If you are not in a good place to start bedwetting therapy, there are things you can try to help your child. I often see families with new babies, odd work shifts, their child has difficulty falling asleep, they are having behavior problems in other areas, etc. It’s ok to pick your battles and if … Read moreWhat if we are not ready?
Hypercalciuria (high levels of calcium in the urine) is thought to influence a child’s prevalence for bedwetting. Civilibal, Duru, Elevli, and Civilibal (2014) set out to compare urinary calcium levels over a 24 hour period between bedwetters and non-bedwetters. Their study included 200 children, 120 bedwetters, and 80 non-bedwetters. They included kids age 7 to … Read moreHypercalciuria and Bedwetting
Ma, Li, Jiang, Jin, Zhang, Yan, Tian, Shen, and Li (2018) wanted to understand if children with sleep dysfunction were more likely to have bedwetting. Over 20,000 children were surveyed through several questionnaires. They compared those that wet the bed with those that did not. They found that boys with bedwetting were more likely to … Read moreAre “bad” sleepers more likely to have bedwetting?
I’ve received a lot of questions about whether a child with urinary problems should see a urologist, their pediatrician, or let them “grow out of it.” Your child should absolutely see your pediatrician first to rule out scary reasons they could be wetting. This visit should include a basic urinalysis and a thorough history. Often … Read moreTelehealth – During a pandemic and beyond
I absolutely do not believe in punishing a child for bedwetting but I do believe in encouraging a helpful attitude. This is why I encourage all my patients to properly dispose of any pull-ups and to take their wet sheets to the laundry room. Some families have Tide pods ready for them to use so … Read moreResponsibility Training
In Our Time to be Dry Workbook we always recommend treating constipation first. The workbook takes you step by step towards dryness. One way to improve your child’s bowels is with adequate fiber intake. We don’t want excessive fiber intake, only adequate amounts for their age. We always encourage vegetables first but here are a … Read moreFavorite Fiber Foods
Ferrara, Di Giuseppe, Fabrizio, Sbordone, Amato, Cutrona, and Verrotti (2016) wanted to see how punishment influenced a child’s bedwetting. They evaluated 218 children that wet the bed. They found that kids that received punishment during their treatment had a lower rate of improvement. Punishment included reprimanding, depriving them of sleep, mild beating, leaving them wet … Read moreWill Punishment Work?
Borg, Kamperis, Olsen, and Ritting (2017) set out to evaluate the nighttime bladder capacity in children with normal daytime bladder capacity and bedwetting. They described estimated bladder capacity as their age plus 1. (i.e. 5 year old + 1 = 6 ounce bladder). Eighty-four percent of the kids had a wet night with a volume … Read moreBedwetting because of small bladder?
Kovacevic, Wolfe-Christensen, Rizwan, Lu, and Lakshmanan (2018) wanted to identify the severity of bedwetting in children with attention deficit hyperactivity disorder (ADHD). It’s known that there is an association between ADHD and bedwetting. They compared children with bedwetting with ADHD and without ADHD. They found that kids with ADHD had more severe daytime voiding symptoms, … Read moreAre kids with ADHD harder to treat?
You’re ready to start the Time to be Dry program! Do you continue the medications or stop them? It depends on the medication. The ultimate goal is to get kids dry and OFF of medications. The three most common bedwetting medicines are ditropan (oxybutynin), desmopressin (DDAVP) and Imipramine (tofranil). If your child is on a … Read moreBedwetting Medicines