Bedwetting (nocturnal enuresis) can be worrying and frustrating, but it's common for children to accidentally wet the bed during the night. The problem usually resolves in time.
Bedwetting is common in young children but it gets less common as a child gets older.
In the UK, it's estimated that about:
About 1 in 100 people continue to wet the bed into adulthood.
Bedwetting is slightly more common in boys than girls.
Bedwetting is only really a problem if it begins to bother the children or parents. Only rarely will this be considered a problem in children under 5 years old. Many families first seek treatment when the bedwetting affects a child's social life (for example, preventing sleepovers).
Medical treatments aren't usually recommended for children under five (although exceptions can be made if a child finds bedwetting particularly upsetting).
If your child frequently wets the bed and finds it upsetting, speak to your GP for advice.
There's usually no obvious reason why children wet the bed and it's not your child's fault. In many cases, the problem runs in families.
Bedwetting could be caused by your child:
The recommended plan is usually to try a few measures yourself first, such as limiting the amount of liquid your child drinks in the evening, and making sure they go to the toilet before going to sleep.
Reassuring your child that everything is okay is also important. Don't tell them off or punish them for wetting the bed as this won't help and could make the problem worse. It's important for them to know they're not alone, and it will get better.
If these measures alone don't help, a bedwetting alarm is often recommended. These are moisture-sensitive pads a child wears on their night clothes. An alarm sounds if the child begins to pee. Over time, the alarm should help train a child to wake once their bladder is full. If an alarm doesn't work or is unsuitable, medication called desmopressin or oxybutinin can be used. Most children respond well to treatment, although bedwetting sometimes returns temporarily.
Help and Support
If under 5, please contact your GP or health visitor.
For over 5 years , please contact your GP or SENCO
Education and Resources for Improving Childhood Continence (ERIC) is a UK-based charity for people affected by bedwetting. The charity provides useful information and advice for both children and parents.
ERIC also has a telephone helpline – 0845 370 8008, open weekdays from 10am to 4pm. The website can be reached at http://www.eric.org.uk/
New paediatric bladder clinics
The new paediatric bladder service commenced in October 2016 and is now called the Paediatric Bladder Clinic as it will see children with daytime and/or night time urinary symptoms aged 5 years and over. There are 18 clinics a month and referrals can be made by Health Professionals via the Single Point of Entry (SPE), or parents/ carers can refer their children into the service.
Children with daytime urinary symptoms only under 5 years of age OR children with bowel symptoms / constipation, should be referred to the Community Paediatricians.