Until age 6-8, children
bedwetting is no cause for alarm as it mostly resolves itself.
Understanding causes, solutions
and knowing when
medical advice helps you guide your child towards dry
it's still normal for a 6-8 year old to wet the bed.
treatment is usually not necessary.
Gentle guidance that avoids
shame and guilt is crucial, and most effective
Bed wetting, also called nocturnal enuresis, is a sleep
classified as a parasomnia.
It disturbs your child's
as he/she often wakes but doctors are almost sure
it is not related to how he/she sleeps (even if we often think it's
because they sleep too deeply).
are usually dry by the age of six, and most boys by the age of
seven. About 10% of all children still wet the bed at 7 years old, 5%
at 10 years old.
So keep in mind: on any primary school bus there will always be several
kids who are not dry all night.
As a parent guiding your boy or girl, your single main task is to
avoid that he
or she feels ashamed or guilty about it.
It's is a
condition that he/she cannot help: it's a physical development that
just has to happen, and happens
later for some than for others. It can become psychological though by
stigmatizing, and that's what you want to avoid.
So: be casual about it, act casual even if you worry, don't make it into an issue and don't let it dampen the family's spirits. The less you make a fuss out of it, the faster it'll resolve.
Because the exact cause is not always clear, there is not a
single solution that guarantees results. But there are effective ways to guide and treat including
behavioral guidance, medication and
With any solution, it's most important not to make the kid feel
ashamed and guilty. It's usually not a behavioral (ill will) or psychological problem but
it can become one if the child is made to feel bad about it.
Scientists use the term primary
bedwetting if there have not been dry nights
before. This is the most common case. Secondary
is when a boy or girl starts wetting the bed after having been dry for 6
months or more.
Primary bedwetting causes
Most researchers agree that an important cause of primary bedwetting
is a delay in
producing the vasopressin hormone in the
kidneys. This hormone regulates urine production at night. Children
bedwetting usually haven't fully developed this hormone-producing
process. But they do develop it one day.
This shows so nicely how most bed
is not a behavioral thing, and how it simply resolves
itself, in due time.
There are also other possible causes, one which may be genetic. That means
a boy or girl whose parent(s) was dry at night relatively late, has
a larger chance to have the same.
1% of children bedwetting, has an underlying medical cause (such as
an infection or a structural issue). It is also one of the signs of sleep apnea; in combination with other symptoms like snoring
and breathing difficulties, bedwetting can point towards apnea in children.
Secondary bedwetting causes
Sometimes, a child will suddenly wet the bed again after having been
dry for a good while.
This has the typical example of starting to wet
the bed again at the birth of a younger sibling, or when starting
school: emotional stress
is then a common cause. But in some cases, an
infection or a structural physical problem can be responsible.
to seek medical advice?
When should you go and see a doctor?
Of course, the rule of thumb answer is: when
you worry. But bear in mind that there is usually no
reason to worry, and definitely not too early on.
The general advice is to take a bedwetting girl or boy of 6
years or more to the doctor. He will check whether there
medical/structural cause and may suggest a treatment to follow.
If no physical cause is found, you are good to simply do the gentle
guidance and take a relaxed attitude towards it, you will be surprised
how effective that can be.
If you're unsure what to do about your child's bedwetting, you're most
welcome to ask
me here so we can discuss.