A child wakes in the middle of the night, removes their sheets from the bed and places them in the laundry, then returns to sleep on the floor to avoid embarrassment, ridicule or humiliation. This child also avoids attending sleepovers with their friends and does not invite others to spend the night at their home.
Although for most children it is not an every night problem, the unpredictability of bedwetting, or nighttime wetting, can be enough to affect self-image and self-esteem, confidence, and social interaction. But what can be done?
What is Nighttime Wetting?
According to the National Kidney Foundation, nighttime wetting affects between 5 and 7 million children in the U.S. The condition is more common in boys than in girls and tends to occur more frequently in first-born children than in younger siblings. Bedwetting also runs in the family, more often affecting children of a parent who wet the bed.
Causes of Nighttime Wetting
In addition to these factors, the role of family inheritance also can play a part in the presence of nighttime wetting. According to Dr. Sheldon, the reason for the family trait of nighttime wetting is not clear, although the passing of the condition from parent to child is. "If one or both parents wet the bed when they were younger, then it is more than likely that their child will wet the bed as well," he says. There are lots of conditions or diseases that also run in families that could be a contributing factor of bedwetting, which is one of the reasons why it is so difficult to say why it runs in families — but we know that it does."
"My son is 10 and he has always wet the bed," says Denise of Mays Landing, NJ. "His father and several of his aunts wet the bed until they were in their teens. We feel it's hereditary. We've always treated it as no big deal and we've let him know that it's quite common."
Nighttime wetting may be caused by one or more factors. These factors include poor bladder control, spastic bladder conditions, stress, trauma, urinary infection, increased fluid intake, diabetes mellitus or, in a small percentage of cases, a serious disease or illness involving the spinal cord or muscles of the pelvis. The most common cause of nighttime wetting, however, may typically be due to a child's bladder not growing as fast as the rest of his body.
Effects of Nighttime Wetting on Children
According to Dr. Sheldon, the feelings that stem from episodes of nighttime wetting can carry over into other parts of a child's life. "A child that wets the bed may feel all kinds of emotion," he says. "Whether embarrassment, fear of someone finding out or failure, these feelings do not stay confined to the bedroom. A child who wets the bed may feel they are a failure or that they cannot control their own body and this can inhibit participation in other areas such as sports, friends or outings. Bedwetting — and especially the feelings a child may have accompanying an episode — can affect more than a child's sleep."
"The stress and feelings she feels when she wets the bed are obvious in other areas of her life as well,” says Crystel of Clemson, SC whose 5-year-old daughter wets the bed. “We are just patient. She is a sensitive child and we have to keep that in mind when dealing with her in any aspect of her life. All we do is dry the bed and put on clean sheets. It'll all come out in the wash and a hug and kiss will help with the rest."
Reacting to the Nighttime Wetting Episodes
Empathy is Crucial.
Nighttime Wetting Help
Making it routine that a child use the bathroom immediately before going to bed is one thing that can help mitigate the problem. According to Dr. Sheldon, by emptying the bladder before going to bed, children may reduce the incidence of nighttime wetting by one night a week.
Using disposable absorbent underpants like Goodnites® NightTime Underwear is another useful step parents can take. Waking up dry may have positive effects on the child's self-esteem, ease stress, and allow parents and children to cope during the nighttime wetting period. Additionally, using disposable underpants may allow the child to attend sleepovers or host them at their own house, without fear of embarrassment.
"Parents should attempt to do what they can for their child at home with simple interventions," says Dr. Sheldon. "Oftentimes little things work wonders in decreasing the frequency of bedwetting. But, if the parental intervention doesn't work, don't be afraid to ask for help."
Should your child need more assistance to overcome nighttime wetting, consult your doctor.
These articles are not a substitute for medical advice, consult your doctor as needed.