If you’re like most parents, the welcome rise in temperatures has reminded you that school will be out in no time. And that realization has probably galvanized you into signing your children up for summer sports, classes, camps, and more to fill up their out-of-school schedules. However, if you have a bedwetter in the family, things are considerably more complicated. Sleep-away camps, sleepovers, and even some vacations present major obstacles…or may be out of the question entirely.
Before you and your child resign yourselves to a summer of daytime-only activities, here is some welcome advice: Now is actually the perfect time to start working on bedwetting so that you can experience some dry nights by summer!
Many parents think that bedwetting is something that can’t be controlled and that their child will just have to grow out of it—or they blame themselves or their child for the recurring problem. And because many parents don’t talk to their children’s pediatrician about bedwetting, they don’t realize that all of those assumptions are false.
Bedwetting is not a sign of poor parenting or of a lazy child since it is not done consciously. Actually, nearly one in twenty children under the age of ten wet their beds, so you’re not alone in living with this often-frustrating condition.
To put bedwetting into perspective, depending on their child’s age, bedwetting is as or more common than ADHD.
It’s true. According to a 2007 study by the Centers for Disease Control and Prevention, 6.6 percent of children from ages four to ten are diagnosed with ADHD. Compare that to 13 percent of six-year-olds who wet the bed, which decreases to 8 percent of eight-year-olds, and 5 percent of ten-year-olds.
The good news is, you can start treating bedwetting and potentially decrease how long it lasts by years. Through a series of easy-to-tackle steps and with the help of a bedwetting alarm, you can work with your child to achieve dry nights in as little as ten weeks. So if you start now, you’ll both be able to rest easy when it comes time for summer camp…and all year through.
Read on to learn about some of the bedwetting best practices developed over the years:
Make your job easier now. As you ease into the steps that will help your child stop bedwetting, do what you can to make nights, mornings, and cleanups as easy as possible on yourself and on your child. If you aren’t already doing so, decrease your workload by using disposable pants, waterproof pads, vinyl mattress covers, etc.
In addition to buying products that make life just a little bit easier, you can also get into some helpful habits. For example, you may occasionally wake your child and take her to the bathroom before you go to bed—especially if her pull-ups tend to leak, or if you have houseguests who may be disturbed by midnight cleanups. This might not ensure dryness, but it will be one less urination in bed! Also, place a clean pair of pajamas and underwear by your child’s bed to make middle-of-the-night cleanups easier.
Get the whole family on board. This isn’t just your child’s challenge to overcome—he’ll need your continued help, support, and encouragement. Keep in mind that you’ll be waking up during the night as your child learns to establish a nighttime routine, as well as helping him get used to any alarms he might use and monitoring his food and liquid intakes before bed.
Committing as a family to getting over bedwetting is crucial. In addition to making sure that you—the child’s parent or guardian—are on board, it’s also a good idea to make sure that siblings know what’s going on (and not to discuss it with their friends or to tease), and to enlist grandparents, or perhaps an aunt and uncle, to help with ‘practice’ sleepovers.
Establish a bedtime routine. Some children are more likely to experience a pattern of dryness when they have a regular nightly routine. To the extent that it’s possible, try to start working toward dryness at a time when no disruptive events such as holidays, vacations, moves, the birth of a sibling, etc. are on the horizon.
Eat dinner at the same time each night and drink only water afterwards. Don’t restrict fluids entirely; just stay away from soda and sugary drinks! Children should also urinate twice before bedtime and be involved in any pre-bed rituals such as placing extra pajamas near the bed and attaching the bedwetting alarm.
Refrain from punishment. It is crucial to realize that kids do not wet their beds voluntarily. Bedwetting can be caused by a multitude of factors, including genetics, small functional bladder capacity, food sensitivities, high nighttime urine production, and even constipation—but a wet spot in the morning is not a result of your child being too “lazy” to get out of bed. For this reason, punishing a child for bedwetting is ineffectual, and potentially harmful.
Children very, very rarely wet their beds on purpose. In fact, most feel frustrated, embarrassed, and upset when they wake up to wet sheets. Punishing your child for not having a dry night will only compound these feelings and hurt his self-esteem. Being encouraging and supportive is always the route to go!
Invest in an alarm. …a bedwetting alarm, that is! Unlike conventional alarm clocks, bedwetting alarms don’t ring at a pre-set time. A moisture sensor triggers the alarm, which wakes you and your child. At this point, you can make sure that your child gets up and goes to the bathroom. And after a few weeks of associating the alarm with the need to urinate, your child’s brain will begin to understand the feeling of a full bladder, and she’ll wake up on her own.
