Does your child sleep so soundly that they wet the bed?
When I was potty training my first born, he was waking up with dry diapers from the get-go. I was happy I didn’t have to buy any more diapers and moved on, not thinking much more about it. But now that I’ve become a more “seasoned” parent, I realize that this was pretty darn good. Many of his peers, at age 5, are still not able to sleep through the night without a pull-up. And, you see the ads for “underwear-like diapers” for big kids, showing that bedwetting can last way beyond the potty training years. So why does this happen, how can you fix it, and when does it actually become a problem? Breezy Mama turned to Dr. Baruch Kushnir, a worldwide expert in bed wetting, bladder control, child development and the author of the book The Magic Bowl: Potty Training Made Easy.
I’ve heard that bed wetting can also be called “eneuresis”—is this the same thing?
Yes. Nocturnal enuresis, commonly called bedwetting, is involuntary urination while asleep after the age at which bladder control usually occurs. Nocturnal enuresis is considered primary (PNE) when a child has not yet had a prolonged period of being dry. Secondary nocturnal enuresis (SNE) is when a child or adult begins wetting again after having stayed dry.
Bedwetting is the most common childhood urologic complaint? and one of the most common pediatric-health issues. Most bedwetting, however, is just a developmental delay—not an emotional problem or physical illness. Only a small percentage (5% to 10%) of bedwetting cases are caused by specific medical situations. Bedwetting is frequently associated with a family history of the condition.
I’m just potty training my 2 ? year old—how long should it be before I expect her to sleep through the night dry? (Or knowing to wake up and go to the bathroom)?
Most kids stop bedwetting as part of their natural development. It is possible to try and accelerate the process by taking the child off the diaper for about two weeks. If the number of dry nights increases? gradually – continue without the diaper. If wetting continues – return to using the diaper. From age 3 onward it is possible to consider intervention using the bedwetting alarm.
I see advertisements for “ night diapers” made for older children–why does bedwetting still occur at this age?
Most children achieve bladder control between the ages of 18 months and three years of age. At the age of 5 about 20% of the children wet their beds.? The incidents are reduced gradually with age. At the age of 18 between 1.5% and 3% wet their beds. The problem is usually a result of a dysfunction of the reflex system that controls the bladder.
At what age does bedwetting become a “problem”?
Most children achieve bladder control between the ages of 18 months and three years of age. It is possible to apply effective treatment with the bedwetting alarm from the age of 3. It is recommended to treat the problem before the child reaches an age when he/she begins to feel different from other children and is prevented from participating in summer camps, sleepovers and other social activities requiring sleeping away from home.
How do you teach a child to not wet the bed?
Control of the bladder during sleep is acquired naturally in most children.? However it is possible to try taking off the diaper for about two weeks or intervene with use of the bedwetting alarm.
What if a child is scared to get up in the middle of the night to use the potty?
Parents should learn about the particular type of help the child needs to cope with this fear. Kids should be encouraged to wake the parents for help and be provided with some light along the route to the bathroom.
Is there anything a parent can do to help the child wake up and use the bathroom?
Being dry at night is not dependent on waking the child to go the bathroom.??? Most kids and adults sleep through the night and wake up dry, without any “reminders.” An animated film demonstrating the functioning of the bladder can be viewed at: www.dr-kushnir.com.? The most effective approach to dealing with bedwetting is the use of the bedwetting alarm. It alerts the child to go to the bathroom at the right time, and eventually gain control of the bladder while sleeping through the night.
Can stress lead to bedwetting?
Children who have some degree of dysfunction of the reflex bladder control system are prone to have incidents of wetting when under emotional stress.
If yes, and something happens that triggers bedwetting several nights in a row, do you have the child wear a diaper at night even though they have been diaper free for a while?
This could be an elegant way of assisting the child. However, attention should be paid to seeking ways to understand the source of stress and help the child to cope with it. In addition, treatment intervention with the use of a bedwetting alarm should also be considered to achieve a situation where the child will not wet under any conditions, including stress.
Is there a medication that can help an older child from wetting the bed?
The medication most frequently used for treatment of bedwetting is the hormone Minirin (also known as Desmopressin). It is a tablet that dissolves under the tongue, taken before bedtime.? It is effective in about 60% of the children who take it. In almost all these cases there is a complete relapse once the medication is stopped. It could be of significant help in specific events, such as sleepovers, and reduce the social restrictions that bedwetting imposes. However, the most effective intervention for a long term solution is the bedwetting alarm when administered under professional guidance and support.
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