Submit a question to the Incontinence Specialist

A: No, I like to think of desmopressin (also referred to as DDAVP) as a crutch until they grow out of it or begin treatment. Medications only work in about 30% of children and it only works the night they take it. It does not fix the underlying problem.

A: There is a recent article regarding Vitamin D and omega-3. Read it here. I’ve been asked on more than one occasion about the benefits of cinnamon. I have found no published literature supporting cinnamon as a helpful adjunct.

A: Two things that often come up are that some kids haven’t developed the social awareness that wetting is a problem and other kids feel like they have no control so why bother. Punishing them is NEVER recommended but you can help motivate them in other ways. Only reward them for trying their best. If they are meeting their urotherapy guidelines such as voiding every 2-3 hours during the day, hitting hydration and fiber goals, they should be rewarded. They also need to understand that as a member of the family, they need to help with removing linens in the morning and taking them to the laundry room. This is not punishment, but part of being a contributing member of the family.

If you set an alarm to take them to the bathroom at night it will help them stay dry that night. It will not fix the problem. Using a moisture sensing alarm will train their brain to recognize that their bladder is full and ready to empty.  The alarm I recommend to all of my patients is the Dry Easy because it is loud and cheap.

If your bedtime is 8 pm.  Stop drinking at 6 pm. Take desmopressin with a few sips of water at 7 pm.  Pee and go to bed at 8 pm.

The minimum amount of fiber recommended is the child’s age plus 5.

Example: a 6 year old needs, 6 + 5 = 11 grams of fiber. 

This is the minimum.

Your child needs to be evaluated by their pediatrician.

Once they are evaluated, make sure they are sent to pee every 2 hours on the clock.  You can use a potty watch to help them remember.

Encourage them to have daily sit times for bowel movements.

Encourage hydration.

There is a positive correlation with obstructive sleep apnea and bedwetting.  Here is a recent article review.

Bedwetting is hereditary. Often times the child will stop wetting at the same age their family member stopped wetting.  I appreciate having a parent that wet the bed involved in the child’s bedwetting.  Psychologically, it’s important for the child to know they are not alone and for them to feel supported.

It’s really important for these children to hydrate well during the day.  Drinking water throughout the day is good for the bladder and the body.  Request that your pediatrician completes a letter for your child to have a water bottle at their desk and full access to the bathroom while at school. Find hydration goals here.