Most children gain
control over time without any treatment.
that continues past the age that most
children have nighttime bladder control—typically at 5 or 6 years of age—also
will usually stop over time without treatment. If not, home treatment may be
all that is needed to help a child stop wetting the bed. Home treatment may
- Monitoring when and how much your child drinks.
Give your child most of his or her needed fluids in the morning and
- Restricting your child's intake of caffeine, especially
- Having your child use the toilet before going to
- Reminding your child to get up during the night to go to the
- Letting the child help solve the problem, if he or she is
older than 4.
- Offering your child
. Don't force
a child to wear them, but if you are both comfortable with using them, there is
no reason not to.
- Praising and rewarding the child for dry
If home treatment is unsuccessful, if the child and parents
need assistance, or if the bed-wetting may be caused by a
, medical treatment may be helpful.
The goal of medical treatment is to decrease the frequency of bed-wetting and
to increase the child's use of the toilet at night if needed. Eventually
bed-wetting will stop completely, but this may not happen immediately after
- Treatment is considered successful if the child
remains dry for 14 nights in a row within 16 weeks of
- Treatment is considered a complete success if the child
does not have any accidental wettings for 2 years after
- Children who have an increase in accidental wettings
after treatment are considered to have relapsed. A relapse is defined as more
than 2 wet nights in 2 weeks. The most likely time for a child to relapse is
within the first 6 months after treatment. If a child relapses after stopping a
successful therapy, that same therapy usually is repeated.
Medical treatment for bed-wetting may include:
- Education for the parents and child about what
is normal and expected for children as they grow and about how the
- . This method involves parents
encouraging and reinforcing a child's sense of control over
- , which detect wetness
in the child's underpants during sleep and sound an alarm to wake the
medicines. These medicines,
which increase the amount of urine that the bladder can hold or decrease the
amount of urine released by the kidneys, may help some children.