Treatment options 

JCP 1344

Many children who wet the bed just need a little longer to become dry naturally, while others will need some help along the way. Bedwetting solutions range from simple tactics you can try at home to bedwetting treatments prescribed by a doctor or nurse. Here are some to consider:

DryNites® Pyjama Pants

As well as giving immediate and unbeatable protection, DryNites® Pyjama Pants can be used alongside other treatments. Specially designed to look just like normal underwear, they are discreet and highly absorbent, helping your child get a restful night's sleep.

Motivational methods

Praising your child for small triumphs along the way, such as drinking good levels of fluid during the day, waking to go to the toilet at night or letting you know when they have wet, will make them feel positive about their progress and will help to counteract any negative feelings they might have towards accidents.

Fluids and toileting

It’s important to encourage your child to drink plenty during the day. NICE (National Institute for Health and Clinical Excellence) recommend 1,000 – 1,400mls for 4-8 year olds, depending upon the temperature and level of exercise. Try to avoid fizzy or caffeinated drinks if possible as this may make the bedwetting worse. 

While it can be useful to cut down the fluid level an hour or so before bed, never deny a child who is thirsty a drink. Also, encourage your child to go to the toilet regularly throughout the day - between four to seven times is normal.

Bedwetting alarms

Sensor pads placed on the mattress or sensors attached to underwear alerts an alarm that goes off when the bladder is full and moisture is detected. The alarm causes the child to “hold-on” and to wake up so that they can visit the toilet. Ultimately this will sensitise the child to respond quickly and appropriately to a full bladder during sleep. While alarm conditioning can be effective (it has a success rate of around 70%) it takes time to work and is best used for children who are motivated and can manage the alarm themselves, with your support. So it isn't the best solution for all and may be more suitable for slightly older children (aged 6-7 and above.)

Medication

In some cases doctors may prescribe an anti-diuretic medication to reduce the amount of urine produced at night. This can either be as a temporary measure or for long-term treatment. Medication won’t work for all cases, and in those that it does, there can be a bedwetting relapse when the medication is stopped.

Complementary Therapies

Therapies such as hypnotherapy, acupuncture, homeopathy and chiropractic may be able to help with bedwetting, although there is not a great deal of evidence as to their effectiveness in this area.  If you’re interested in trying an alternative therapy, it’s worth speaking to your doctor beforehand, especially if your child is already using other forms of treatment.