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before bed. Commonly prescribed behavioral methods for treating the problem include:

  • Establishing a regular bedtime routine that includes going to the bathroom
  • Waking your child during the night before he/she typically wets the bed and taking him/her to the bathroom
  • Developing a reward system to encourage your child, such as stickers for dry nights
  • Talking to your child about the advantages of potty-training, such as not having to wear diapers and becoming a "big kid"
  • Limiting beverages in the evening - even those last minute water requests
  • Using a "bell-and-pad" which incorporates an alarm that goes off whenever your child's pajamas or bed become wet during an accident. These systems teach your child to eventually wake up before the bedwetting occurs

As a last resort, a doctor may prescribe medication for bedwetting, either for short or long-term use. Some examples are imipramine (an antidepressant), which relaxes the bladder, and desmopressin, a man-made copy of a normal body chemical that controls urine production at night. Although medication usually helps, bedwetting typically resumes once the child stops taking the medicine. As with any drug, it is important to monitor your child's response to the medication.

Coping with Bedwetting:

There are products that parents can buy for school-aged children with enuresis:

  • Disposable absorbent underpants
  • Reusable absorbent underpants
  • Sleeping bag liners
  • Moisture alarms that go off when the child begins to wet the bed

There is no reason for punishment if your child wets the bed. Your child cannot help it. Talk to your doctor about treatment options and following these coping tips may help:

  • Be patient, understanding and attentive
  • Do not talk about the bedwetting in front of others
  • Talk to your child about how the bladder works
  • Avoid fluids in the hours before bed

Sleep in America (TM) Poll Data:

According to the National Sleep Foundation's 2003 Sleep in America poll, 14% of preschoolers and 4% of school-age children wet the bed a few nights per week or more and 21% of preschoolers and 7% of school-aged children do so once a week or more.

Reviewed by Jodi A. Mindell, Ph.D., June

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