IN THIS ARTICLE
Exams and Tests
A medical history and a physical exam are also part of a medical evaluation of bed-wetting. If you are having your child evaluated for bed-wetting, for a week or two before your visit, keep a diary that lists when wettings occur and how much urine is released.
In some cases, further testing may be needed. Tests may include:
If a child has uncontrollable wetting both at night and in the day, other tests may need to be done.
Most children gain bladder control over time without any treatment. Bed-wetting that continues past the age that most children have nighttime bladder control—typically at 5 or 6 years of age—also will usually stop over time without treatment. If not, home treatment may be all that is needed to help a child stop wetting the bed. For more information, see the Home Treatment section of this topic.
If home treatment is unsuccessful, if the child and parents need assistance, or if the bed-wetting may be caused by a medical condition, medical treatment may be helpful. Medical treatment may help your child wet the bed less often or help him or her wake up to use the toilet more often.
If a child relapses after stopping a successful therapy, that same therapy usually is repeated.
Treatment for bed-wetting is based on the:
Treatment for bed-wetting may include:
Treatment for bed-wetting may be helpful if bed-wetting is affecting a child's self-esteem, performance in school, or relationships with peers.
The best solution is often a combination of treatments. Below are some suggestions for treatment options according to the age of your child.
For more information, see:
What about treatment for daytime wetting?
Accidental daytime wetting may be a normal part of a child's development, or it may point to a medical condition. Talk to your child's doctor if your child has daytime wetting.
What To Think About
Studies show moisture alarms to be the most effective single treatment for bed-wetting.
Medicines for bed-wetting are usually used in combination with other methods of treatment. They are not as successful as other treatments in helping children gain complete bladder control. Medicines may be most helpful in these situations:
Often a child who has responded successfully to treatment will begin to wet again after treatment has stopped. But most children who relapse can be treated successfully with a repeat of the original program, especially if that program is based on behavior modification, such as using a moisture alarm.
eMedicineHealth Medical Reference from Healthwise
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