Bed-wetting: Should I do something about my child's bed-wetting?

1. Get the Facts

Your options

Treat the bed-wetting with home treatments or medicine.
Wait for the bed-wetting to stop without treatment.

Key points to remember

Most children stop wetting the bed on their own. Gaining bladder control is a normal part of growth that takes longer in some children.
If your child is younger than 5 or 6, medical treatment for bed-wetting probably isn't needed. Home treatment may help you manage the wetting until the child stops on his or her own.
If your child is older than 5 or 6, the choice to begin treatment is based on how you and your child feel about it.
If your child has begun wetting again after having been dry for at least 3 months, the wetting may be caused by a treatable medical problem, such as a urinary tract infection.

FAQs

When do most children stop wetting the bed?

Bed-wetting is common in young children.¹

In 5-year-olds, 15 to 20 out of 100 children wet the bed.
In 7-year-olds, 7 out of 100 children wet the bed.
In 10-year-olds, 5 out of 100 children wet the bed.
In 12- to 14-year-olds, 2 to 3 out of 100 children wet the bed.

Children grow and develop at different rates. Bed-wetting will usually stop over time without treatment. Bed-wetting is rarely caused by a medical problem.

Treatment for bed-wetting is not a cure. The goal is to reduce the number of times the child wets the bed and to manage the wetting until it goes away on its own.

How well do treatments for bed-wetting work?

Treatments that can be used at home vary in how well they work. Many treatments help the child learn to notice the signals sent by the bladder when it is full. Treatments can be used alone or together and may include:

A moisture alarm. The alarm is worn on the body and makes a sound when urine first touches the child's underclothes. The child is encouraged to try to "beat the buzzer." Moisture alarms are the most successful treatment for bed-wetting, especially in children age 10 and older.
Motivational therapy. This method involves parents encouraging and reinforcing a child's sense of control over bed-wetting. Parents repeatedly tell their child that he or she can master bed-wetting. And they also work with the child to design a reward system that will encourage and motivate the child to stay dry. This treatment works best for children who want to take part in it.
Self-awakening training. This is a method of helping a child awake from sleep. It involves having the child practice getting out of bed to go to the bathroom. This type of training works well when both parents and the child are motivated. This is more likely with children older than 6.
Dry-bed training. This method consists of following a strict schedule for waking your child up at night until he or she learns to wake up alone when needed. The dry-bed training program is done each night for 7 nights. After training is complete, the steps are repeated if the child wets the bed 3 nights in a row. Dry-bed training may take less time and have better long-term success when it is combined with other treatments, such as a moisture alarm or self-awakening training.
Desmopressin and tricyclic antidepressants. Although medicines help some children, bed-wetting usually returns after the medicine is stopped. Medicines are usually used with children age 8 and older after other treatments have failed. They may be used with other treatments or as needed, such as for an overnight event. Sometimes medicine may be given for a few nights as a way to encourage or motivate a child by helping him or her experience nighttime dryness.

What new problems could occur if you treat your child's bed-wetting?

Depending on how you manage it, your child might feel punished or feel as though attention is being drawn to the wetting.

If you use medicines, your child may have side effects, including an irregular heartbeat. Some medicines must be kept out of children's reach, because they can be very dangerous if taken in large doses.

What could happen if you don't treat your child's bed-wetting?

If your child's bed-wetting isn't caused by a medical problem, it's fine to wait for the bed-wetting to stop on its own. It won't increase your child's risk for physical problems.

Bed-wetting may affect your child's self-esteem and relationships with peers and with family members. But you may be able to prevent these problems. Reassure your child that it is normal for some children to take a little longer than others to gain bladder control. Ask what your child would like to do to manage the problem until it goes away, and expect him or her to take responsibility for it (with your support).

2. Compare Options

	Treat the bed-wetting	Don't treat the bed-wetting
What is usually involved?	You help your child use home treatments, medicine, or both.	You wait to see if the bed-wetting gets better on its own. You check with your child now and then to see if the bed-wetting is bothering him or her.
What are the benefits?	With treatment, your child may wet the bed less often.	You can avoid the side effects of medicines for bed-wetting. You avoid the inconvenience and stress of using home treatment methods.
What are the risks and side effects?	Home treatments can be time-consuming and require both you and your child to be committed to using them. Medicines for bed-wetting can cause side effects, such as an irregular heartbeat.	There are rarely any risks or side effects to not treating bed-wetting.

