Quick Guide to Enuresis (Bedwetting)

Enuresis is a disorder that is often called bedwetting. Children with enuresis repeatedly pee in their clothing or bed. This can happen during the day or at night. Typically, kids with enuresis pee in inappropriate places accidentally, not on purpose. Children must be at least five years old to be diagnosed with enuresis. They usually outgrow it by the time they are teenagers.  

The main sign that a child has enuresis is regularly peeing in their clothing or bed at the age of five or older. This can happen during the day, at night, or both.  

Some kids with enuresis don’t notice when they need to go to the bathroom. Others realize that they need to pee, but get distracted and forget until it is too late. Children who have enuresis at night are often very heavy sleepers and don’t notice that they are wetting the bed. 

A doctor will diagnose enuresis if the child is at least five years old. It is common for younger children to have poor bladder control sometimes. Other requirements for a diagnosis include: 

• Peeing their clothes or bed on purpose or by accident  
• Symptoms that happen at least twice a week for at least three months, or that cause problems for the child in school or with friends 

A doctor will examine the child to rule out medical problems like a urinary tract infection or diabetes.  

A child is more likely to have enuresis if their parents had it, especially their father. Other risk factors include stress and delayed or inconsistent toilet training.  

It’s more common for boys to have enuresis at night. It’s more common for girls to have it during the day.   

Enuresis is usually treated with behavioral therapy. Sometimes, medication is prescribed. 

A therapist will work with the family create a behavioral approach to help the child control their bladder. This could include: 

• Moisture alarms that wake the child when they begin to wet the bed. This works very well but it can take several weeks.  
• Not allowing the child to drink a lot at night.  
• Having the child go to the bathroom more often.  
• Rewarding the child when they don’t wet the bed at night.   

There are two medications that can also help: 

• Desmopressin: Decreases the amount of pee the body makes at night. 
• Ditropan or Levsinex or Levsin: Increases how much pee the bladder can hold and decreases bladder contractions. 

These medications only work for a short period of time. Symptoms will come back if the child stops taking the medicine.