Bedwetting, or nocturnal enuresis, is a common and often frustrating issue many school-age children and their families face. While it’s often associated with toddlers, it can persist well into the school years—sometimes even into the teens. As a Pediatrician and Allergy Specialist, I often reassure anxious parents that they are not alone and that bedwetting is usually treatable with the right approach. 

Let’s understand  why it happens, how to support your child, and when to seek help. 

Why Does Bedwetting Happen? 

Bedwetting is not usually caused by being lazy or emotionally immature, despite what most people think. The most common reasons include: 

• Delayed bladder development 
• Deep sleep patterns 
• Overproduction of urine at night (low levels of anti-diuretic hormone) 
• Genetic tendency – if one or both parents wet the bed as children, the chances increase 

 Some underlying health problems, like urinary tract infections (UTIs), constipation, allergies, or even sleep apnea, may make the problem worse. 

Is It Normal for My School-Age Child to Wet the Bed? 

Yes. Around 15% of 5-year-olds and 5% of 10-year-olds still wet the bed occasionally. While most children outgrow it naturally, it can affect their self-esteem, confidence, and even social interactions, especially with sleepovers or school trips. 

How Can Parents Help? Practical Tips That Work 

1. Stay Calm and Reassuring 
   Punishing or shaming your child never helps and can worsen anxiety. Let them know it’s not their fault and they’re not alone. 
2. Encourage Daytime Bathroom Habits 
   Make sure your child empties their bladder regularly during the day and just before bedtime. 
3. Limit Evening Fluids 
   Reduce intake of water or milk 1-2 hours before bedtime, especially sugary or caffeinated drinks. 
4. Use Bedwetting Alarms 
   These devices can help train the brain to wake up when the bladder is full. They’re highly effective when used consistently. 
5. Track Patterns 
   Maintain a “dry night” diary to identify patterns or triggers. This also motivates your child when they see progress. 
6. Protect the Mattress 
   Use waterproof sheets to reduce stress for both child and parent on laundry days. 

When to See a Pediatrician? 

If your child is over 7 and still bedwetting regularly, or if the bedwetting begins after a long dry period (secondary enuresis), it’s a good idea to consult a pediatrician. At my clinic, I evaluate for any underlying causes—such as UTIs, bladder capacity issues, constipation, or rare conditions like sleep-disordered breathing or allergies. 

I offer evidence-based treatments including behavioral strategies, medication when necessary, and parental counseling. Together, we create a compassionate, customized plan tailored to your child’s needs. 

Final Thoughts 

Remember, your child is not doing this on purpose. Patience, support, and timely intervention can make all the difference. With empathy and expert care, dry nights—and stress-free mornings—are entirely within reach. 

If you’re worried about bedwetting in your child, I invite you to schedule a consultation. Let’s work together to find gentle, effective solutions that support your child’s health and confidence.