Karakas, Muhammet, Mazlumoglu, and Simsek evaluated upper airway obstruction and snoring in kids with bedwetting. The age group reviewed were 5-16 years old. This study evaluated 112 bedwetters (no daytime symptoms) and the control group of 113 non-bedwetters. They specifically looked for tonsil hypertrophy, adenoid vegetation, septal deviation, turbinate hypertrophy, allergic rhinitis, upper airway obstruction, and snoring. Upper airway obstruction is found in 27% of children. The most common cause is tonsil and adenoid enlargement. They found that snoring occurred in 47% of bedwetters and 30% of non-bedwetters. In this study, 71.5% of bedwetting stopped after adenotonsillectomy.
My opinion: Listen to your child’s breathing overnight, if it’s patterned, they have significant snoring, they fall asleep during the day or they are waking up in the morning with headaches, speak with your pediatrician and request a referral to a pediatric otolaryngologist or ears, nose and throat (ENT) doctor or a sleep specialist for an apnea evaluation.
Karakas, H. B., Mazlumoglu, M. R., & Simsek, E. (2017). The role of upper airway obstruction and snoring in the etiology of monosymptomatic nocturnal enuresis in children. European Archives of Oto-Rhino-Laryngology, 274(7), 2959-2963. doi:10.1007/s00405-017-4558-z