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Bed-wetting is a common developmental phase, and while it can be emotionally taxing, it’s something most children outgrow
Most children stop wetting the bed by the age of five to seven. But if it continues beyond this age or starts again after a dry period, it’s worth speaking to a doctor
Bed-wetting in children can be worrying and frustrating for parents. However, instead of ignoring or hiding it, it’s important to consult a doctor—because it’s a curable condition. While adults can experience it too, bed-wetting is far more common in children.
Dr. Nisha Krishnamurthy, Consultant Paediatric Nephrologist, Narayana Health SRCC Children’s Hospital, Mumbai shares everything you need to know about what causes it and how to manage it.
What Is Bed-Wetting?
Bed-wetting, or nocturnal enuresis, is a common issue that usually affects children under the age of six. While it can be emotionally stressful for both children and parents, it’s often just a part of normal development and tends to resolve over time. Though it may feel embarrassing, bed-wetting is typically treatable and temporary. Consulting a healthcare provider is far more effective than trying to ignore the issue.
Nocturnal enuresis refers to involuntary urination during sleep after the age at which bladder control is normally expected—typically around five years old. While it’s most common in children, some teens and adults may also experience it.
Types of Bed-Wetting
Primary bed-wetting: When a child has never had a consistent stretch of dry nights.
Secondary bed-wetting: When a child who was previously dry for at least six months begins wetting the bed again. This can be triggered by stress, medical conditions, the arrival of a new sibling, or changes like moving to a new home or school.
What Causes Bed-Wetting?
Several factors may increase the chances of bed-wetting in children:
Delayed bladder development – Some children’s bladders take longer to mature and hold urine overnight.
Genetics – If one or both parents wet the bed as children, their kids are more likely to do so too.
Deep sleep patterns – Children who sleep very deeply might not wake up when their bladder is full.
Small bladder capacity – A smaller bladder may not be able to hold enough urine through the night.
Hormonal imbalance – Low levels of vasopressin, a hormone that slows urine production at night, can be a factor.
When Should You Be Concerned?
Most children stop wetting the bed by the age of five to seven. But if it continues beyond this age or starts again after a dry period, it’s worth speaking to a doctor. In some cases, bed-wetting can signal an underlying medical condition like a urinary tract infection, childhood diabetes, or emotional stress.
Tips to Manage Bed-Wetting
While it’s natural for parents to worry, staying calm and supportive can make a big difference for the child. Here are some practical ways to manage the situation:
Stay Supportive – Reassure your child that it’s not their fault. Avoid punishment or shaming, as this can increase anxiety and worsen the problem.
Monitor Fluid Intake – Limit fluids in the evening, especially caffeinated or fizzy drinks. Encourage more hydration earlier in the day.
Create a Bedtime Routine – Have your child use the toilet just before bedtime. A calming routine helps reduce anxiety-related bed-wetting.
Nighttime Bathroom Visits – Waking your child once during the night for a quick bathroom trip can sometimes help prevent accidents.
Try Bed-Wetting Alarms – These moisture-sensitive devices can help children learn to recognize when they need to wake up to urinate. Over time, they help train the brain to respond to a full bladder.
Consider Medical Treatment – In some cases, doctors may prescribe medication that reduces nighttime urine production or relaxes the bladder. These are usually short-term solutions for specific situations.
Explore Behavioral Therapy – For older children, therapy that includes bladder training and emotional support can be especially effective.
Use Protective Bedding – Waterproof mattress covers and absorbent pads help with clean-up and reduce stress for both children and parents.
When to Seek Professional Help
If your child is still bed-wetting past age seven, or if the problem starts again after being dry for over six months, it’s a good idea to see a paediatrician. In some cases, a referral to a paediatric nephrologist may be needed to explore more specific causes and treatments.
Bed-wetting is a common developmental phase, and while it can be emotionally taxing, it’s something most children outgrow. The key lies in patience, understanding, and the right strategies—from simple changes in daily routine to medical or behavioral support. Remember, you’re not alone, and help is available. If you’re concerned, reach out to your healthcare provider for guidance and reassurance.
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