Bedwetting in Kids: Causes, Support, and Treatment – Pediatrician’s Guide



Is bedwetting in kids normal? Find out the causes and solutions for this common issue. Learn how to provide emotional support and consider treatment options. Consult Pediatrics West for expert advice and care. Read on for valuable insights into dealing with bedwetting in children.

Understanding Bedwetting in Kids

Bedwetting, or nocturnal enuresis, is not an uncommon issue among children. Approximately 20% of 5-year-olds, 10% of 7-year-olds, and 5% of 10-year-olds experience bedwetting regularly. Even some teenagers may struggle with it. Bedwetting can be classified into two categories: primary enuresis, where kids have never achieved nighttime bladder control, and secondary enuresis, where bedwetting reoccurs after at least six months of dry nights. Underlying health problems may cause secondary enuresis and requires medical evaluation.

Common Causes of Bedwetting

Delayed development in three key areas can contribute to bedwetting: the brain’s failure to wake up when the body needs to urinate, excessive nighttime urine production by the kidneys, and a small bladder capacity. Most kids will experience a decrease in bedwetting as they age and their bodies mature. External factors like constipation, minor illnesses, stress at home, a family history of bedwetting, and being a deep sleeper can also play a role.

Identifying Underlying Medical Concerns

If your child suddenly starts bedwetting after six months of dry nights, it’s essential to consult a healthcare provider to check for underlying medical causes. Look for signs such as changes in daytime urinary habits, painful urination, or blood in the urine, which may indicate an underlying issue. Bedwetting may also be linked to neurological problems, so observing changes in walking ability is crucial.

Emotional Support for Kids

Children, especially older ones, who wet the bed may experience embarrassment and low self-esteem. As parents, it’s essential not to punish or shame them. Instead, offer patience, understanding, and emotional support. Tell your child that bedwetting is a common issue and not their fault. Educate family members not to tease or make a big deal out of it.

Preparing for Bedtime

Taking some steps before bedtime can help minimize bedwetting struggles and assist your child in staying dry:

  • Consider nighttime protection options like disposable or reusable cloth “underwear.”
  • Use a waterproof mattress cover and keep spare sheets and pajamas nearby for easy cleanup.
  • Monitor their food and drink intake, avoiding foods high in salt, caffeine, and sugar close to bedtime.
  • Ensure your child uses the bathroom before going to sleep.
  • Consider waking your child for a mid-sleep potty break to prevent nighttime accidents.

Treatment Options

Treatment options for bedwetting depend on the cause and can be effective when your child is actively involved:

Bedwetting alarms can help train the brain to associate the need to urinate with waking up. They have shown positive results for about 50% of users when used correctly.

In some instances, a doctor may prescribe medications for children aged 6 and above to manage bedwetting. Discuss potential side effects and suitability with your healthcare provider.


Don’t let bedwetting disrupt your child’s sleep or emotional well-being. Understanding the causes and providing the right support can make a significant difference. If you’re concerned about your child’s bedwetting or notice sudden changes, seek expert advice from the professionals at Pediatrician. Our team can guide you through effective solutions for your child’s bedwetting concerns. Contact us today for expert care and support.