Bedwetting
Children are not born with the ability to control the passing of urine it is a skill
they learn as they mature.
Bed wetting is almost as common as asthma with nearly 10% of all 4-15 year olds wetting
the bed at some stage.
What is bed wetting?
Doctors refer to bed wetting as nocturnal enuresis, defined as ‘the involuntary discharge
of urine after the age at which bladder control should have been established'.
There are two types of nocturnal enuresis:
The most common type is primary enuresis. This is the medical term used to explain
when a child has never experienced being dry at night. This can be linked to physical
maturity as your child has not yet learned to recognise the feeling of a full bladder
while asleep.
Secondary enuresis is the medical term used when your child begins to wet the bed
after a lengthy period of being dry and can be triggered by emotional reasons like
starting school or family problems. However, sometimes there is no explanation at
all.
Why does it happen?
Understanding the reasons behind bed wetting can help you and your child deal with
the issue. Here are some of the common reasons why bed wetting occurs.
Deep Sleep - sometimes children sleep so heavily that the urge to urinate will not
wake them.
Hereditary Factors - bed wetting often runs in the family. If one parent
wet the bed, there is a 40% chance that their child will too. If both parents wet
the bed, the odds can rise to around 70%.
Hormones - each night our bodies secrete
a hormone called vasopressin which stimulates the re-absorption of water through
the kidneys during sleep, producing small amounts of concentrated urine each morning.
Some children who wet the bed do not yet produce enough of the hormone and continue
to produce large amounts of urine during the night.
Bladder Development - bed wetting
can be dependent on your child's development. The process of recognising when your
bladder is full is a skill that has to be learned, in much the same way walking and
talking have to be learned. Children develop these skills at different times and
at different speeds.
What can you do?
Your child will almost certainly grow out of bed wetting. Although there is no one
cure there are a number of options available that will help you and your child cope
in the mean time. We have outlined a number of those options below.
- Absorbent pyjama pants enable your child to stay dry, comfortable and confident throughout
the night. They can be worn discreetly beneath pyjamas and nightwear.
- A calendar system that keeps a note of your child's progress on dry nights can be
a great
motivational tool. - A reward scheme works well once your child begins to experience successful dry nights.
- Many parents lift their child and place them on the loo just before they themselves
go to bed. If you do wish to lift your child you should wake them properly so as
not to reinforce the action of
urinating during sleep. - Exercises such as resisting the urge to urinate for as long as possible during the
day can
help to stretch the bladder. - Your doctor can prescribe medicines that reduce the chances of your child wetting
the bed.
For further advice on bed wetting consult your local community pharmacy.
Disclaimer
The information provided on this website does not replace medical advice.
If you want to find out more, or are worried about any medical issue or symptoms
that you may be experiencing, please contact your local community pharmacist or see
your doctor