Your Child Does Not Have to Deal with “Accidents” Any Longer


The Safe Zone: A Pediatric Bed-wetting Program

Did you know that roughly 20% of school-aged children have reported problems with incontinence during their well-visit at their pediatrician’s office?  Is your child having wetting his or her bed at night? Could your child be missing out on sleepovers and feel badly that he or she is unable to stay dry?

We may be able to help. In the meantime, please read the information below:

Helpful Tips For Kids In Our Safety Zone Program (Hodges, 2014):

(1) Potty train your child after he or she is 2 years of age. Doing so before, according to research, tends to double the rates of both constipation and daytime wetting problems compared to children who trained between 2 and 3;
(2) May sure that your child does not have giant bowel movements as this may be a sign of constipation; and
(3) eliminate highly processed foods from your child’s diet to prevent constipation.

Be WARY of….

1) … toilet training your child before he or she is less than 2 years of ago. There is a general myth that older children who tend to have “accidents” or wet their beds at night, were toilet trained too late. In reality, studies have confirmed that children who were able to independently use the restroom before the age of two, were MORE likely to have difficulty continuing to independently use the restroom as they grew older.

Although toddlers can be trained to properly use the toilet, they may not be fully capable of responding to their bodies’ urges in a timely manner. Moreover, they are more prone to holding. Habitually holding their waste can lead to constipation. Studies have shown that conspitation can lead to incontinence in children. This excess stool tends to press against the bladder compromising its capacity and irritating the nerves feeding it, resulting in bed wetting or “accidents” in older children.

Fille de 8 ans.  Illustration du "pipi au lit" ou énurésie.

2) … assuming that children who are constipated are not using the restroom enough, resulting in infrequent or hard stool. This is a myth. The fact is that children who are constipated often use the restroom and have loose bowel movements. This happens because the rectum is overly stretched and can hold but so much waste. Any excess is eliminated, either voluntarily or involuntarily.  Giant, log- , or pellet-sized stools is a better way to tell whether or not your child is constipated. There are other indicators that a therapist at Kinetic Kids can share with you.

3) … trying to fix your child’s constipation with a high-fiber diet or with MiraLAX. Although they are helpful , no amount of prunes, nor small dosages of MiraLAX can dislodge a hard mass. According to Dr. Dr. Steve Hodges, a pediatric urologist and associate professor at Wake Forest University, aggressive measures should be taken with a “such as a high-dose MiraLAX clean-out or, better yet, a regimen of enemas” (Hodges, 2014). In order to prevent another occurrence of incontinence, Dr. Hodges explains that having your child switch to a diet that consists of foods that aren’t processed is helpful (Hodges, 2014).

3 Steps to Eliminating Bed Wetting (or “Accidents”) in Children (Hodges, 2014):

1. Avoid early toilet training. Train your child after he or she is 2 years of age.
2. Avoid highly processed foods. Instead, consume a diet rich in whole foods that having been depleted of their natural nutrients.
3. Know that the #1 cause of bed wetting, according to Dr. Hodges, is constipation.

5 Reasons Why the Bed Wetting Is not Getting Better (Hodges, 2014):

1. You child is consitpated.
2. Your child’s diet is full of processed foods.
3. Your child was “toilet trained” before 2 years of age.
4. Believing that your child will grow out of this bed wetting/having “accidents” phase in time.
5. Assuming that your child is a deep sleepers or their “bladder hasn’t caught up to their brain” or for psychological, hormonal, or hereditary reasons.

Hodges, S. (2014, September 2). What Every Parent Should Know About Bedwetting, Accidents, and Potty Training.  Retrieved September 7, 2014, from


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pediatric incontinence, pediatric occupational therapy, pediatric speech therapy, pediatric physical therapy, bedwetting, enuresis, pelvic floor rehabilitation, Charlotte, kids

Bedwetting? Accidents??

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[Pediatric Incontinence, Urinary Incontinence, Bedwetting, Enuresis, Fecal Incontinence, Children's Health, Adolescent Health, Pediatric Physical Therapy]