Urinary Incontinence

Bowel Incontinence

Bedwetting (Enuresis)

• Bed wetting, also known as enuresis, is common for all children and affects more boys than girls.
• Most boys by age six control their bladder during the day and night, and most girls attain day and night bladder control by age five.
• Bed wetting occurs in 30% of children at age four… 10% at age six… and drops to 1% at age 18.
• No matter where, when or how often it occurs… bed wetting can be stressful for both children and parents. 
• At home, a good night’s sleep is interrupted… at school, the child can experience considerable embarrassment and ridicule from classmates.
• Bedwetting can lead to feelings of shame and low self-esteem… and many children who wet fear staying overnight at the home of a friend or even a relative.  
• In young children, episodic urinary incontinence is a normal stage in growing up.
• Bed wetting after age four – especially if the child has been dry for six months or more – can result from stressful situations… frequent criticism from angry parents, unfamiliar surroundings, or major changes within the family structure, including a new sibling.
• For children age two to four…experts suggest that anxiety-causing events can lead to bed wetting.
• For boys over age five… experts suggest that nighttime wetting may be more common than daytime because of a family history of bedwetting.
• Emotional problems within the family can also be a root cause of bedwetting… and if ignored, wetting can lead to life-long emotional and psychological distress.
• When bedwetting is the result of a urinary tract infection, diabetes or minor nerve damage … the condition must be immediately investigated and treated. 

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And here’s even more information about bed wetting…

• Any one of the following signs indicates the need to consult a doctor immediately… child over age five or six still wets the bed… child after age four or five wets during the day… child starts to wet at night after stopping for six months or more… child with problematic symptoms, such as frequent or painful urination.
• If a child's relationships and school performance are being significantly affected by bedwetting, the use of alarms or medications should be explored.
• Parents should…realize that bedwetting is common up to age five or six. 
• Keep a matter-of-fact attitude and convey to their child that bedwetting is nothing out of the ordinary.
• Don't blame your child, but instead offer support and encouragement.
• Tell your child that bedwetting is common, can be corrected, and there's no need for guilty feelings.  
• Don't get angry at your child because anger can cause him/her to abandon attempts to stop bedwetting and result in emotional distress.
• Don't give your child any liquids or liquids containing caffeine, such as chocolate or cola beverages, before bedtime.
• Encourage your child to urinate before going to bed.
• Make sure your child has easy access to the bathroom, and encourage him/her to urinate during the night if the urge arises.  
• Always keep a night light on in the bathroom so your child can easily urinate or change from wet into dry clothing if necessary.