feeding, sleeping and crying

Question and Answer

What causes a child to wet the bed? Our five-year-old soaks his sheets nearly every night, which drives me crazy.

There are about seven million kids in the United States who wet the bed nightly.1 They are a misunderstood lot. Many of their parents believe that their bed-wetting is deliberate and that it can be eliminated by punishment. Others think these kids are just too lazy to go to the bathroom. These are wrong and unfortunate notions. Bed-wetting is often caused by medical factors, such as a small bladder, physical immaturity or other physical conditions. That's why you should begin by consulting a pediatrician or a urologist when bed-wetting starts. About 50 percent of the kids can be helped or cured by medication.

For other boys and girls, the problem is emotional in origin. Any change in the psychological environment of the home may produce midnight moisture. During summer camps conducted for young children, the directors routinely put plastic mattress covers on the beds of all the little visitors. The anxiety associated with being away from home apparently creates a high probability of bed-wetting during the first few nights, and it is particularly risky to be sleeping on the lower level of bunk beds!

There is a third factor that I feel is a frequent cause of enuresis (bed wetting). During children's toddler years, they wet the bed simply because they are too immature to maintain nighttime bladder control. Some parents, in an effort to head off another episode, begin getting these kids up at night to go to the potty. The youngster is still sound asleep, but he or she is told to "go tinkle," or whatever. After this conditioning has been established, the child who needs to urinate at night dreams of being told to "go." Particularly when jostled or disturbed at night, the child can believe he or she is being ushered to the bathroom. I would recommend that parents of older bed wetters stop getting them up at night, even if the behavior continues for a while.

Aside from medical help, what suggestions do you have for dealing with bed wetting?

There are other remedies that sometimes work, such as electronic devices that ring a bell and awaken the child when the urine completes an electrical circuit. This conditions a child to associate the feeling of needing to urinate with the bell that awakens him. I have seen some dramatic success stories where "hard-core" bed wetters were cured within a few weeks using such a device. Trying it certainly can't hurt.

Until the problem is solved, I hope you can keep your frustrations at a minimum. A smile sometimes helps. I received a letter from a mother who wrote down her three-year-old son's bedtime prayer. He said, "Now I lay me down to sleep. I close my eyes; I wet the bed."

1 Beth Ashley, "Bedwetting Often Medical, Parents Wrong to Punish," USA Today, 17 December 1996, 1D.

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