Beating Bedwetting: Avoiding The Horrible C's

Key points
- It's what happens to up to seven million American kids.
- Primary nocturnal enuresis: The child who has never been dry for more than a few months at a time.
- If both parents were bedwetters, there's an 80% chance the child will be too.
- There are special concoctions and even alarms to help kids stop wetting the bed.
Waking up to wet sheets. It's what happens to up to seven million American kids. Bedwetting is a normal part of the potty training process, but when it doesn’t go away, the worrying begins. Here are some tips to help kids overcome night time incontinence.
There are special concoctions and even alarms to help kids stop wetting the bed.
Pediatric Nurse Practitioner Penny Noto says, they might work for some kids, and every year another 15 percent outgrow the problem.
“It’s absolutely physiologically normal, for a child to wet passed the age of six,” Pediatric Nurse Practitioner Penny Noto, told Ivanhoe.
But if it continues after age seven, the bedwetting specialist says, there are simple things you can do that could help. First avoid drinks that contain the Horrible C’', such as:
"Things that have caffeine, carbonation, artificial colors, too much citrus or too much calcium. All those things can irritate the bladder and make a child more likely to wet," said Penny Noto.
Replace the Horrible C's with water, cranberry juice, or apple juice. Another 'C' to look out for is constipation.
Types of bedwetting
There are two basic types:
1. Primary nocturnal enuresis: The child who has never been dry for more than a few months at a time.
2. Secondary nocturnal enuresis: The child who has been dry for six months or more and starts bedwetting again.
Some causes of bedwetting
Genes are high on the risk-factor list. If both parents were bedwetters, there's an 80% chance the child will be too. Several other factors can contribute:
Very heavy sleeping
Breathing difficulties: snoring, adenoids, tonsil problems and blocked airways
The bladder may be small and sensitive and can't hold much urine
Constipation, poor fluid intake or too much fluid before bedtime
Not enough of the antidiuretic hormone (ADH) which slows down night-time urine production
Emotional events, social changes and other stress-related factors can bring on secondary nocturnal enuresis.
"It is hugely undertreated and under recognized," Noto stated.
Noto tells us it's an issue in about 50 percent of her cases. When things get backed up she recommends reducing the amount of dairy, white bread and white rice your kids eat. She says try adding, " things with fiber and nuts and seeds and whole grains."
Noto says her tips won't fix the problem overnight, but they have worked for many of her patients.
Written and revised by
Gerald Hurowitz, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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