Treatment Of Bedwetting: When Children Urinate In Bed

Bedwetting in childhood is not serious and it often disappears with age. However, it can be difficult for both the child and the parents to handle the situation while it is going on. Here is some good advice.
Bedwetting treatment: When children urinate in bed

Bedwetting is a common problem among children between 4 and 6 years of age. Although it is not harmful to health, it can have psychological consequences for the child.

Bedwetting in childhood is a  form of urinary incontinence  that usually affects children between 5 and 6 years of age. This means that the child urinates involuntarily in bed at night.

Bedwetting is often hereditary, and may be due to the baby’s bladder being too small for the amount of urine the baby produces at night. It often has nothing to do with mental health issues, although it is sometimes the case.

Although bedwetting is not dangerous, it may still be a good idea to treat it. You can do this with either medication or alarm. We give you some good advice here to treat bedwetting.

Symptoms of bedwetting in childhood

boy sleeping with teddy bear

Bedwetting in childhood means that the child urinates in bed at night. This can occur several times during the night, and, to a lesser extent, during the day.

Criteria for diagnosis

To diagnose bedwetting in childhood , the pediatrician or physician must assess the child’s age, urine frequency, and medical background. 

They should also assess the attitude of the parents, according to deal with the problem, and suggest some further tests to rule out other diseases.

The diagnosis is positive if:

  • The child is between 4 and 6 years old.
  • The involuntary urination occurs several times a week, for a period of at least 3 months.
  • Incontinence is most common at night (bed wetting).
  • Urination usually takes place between 30 minutes and 3 hours after going to bed.

Also read: Mindfulness for children and young adults: Is it effective?

Treatment of children’s bed wetting

Many parents do not consult a pediatrician when their children suffer from bedwetting in childhood, and therefore they end up ignoring the treatment required for this condition. While it is true that the problem diminishes as the child gets older, it can sometimes get complicated when the children are not getting the right treatment.

It is  important to get a diagnosis in time,  as this condition can sometimes have underlying causes. In addition, proper intervention can prevent the disorder from affecting children’s social lives.

So, what is the treatment?

Also read: Do not let your frustrations get in the way of your children

Non-pharmacological treatments

mother to doctor with daughter

A major one of the treatment of bedwetting in childhood focuses on correcting the child’s behaviors. Therefore, before the doctor suggests any kind of medication, a doctor should first explain you about the disorder, and give you some recommendations to counteract it.

It may include the following:

  • Explain to the child and parents how the urinary tract works, and also explain some basic principles of bedwetting.
  • Make the child and the parents understand  that no one is to blame for this condition  because it is beyond their control.
  • Make it clear to the family that they should not  scold the child or embarrass him. Conversely, they must be supportive.
  • Get family members to have a positive attitude through treatment. However, they should not be too active. This means that the parents do not have to wake the child during the night so that he or she can pee.
  • Explain to the child that he or she should drink plenty of fluids during the day, and less after 6 p.m. 19.
  • Have the child write down his or her “dry” nights so he or she can see his or her progress.
  • Help establish regulate urination habits,  to facilitate better control of the bladder.
  • To promote good hygiene, by telling them that the wet clothes need to be changed.
  • Reject the use of diapers,  except in special situations.

Pharmacological treatment

When the doctor recommends medication for bedwetting in childhood, then the prescription usually includes desmopressin. This substance reduces the volume of fluid through the night. It has an efficiency that can range between 40 and 80%.

Sometimes, the use of oxybutynin can also be suggested, which works by increasing bladder capacity. Ultimately, the doctor may recommend imipramine, which has an antidiuretic effect. This preparation is used only in special cases, due to its side effects.

Recommendations for parents

sad boy suffering from bedwetting in childhood

Bedwetting in childhood is not something serious and it disappears as the child grows. However, it can be difficult for both the child and the parents to handle the situation while it is going on. Here is some good advice:

  • Do not give the baby fluids before bedtime.
  • Do not scold the child or punish the child  when he or she urinates in bed.
  • Increase the child’s self-esteem by motivating him or her to overcome the problem.
  • Teach your child to pee before going to bed.
  • Use an alarm

Bedwetting in childhood is a common problem among children between 4 and 6 years of age. Although this condition, as a rule, does not affect their health,  it is essential to be aware of it so that it will not affect the child’s self-esteem. Treatment depends, to a large extent, on teaching the child good behavior.

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