Personal stories

Are you interested in what others decided to do? Many people have faced this decision. These personal stories may help you decide.

If you need more information, see the topic Bed-Wetting.

Personal stories about treatment for bed-wetting

These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.

" My 10-year-old son still wets the bed once in a while. We've given him a sleeping bag that he puts on his bed after he puts the wet sheets in the laundry. He washes his own bedding and makes the bed again the next day. No one makes a big deal out of it, but he's responsible for managing it on his own. "

— Nick, age 47

" Our son has no problem managing his bed-wetting at home, but he's really worried about what will happen when he goes to summer camp this year. The doctor suggested that we try this medication to see if it works for him, and then he can just use it when he's away from home. "

— Claudia, age 40

" Thank goodness for those "big kid" disposable underpants! My daughter, who's 7 and still wets the bed a few times a week, saw those on TV a few months ago and asked if she could try them. I asked her doctor if there was any reason not to use them, and he said no. So we bought a package, and Michelle has been using them ever since. She feels a lot better because she doesn't have to make up her bed with clean sheets several times a week, and I feel better because she's taking responsibility for managing her bed-wetting on her own. "

— Anne-Marie, age 34

"I think I have more of a problem with my daughter's bed-wetting than she does. I've tried not to let her know it, but I feel like she could stop if she wanted to, even though another part of me knows that she doesn't do it on purpose. It doesn't seem to bother her very much (probably because her best girlfriend also wets the bed). I think it would help me to talk to someone about how I can handle my own feelings about it better. "

— Carlos, age 35

3. Your Feelings

Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.

Reasons to treat my child's bed-wetting

Reasons not to treat my child's bed-wetting

My child wants to try treatment.

My child does not want to try treatment.

More important

Equally important

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I am concerned about how the bed-wetting is affecting my child's self-esteem.

I don't think that the bed-wetting is affecting my child's self-esteem.

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I don't think that treatment will make my child feel ashamed.

I am worried that treatment may make my child feel ashamed.

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Equally important

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The bed-wetting is affecting my relationship with my child.

The bed-wetting doesn't hurt my relationship with my child.

More important

Equally important

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I am worried that the bed-wetting is affecting my child's schoolwork or relationships with friends or siblings.

The bed-wetting doesn't seem to affect my child's schoolwork or relationships with friends or siblings.

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Equally important

More important

My other important reasons:

More important

Equally important

More important

4. Your Decision

Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.

Treating my child's bed-wetting

NOT treating my child's bed-wetting

Leaning toward

Undecided

Leaning toward

5. Quiz Yourself

Check the facts.

1. Do most children outgrow bed-wetting on their own?

Yes
No
I'm not sure

That's right. Some children take longer than others, but most children outgrow bed-wetting on their own.

2. Is medical treatment usually needed when children under the age of 5 or 6 wet the bed?

Yes
No
I'm not sure

That's right. Medical treatment for bed-wetting usually isn't needed in children younger than 5 or 6. Home treatment may help you manage the wetting until the child stops on his or her own.

3. Can medical problems cause a child to begin to wet the bed again after having been dry for at least 3 months?

Yes
No
I'm not sure

That's right. If your child begins to wet the bed again after having been dry for at least 3 months, it can be a sign of a medical problem, such as a urinary tract infection.

Decide what's next.

1. Do you understand the options available to you?

Yes
No

2. Are you clear about which benefits and side effects matter most to you?

Yes
No

3. Do you have enough support and advice from others to make a choice?

Yes
No

Certainty.

1. How sure do you feel right now about your decision?

Not sure at all

Somewhat sure

Very sure

2. Check what you need to do before you make this decision.

Nothing. I'm ready to take action.
I want to discuss the options with others.
I want to learn more about my options.

3. Use the following space to list questions, concerns, and next steps.