How to deal with night urination in children?

Involuntary nocturnal urination in children remains a problem in confusion. We will answer common questions about bed-wetting, in order to facilitate the handling of the problem.

Parents have difficulty dealing with the problem of involuntary urination in their children, especially because they are keen to keep it a big secret that they can only talk about in the doctor’s office. Parents often tend to brag about their children’s accomplishments, share the conversation with friends about social problems and problems at school, but when it comes to their child’s urination problem they announce a silence agreement between themselves and themselves and they don’t even talk about it for grandparents. 

Why does my child wet his bed at night? 

Before answering this question, try to determine whether or not your child experiences night urination every night. In fact, these two conditions are completely different to the problem of night urination.
When a child gets his bed every night, then he suffers from “Primary Nocturnal Enuresis”, in fact one in every five children suffers from this phenomenon. There are three main causes that can cause night urination: 
  1. An imbalance between the urinary output during the day and at night. Children with this problem excrete the same amount of urine, day and night. Children without the problem excrete 80% of urine during the day and only 20% during the night.
  2. There are children who suffer from involuntary contractions of the bladder, which causes enuresis and nocturnal urination.
  3. Inability to wake up when the bladder is full. This problem stems from a specific disorder in the waking process and not because of deep sleep, as many believe. 
Children who suffer from nocturnal urination at different times, actually suffer from “secondary nocturnal urination”. In this case, the cause may be a medical condition or a psychological event that the child suffered from such as trauma , anxiety or an unpleasant dream. 
Night urination may be hereditary. In the event that one or both parents experienced night urination in their childhood, their children may also suffer from it. 

What do we do when the child starts to urinate at night? 

The first step is to talk about the issue with the pediatrician. Many parents do not even talk to the subject in front of the pediatrician because they are ashamed of him. However, this examination is very important to exclude medical causes that could be the cause of night urination.

Urine analysis may reveal urinary tract infection, or a high level of sugar in the urine that can lead to night urination. Physical examination by the doctor can detect constipation. If the child suffers from constipation , the flatulence resulting from the accumulation of stools may cause pressure on the bladder and thus to urinate at night, and possibly to involuntary urination during the day at the most embarrassing times.

It is also possible for the doctor to discover if the child suffers from sleep disorders due to sleep apnea. In children who suffer from sleep apnea, breathing may stop during sleep for very short periods during which urine can leak. This problem requires treatment, so it is important for the pediatrician to know about the problem of night urination in your child. 

At what age can night urination be considered a “normal problem”? 

If the reason for nocturnal urination is not a medical problem that requires treatment, it often goes away from itself until the age of seven. In fact, there are 18-year-old teens who are still suffering from nocturnal urination. 
  • As long as your family knows how to deal with the problem and treat it appropriately, without causing inconvenience to you or your children, you can wait for the problem to pass by itself. 
  • It is important that you do not get angry with the child while wet his bed and not blame him. You can explain to him that many children suffer from this problem and it is temporary. 

What is the most effective night urination treatment? 

There are many products that can wake your child when the first point of his body leaks.
These products are special belts or sheets with sensors affixed to the child’s underwear or the child’s wrist or waist. When the urine begins to leak, from the first point the sensors discover it and the belt begins to vibrate or whistle until the child wakes up.

In fact, the technique of vibrating or sounding alarms is very effective because it teaches the brain when it has to wake up to go to the toilet in time. But this learning process may take several months, as it requires you parents to participate in the process and wake up with the child when the device begins vibrating or beeping and deliver it to the toilet.

Since we have started talking about you, parents, many parents wake up two or three times during the night to wake their children and connect them to the toilet without waiting for the child to feel the need to urinate. 
There are, of course, many medications that reduce the amount of urine the body produces during the night. Medicines often have many side effects that parents want to avoid, so it is possible to give the child medicine only when he or she goes to sleep with his grandfather or grandmother or with a friend.
It is important to remember that we should not be angry with the child or punish him for the problem of night urination, even if you suffer from great disappointment. Explicit dialogues or any other solution you find may help the child not feel offended.