A bedwetting alarm is crucial if you’re serious about stopping bedwetting. It functions as the middleman your child has hitherto been lacking because it helps her brain and bladder ‘talk’ to each other at night. There are many different types and styles of alarms, ranging in price from around $60 to $200. Your goal is to find one that your child likes and accepts, and that works reliably for her. Oh, and most families find that the money they save on disposable pants and laundry detergent quickly pays for the alarm.
Record your child’s progress. During your efforts to achieve nighttime dryness, track your child’s progress from the time you start to use a bedwetting alarm. As accurately as you can, record the frequency of his bedwetting episodes, the size of the wet spot, the time the alarm sounds, and the number of dry nights in a row he achieves. Also, keep a log of what he eats and drinks, how tired he is, and if he’s sick—these things can help you identify possible bedwetting triggers.
Keeping records during bedwetting treatment is actually a vital part of achieving dryness. I recommend using charts to keep track of everything, and jotting down the previous night’s occurrences first thing in the morning so that you aren’t trying to remember what happened days or weeks later. Tracking these things can help you identify patterns, and seeing progress in writing can be a great motivator for you and your child!
Create a reward system. A little incentive never hurt anyone, and when it comes to bedwetting, having a reward system in place can keep your child motivated and help her to persevere when she becomes discouraged. Set up a system that acknowledges both cooperation with your evening and nighttime routine (something your child can control) and dry nights (something she can’t).
Tailor your reward system based on your child’s age. Younger kids, ages six to seven especially, respond well to visual rewards like stickers on a chart. Older kids might prefer a mutually agreed-upon reward every week or so for the effort that they put into using and responding to the alarm, for example. This time of year, a nice sleeping bag for camp might be a great reward after so many nights dry!
Do a sleep-away trial run. Once your child has achieved dryness, consider doing a “trial run sleepover” with grandparents or another trusted relative before leaping right into overnight birthday parties and camps! In many cases, this allows children to get used to sleeping in an unfamiliar place without worrying they might slip up and have a wet night.
During this trial run—and anytime your child sleeps away from home if she’s not confident she’ll remain dry—pack disposable pants and a waterproof sleeping bag liner so that the outside of the bag and the floor will remain dry if she has a wet night. Also, if you are considering using a short-term medication like desmopressin (it decreases the amount of urine produced at night), a trial-run sleepover is a good time to see how it will affect your child.
Stay the course! Your child will probably experience some victories as well as some setbacks on the journey to dry nights. Remember that each child progresses at his or her own rate, and that most continue to wet nightly and have little, if any, independent response to the alarm the first few weeks. Don’t be discouraged—eventually, you will see a decrease in the frequency of wetting episodes.
This is why it’s important to record and track progress. Celebrate small steps on the path to dryness, and expect to do much of the ‘work’ of getting your child out of bed and to the bathroom when the alarm sounds at first. And remember that before you stop using the alarm, your child should have fourteen consecutive nights of dryness with nightly alarm use, and fourteen additional dry nights using the alarm every other night.
Ultimately, each child and each family is unique…but there is hope that wetting can be ‘put to bed’ once and for all. Be patient, remain informed, and continue to encourage your child. And sooner than you ever thought possible, your child’s bedwetting can be solved. Here’s to a positive, dry summer!
Renee Mercer is a certified pediatric nurse practitioner specializing in the treatment of children with enuresis, or bedwetting. She sees children with bedwetting and daytime wetting in her private practice, Enuresis Associates, in Elkridge, Maryland. Renee has more than twenty-five years of experience in pediatrics. She developed her interest in enuresis after appreciating the great unmet need of children with bedwetting. She works closely with families in their quest for dryness and has a tremendous success rate.
After years of frustration finding suitable products for children with bedwetting, Renee co-founded the Bedwetting Store, (www.bedwettingstore.com) a comprehensive online and catalog source for bedwetting alarms, waterproof bedding and pads, products for daytime wetting, and information to assist children in achieving dryness. She regularly blogs to answer questions and provide the newest bedwetting information to families on www.bedwettingstore.com/blog.
Renee lives with her husband and three sons in Maryland.
“Seven Steps to Nighttime Dryness: A Practical Guide for Parents of Children with Bedwetting,” Second Edition (Brookeville Media LLC, 2011, ISBN: 978-0-9740688-2-4, $14.95, www.bedwettinghandbook.com) is available at bookstores nationwide and from major online booksellers, as well as from www.bedwettinghandbook.com and www.bedwettingstore.com.