
  7. Is there a history of snoring?
  8. Is there a family history?
  9. Any significant psychological stressors in the child’s life?
  10. Do you think it is affecting your child's development?

For more information consult a bed wetting management specialist online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician/bed-wetting-management

Last reviewed at:
07 Sep 2018  -  2 min read

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