Best advice from real experts
Let me save you a lot of surfing! You’re probably aware that 90% of the bed wetting advice online is no help at all; when someone says “restrict water” or “small bladder” or “there’s a drug…” or “get an alarm” you need better advice.
If you happen to live in Washington or Boston you will have a great ‘enuresis’ program at the Children’s Hospital, where they have nursing clinics to treat bed wetting with successful programs. But keep in mind that bed wetting is only rarely a medical issue.
If your child wets at night but not in daytime, it isn’t likely a medical problem and drugs or surgery won’t help.
Our DryKids program is behavioral, not medical, and we can usuallly determine if this will work for you in s short, free phone call to determine the best approach for your bed wetting problem. I’m always ready to help a child. MORE about the DrykIds method on FAQ page
Chicago: clinic at Children's Memorial Hospital
Dr. Max Maizels, Chicago Memorial Hospital developed the Try for Dry program, “More than four million children over the age of five wet the bed. For most, time will solve the problem – eventually. But how long will ‘eventually’ be, and at what cost to parents’ frayed nerves or to the child’s self-esteem? Parents can speed up the clock and children can wake up dry. the Try for Dry program offers proven techniques that bring bed wetting to a happy end. They cover the pros and cons of wetting alarms, drug therapies, biofeedback treatment, and changes in diet and sleeping schedules, and they provide friendly advice on how to replace punishment and shame with awards and praise. With diaries, calendars, and other visual aids that help the child share responsibility for a solution…
Boston – a clinical approach to enuresis - why behavioral modification is the best approach
Kimberly Dunn, PNP, Laura Weissman, MD, and Sherry Tsai, CPNP, of BOSTON CHILDREN’S HOSPITAL
Laura Weissman, MD, a specialist in Developmental and Behavioral Pediatrics at Children’s Hospital Boston, says “the cause of the enuresis is generally not pathological and can be treated with behavioral therapy.” Success rates can be as high as 90 percent when alarm training is combined with behavioural modification, elimination diet, and most cases resolve within two months….
Washington –Dr. Howard Bennett, Washington D.C.
One of the few doctors who specialize in bed wetting from a behavioral approach.
Quote from his book “Waking up Dry”
“There is nothing quite so rewarding that a parent can do, than help a child to overcome bed wetting.”
Vaughan: Sara Dimerman, psychologist and author..
If your child is still bedwetting beyond the age of six, you may have explored options such as the urine alarm system or medication as a way of helping him stop. However, most literature supports an approach that includes some behaviour modification – either on its own or in conjunction with other methods. Teaching a child new skills and techniques that support his staying dry, along with employing other interventions, often has longer lasting effects than when only one approach is employed at a time…..
Calgary Alberta –Dr. Lane Robson
The treatment of voiding problems in children has been Dr. Robson’s main clinical interest for over two decades. He has treated thousands of children for these problems and has published over 60 chapters, original articles, reviews, and letters on this subject. In 2009 he was invited to write a review article for the New England Journal of Medicine, the most prestigious medical journal in the world.
Mayo Clinic on bed wetting drugs:
As a last resort, your child’s doctor may prescribe medication to stop enuresis. There are no guarantees, however, and medication doesn’t cure the problem. Bed-wetting typically resumes when the medication is stopped.
Slow nighttime urine production. The drug desmopressin acetate (DDAVP) boosts levels of a natural hormone (anti-diuretic hormone, or ADH) that forces the body to make less urine at night. Although DDAVP has few side effects, the most serious is the potential for seizures. This can happen if your child drinks too much when taking the medication. For this reason, don’t use this medication on nights when your child drinks a lot of fluids. Additionally, don’t give your child this medication if he or she has a headache, has vomited or feels nauseous.
Calm the bladder. If your child has a small bladder, an anticholinergic drug such as oxybutynin (Ditropan) or hyoscyamine (Levsin) may help reduce bladder contractions and increase bladder capacity. Side effects may include dry mouth and facial flushing.
Change a child’s sleeping and waking pattern. The antidepressant imipramine (Tofranil) may provide bed-wetting relief by changing a child’s sleeping and waking pattern. The medication may also increase the amount of time a child can hold urine or reduce the amount of urine produced. Imipramine has been associated with mood changes and sleep problems. Caution is essential when using this medication, because an overdose could be fatal. Because of the serious nature of these side effects, this medication is generally recommended only when other treatments have failed..