Bed-wetting

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Coping and support

By Mayo Clinic staff

Children don't wet the bed to irritate their parents. Because your child's bed-wetting is involuntary, it's illogical to punish wet nights or reward dry nights. Try to be patient as you and your child work through the problem together.

  • Be sensitive to your child's feelings. If your child is stressed or anxious, encourage him or her to express those feelings. When your child feels calm and secure, bed-wetting may become a thing of the past.
  • Plan for easy cleanup. Cover your child's mattress with a plastic cover. Use thick, absorbent underwear at night to help contain the urine. Keep extra bedding and pajamas handy.
  • Enlist your child's help. Perhaps your child can rinse his or her wet underwear and pajamas or place these items in a specific container for washing. Taking responsibility for bed-wetting may help your child feel more control over the situation.
  • Celebrate effort. Don't punish or tease your child for wetting the bed. Instead, praise your child for following the bedtime routine and helping clean up after accidents.

With reassurance, support and understanding, your child can look forward to the dry nights ahead.

References
  1. Urinary incontinence in children. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/uichildren. Accessed Aug. 18, 2009.
  2. Gonzales Jr. ET, et al. Approach to the child with nocturnal enuresis. http://www.uptodate.com/home/index.html. Accessed Aug. 18, 2009.
  3. Robson WL. Evaluation and management of enuresis. New England Journal of Medicine. 2009;360:1429.
  4. Shreeram S, et al. Prevalence of enuresis and its association with attention-deficit/hyperactivity disorder among U.S. children: Results from a nationally representative study. Journal of the American Academy of Child and Adolescent Psychiatry. 2009;48:35.
  5. AAP Parenting Corner Q&A: Bedwetting. American Academy of Pediatrics. http://www.aap.org/publiced/BR_BedWetting.htm. Accessed Aug. 18, 2009.
  6. Cutting DA, et al. Nocturnal enuresis: Application of evidence-based medicine in community practice. Journal of Pediatrics and Child Health. 2007;43:167.
  7. Bedwetting: Information for parents: Questions kids ask. National Kidney Foundation. http://www.kidney.org/patients/bw/BW_faq.cfm?id=par. Accessed Aug. 18, 2009.
  8. Tu NW, et al. Management of nocturnal enuresis in children. http://www.uptodate.com/home/index.html. Accessed Aug. 18, 2009.
  9. Culbert TP, et al. Wetting the bed: Integrative approaches to nocturnal enuresis. Explore. 2008;4:215.

DS00611

Oct. 13, 2009

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