Let’s Work Towards Less Bed Wetting [Bedwetting Stories, How to Stop Bedwetting, Bedwetting in Teenager, Bedwetting in Teenagers, Bedwetting Alarm, Bedwetting Alarms, Bed wetting, Bedwetting, Yoga for Kids]
My Child Wets the Bed.
How Common is This?
Wetting the bed, or struggling with a type of incontinence known as nocturnal enuresis, is a common problem in pediatrics. A study looking at the prevalence of nocturnal enuresis in school-age children, found an “overall prevalence of…9.52%”. It is more prevalent in girls (12.4% in girls; 6.5% in boys) 1. Often, this is not the only symptom that appears for the child. A child who has nighttime accidents may also have problems with constipation. In fact, this study found that 13.2% of children with nocturnal enuresis had constipation as well1. Another study by Fernandez-Ibieta et al. quotes that “33-56% of dysfunctional voiders are constipated” 2. Enuresis also affects school performance1. A child’s participation in school can affect their overall quality of life, because it adds to the stress they experience, it can negatively affect friendships, adding embarrassment to their life, or even just keeping them out of the classroom for a longer amount of time due to toileting needs.
In Need of Additional Awesomesauce?
Here are some other related blog articles that we here at Kinetic Kids have created that may be of interest to you:
- 12 Signs Your Child is Constipated - Pediatric Incontinence
- Getting Your Child to Eat More Fruit [How To Stop Bedwetting]
- Holding Pee and Poop Affects My Child's Health? [Bedwetting, Bedwetting in Teenager, Rehabilitation for Nocturnal Enuresis]
- Yoga for Kids [How to Stop Bedwetting, Pediatric Incontinence]
- ADHD and Bedwetting [Bedwetting in Teenagers, ADHD, Bedwetting Stories]
Why Can’t My Child Control Their Bladder?
Nighttime accidents, as well as other types of incontinence, are often described as a type of dysfunctional voiding. This term refers to the dysfunctional pattern of control and activation of the muscles of the pelvic floor. In particular, the “external urethral sphincter” is a muscle that normally contracts to clamp the bladder shut, but with dysfunctional voiding, it “contracts during voiding” leading to a difficulty initiating or sustaining a flow of urine. Symptoms that may be seen in your child are difficulty initiating a flow of urine, incomplete emptying of the bladder, nocturnal enuresis or accidents, daytime accidents, or even urinary tract infections.
Now Let’s Work Towards Less Bed-Wetting
Physical therapy services can assist in retraining your child’s pelvic floor muscles to contract at the right time and at the right amount to make toileting more comfortable and to help work towards less bed-wetting. Biofeedback tools are often used in order to determine exactly how and when your child’s muscles are contracting, and for the child to be able to see on the screen how to relax those muscles in order to aid in toileting. It is important to work with your child with a “nonaccusatory approach” when working towards less bed-wetting and to improve their control for toileting. It is also useful to keep a toileting log. This will help keep track of how many times a child should be going to the bathroom each day. It is recommended to go to the bathroom every 2-3 hours. Along with a toileting schedule, you can build in “a reward system” for your child3. Dysfunctional voiding or enuresis can be caused in some cases by psychosocial effects, such as stress, for example. Addressing the behavioral side of your child’s toileting in a positive way can help to alleviate these stressors that may be adding to nighttime accidents.
Physical Therapy services are helpful in re-training the pelvic floor musculature, which can help to improve toileting and bladder control, leading to less bed-wetting. If your child struggles with incontinence or nighttime accidents, consider scheduling an initial evaluation here at the clinic.
Are You Interested In Your Child Having a Happy Bladder?
Great! Check out this helpful eBook that delves even further into helping your child overcome incontinence! [FREE eBook]
You get information on:
- the pelvic floor muscles,
- how the bladder works,
- finding your bladder, and
- nutrition suggestions that will help to reduce symptoms of incontinence!
 Sarici, H., Telli, O., Ozgur, BC., Demirbas, A., Ozgur, S., Karagoz, MA. Prevalence of nocturnal enuresis and its influence on quality of life in school-aged children. J. Pediatr. Urol. 2016 June; 12 (3): 159.e1-6. Doi: 10.1016;j.jpurol.2015.11.011.
 Fernandez-Ibieta, M., Ayuso-Gonzalez, L. Dysfunctional Voiding in Pediatrics: A Review of Pathophysiology and Current Treatment Modalities. Current Pediatric Reviews. Aug 2016, 12(4):292-300 DOI: 10.2174/1573396312666160816163020
 Koppen, J., von Gontard, A., Chase, J., Cooper, CS., Rittig, CS., Bauer, SB., Homsy, Y., Yang, SS., Benninga, MA. Management of functional nonretentive fecal incontinence in children: Recommendations from the International Children’s Continence Society. J. Pediatr. Urol. 2016 Feb. 12 (1):56-64. Doi: 101.1016/j.jpurol.2015.09.008