The only bedwetting checklist you'll ever need

Your essential guide to managing nocturnal enuresis

Bedwetting (nocturnal enuresis) is a common issue that affects many children. While it’s a natural part of growing up, it can be a source of stress for both children and parents. But worry not! We’ve created a comprehensive checklist that will help you manage bedwetting effectively, turning those nighttime woes into peaceful slumbers.

Understanding bedwetting

Before you hit the panic button, remember that bedwetting is often a developmental phase, rather than a cause for serious concern. It can be influenced by a variety of factors, including genetics, bladder size, deep sleep patterns or even minor stress. Patience and understanding are key as your child navigates through this phase.

Daytime strategies to support a dry night 

While nocturnal enuresis happens at night, the groundwork for success begins during the day. Here’s how you can set the stage for a dry night:

1. Stay hydrated (but wisely!) 

Ensure your child drinks an adequate amount of fluids throughout the day. Hydration is essential for bladder health, but timing is everything. Encourage them to drink more in the morning and early afternoon, tapering off towards the evening.

2. Watch what they drink 

After 4pm, limit drinks that can stimulate the bladder or contribute to bedwetting. This includes sugary drinks, caffeinated beverages like cola and even milk. These can increase urine production at night, leading to a higher risk of accidents.

3. Mind the snacks 

Some foods, like chocolate and fruits high in sugar (for example, bananas and watermelon), can have a similar effect as sugary drinks. Try to avoid these after 4pm, focusing instead on snacks that won’t disrupt your child’s sleep.

4. Regular bathroom breaks 

Encourage your child to use the bathroom every two to three hours during the day. This not only keeps their bladder from becoming too full but also helps them get into the habit of recognising when they need to go.

Bedtime routine: the key to dry nights 

A consistent and calming bedtime routine is crucial for managing bedwetting. It helps your child relax and prepares their body for sleep. Here’s what you can do:

Create a clear path to the bathroom 

If your child wakes up needing to use the toilet, make sure they can do so easily. Keep the path to the bathroom clear and consider installing a night light to guide them.

Prepare for accidents

Accidents happen and it’s best to be prepared. Keep a spare set of sheets, clean pyjamas and a protective bed mat nearby. This allows for a quick change with minimal disruption to your child’s sleep.

The final bathroom visit 

Before bed, encourage your child to try going to the toilet one last time, even if they don’t feel the urge. This reduces the likelihood of accidents during the night.

Wind down with a bedtime story 

Swap screen time for story time to help your child unwind. Reading a bedtime story not only encourages relaxation but also builds a closer connection with your child. As their imagination takes over, they’ll drift off into a peaceful sleep.

Managing expectations and emotions

It’s important to approach bedwetting with a positive and patient attitude. Children can often feel embarrassed or frustrated by their accidents, so reassurance is key. Let them know that bedwetting is a common part of growing up and that they’re not alone. How can you do this easily? 

Stay positive

Celebrate the dry nights, but don’t dwell on the wet ones. Encouragement and praise for dry nights can boost your child’s confidence. If an accident occurs, remain calm and avoid showing frustration.

Avoid blame and shame 

Bedwetting is involuntary; it’s not something your child can control. Avoid making them feel guilty about it. Instead, focus on the progress they’re making and reassure them that it’s okay to take time.

Open communication 

Talk openly with your child about bedwetting. Let them express their feelings and concerns and address any fears they might have about the situation. This open dialogue can alleviate stress and make the process easier for everyone.

When to seek medical advice 

While bedwetting is usually just a phase, there are times when it might be worth seeking medical advice. If your child is still wetting the bed regularly beyond the age of six or if they suddenly start wetting the bed after being dry for a while, a consultation with a specialist could be helpful. Additionally, if bedwetting is accompanied by symptoms like pain during urination or unusual thirst, it’s important to get these checked out.

With over 20 years of experience in paediatric urology, PeePS founder Cheryl Jennings is on hand to offer you a free 15-minute discovery call. Book now. 

With this checklist in hand, you're well-equipped to support your child through this phase with kindness and patience. Sweet dreams await!