His sleeping through the alarm, though, is a sign that treatments aimed at making it easier for him to wake up are likely to be particularly effective for him. All rational treatments for primary nocturnal enuresis, the most common form of bedwetting, are aimed at either teaching the child to wake up when the bladder is full or at decreasing the need for nighttime urination. I will discuss with you several ways to teach children to wake up. Any child beyond the sixth birthday, though, should have a medical evaluation to rule out other underlying problems before instituting any therapy for bedwetting. Bedwetting alarms are among the safest and most effective of all therapies. The alarms have a simple moisture-sensor that snaps into your son’s pajamas. A small speaker attaches up on the shoulder with Velcro. At the first drop of urine, a piercing alarm goes off, that sounds similar to a smoke alarm. Instantly, the child reflexly stops urinating. Next, the household awakes, EXCEPT for the deep sleeper who wets the bed.
Precisely those children who sleep through the alarm are most likely to be helped by it. For the alarm to be effective, someone else must wake your son up (the most trying part — I’m sure he’s difficult to awaken), walk him to the bathroom, and get him to finish urinating in the toilet — all before resetting that annoying alarm. If this ritual is continued, the alarm will likely begin to wake him up directly within 4 to 6 weeks. Within twelve weeks, your son will very likely master nighttime bladder control, and no longer need the alarm. Relapses after alarm therapy are uncommon. I participated in a conference on enuresis where one of the speakers described the use in Africa of frogs strapped to the child as a ‘natural’ alarm. Today’s electronic alarms are more effective, and I dare say, more comfortable (for the frog as well as the child). Many good alarms are available. The technology for bedwetting alarms changes, with new models coming out faster than I can review.
I recommend going to a trusted source, that provides reviews from parents, to research the best alarm for your child. When researching consider the following: Star charts prove very beneficial to some children, used either alone or with a bedwetting alarm. As you know from experience, you wake up more easily when the day holds promise and excitement. On holiday mornings it is easier to get out of bed; on dreary mornings it is easier to hit the snooze-alarm. Star charts use this to advantage. A child is offered a star on the calendar for each dry night. When the child collects a predetermined number of stars (usually 3-7), he is given a small reward. When he collects 21 in a row, he gets a larger, looked-forward-to, prize. This puts the reticular activating system of the brain in a more heightened state of readiness to wake up when the bladder signals that it is full. For some children, this is enough to make them responsive to nighttime bladder fullness. If no improvement occurs within 2 weeks, however, it should not continue to be used without an alarm or some other therapy.
Hypnotherapy and guided imagery are other techniques available to help deep sleepers gain nighttime bladder control. Hypnotherapy requires a trained therapist, but guided imagery can be employed by anyone. Have your son relax, close his eyes, and listen to what you say. Tell him that his kidneys are a pee factory, making urine day and night. His bladder is a storage tank where the pee is kept until he is ready to put it in the toilet. There is a gate or muscle that holds the pee in the bladder until he is ready. During the day, he is in control of the gate, but at night some of the pee has been sneaking out. When he sleeps, he is going to begin taking control. When the bladder starts to fill up, he will control the gate when he is asleep, just like when he is awake. He will pee in the toilet when he is ready. Messages like this help put his brain in a state of readiness to receive the bladder’s signals. As with star charts, this should not be continued as the only therapy for longer than 2 weeks with no noticeable improvement.
Many advantages result from being a deep sleeper. Sound sleep restores and refreshes the body and the mind. (Children who wet the bed do not sleep as soundly after they wet each night as they did before.) The frustration you’ve had of your son’s sleeping through the alarm is not a reason to give up, but a sign that with perseverance he will stay dry and enjoy sound sleep all night long.“Mama, I have to go peepee,” the small voice calls from a dark room across the hall. I can feel the anxiety rise up from my stomach as I stumble from my own bed. Fingers crossed in my mind, I hope to find a dry child, and a dry bed, and that we make it to the bathroom. Most of the time we do, but then there are the nights when I find myself in front of the washing machine with a pile of sheets at 3am… You are not alone. 1) Bed-wetting is common. Also known as nocturnal enuresis, bedwetting is actually considered normal for kids until the age of five. After age five, 15% of children will still experience bedwetting.
At the age of 10, 5% of children still wet the bed. Boys are twice as likely as girls to struggle with this. 2) Normal bed-wetting occurs without any other symptoms. That means no pain, fevers, weight loss, loss of daytime control, frequent urination, weak or inconsistent streams of urine, increased hunger or thirst, or other problems. 3) It is hard to stay dry at night. The bladder has its own complex system of nerves and also relies on detailed communication with the brain. These systems take a long time to develop and train. The systems are also affected by genetics (bed wetting runs in families), hormone release patterns, sleep patterns, abnormal muscle activity of the bladder and other varied factors that you and your child cannot control. 4) Even children who potty train easily during the day may struggle for months or years with bedwetting. 5) Sometimes, a stressful life event will result in the start or return of bedwetting.
This is known as secondary nocturnal enuresis. This is less common then the primary form that begins during toilet training. 1) CALL your pediatrician for a medical evaluation if your child has any other symptoms that you notice in association with their bed wetting (mentioned above: pain, fevers, weight loss, loss of daytime control, frequent urination, weak or inconsistent streams of urine, increased hunger or thirst, or other problems). 2) RELAX as much as possible. Most children will outgrow this in time. It is not your child’s fault and it is not your fault. Stressing yourself out or reprimanding your child only leads to further emotional distress and embarrassment for you both. It will not help the problem. 3) PURCHASE plastic mattress covers/protectors and some inexpensive bedding that is easy to wash and can be changed out quickly. You can even layer sheets and protectors so that the bed is already “made” as soon as the wet layer is removed.
4) MAXIMIZE your child’s chance of success at night by Avoiding sugary or caffeine containing drinks at night Encourage drinking of fluids in the morning and afternoon and discourage lots of drinking right before bed. This can be hard for children who attend school. Have your child urinate as the very last thing they do before bed Consider keeping a potty chair right by the bed and consider use of nightlights, etc. to make nighttime toilet usage as easy as possible. Remind and encourage them that getting out of bed to use the toilet is the right choice and praise them for it. Maintaining a consistent nap and sleep schedule may help. Children who are sleep-deprived or “over tired” are more likely to wet the bed. Avoid routine use of pull-ups/diapers/training pants, especially in older children who have a personal interest in ending their bed wetting. 5) DISCUSS training techniques and other treatment options with your pediatrician especially if your child is older than seven.