Here are changes you can make at home that may help:
Oct. 11, 2014
- Limit how much your child drinks in the evening. It's important to get enough fluids, so there's no need to limit how much your child drinks in a day. However, encourage your child to focus on drinking liquids in the morning and early afternoon, which may reduce thirst in the evening. But don't limit evening fluids if your child participates in sports practice or games in the evenings.
- Avoid beverages and foods with caffeine. Beverages with caffeine are discouraged for children at any time of day. Because caffeine may stimulate the bladder, it's especially discouraged in the evening.
- Encourage double voiding before bed. Double voiding is urinating at the beginning of the bedtime routine and then again just before falling asleep. Remind your child that it's OK to use the toilet during the night if needed. Use small night lights, so your child can easily find the way between the bedroom and bathroom.
- Encourage regular toilet use throughout the day. During the day and evening, suggest that your child urinate every two hours or so, or at least often enough to avoid a feeling of urgency.
- Treat constipation. If constipation is a problem for your child, your doctor may recommend a stool softener.
- Prevent rashes. To prevent a rash caused by wet underpants, help your child rinse his or her bottom and genital area every morning. It also may help to cover the affected area with a protective moisture barrier ointment or cream at bedtime. Ask your pediatrician for product recommendations.
- Urinary incontinence in children. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/kudiseases/pubs/uichildren/. Accessed Aug. 24, 2014.
- Tu ND, et al. Nocturnal enuresis in children: Management. http://www.uptodate.com/home. Accessed Aug. 24, 2014.
- What I need to know about my child's bedwetting. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/kudiseases/pubs/bedwetting_ez/index.aspx. Accessed Aug. 24, 2014.
- Caldwell PHY, et al. Management of nocturnal enuresis. BMJ. 2013;347:f6259.
- Tu ND, et al. Nocturnal enuresis in children: Etiology and evaluation. http://www.uptodate.com/home. Accessed Aug. 24, 2014.
- Bayne AP, et al, Nocturnal enuresis: An approach to assessment and treatment. Pediatrics in Review. 2014;35:327.
- Huang T, et al. Complementary and miscellaneous interventions for nocturnal enuresis in children. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005230.pub2/abstract. Accessed Aug. 24, 2014.
- Enuresis. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Aug. 24, 2014.
- Complementary, alternative, or integrative health: What's in a name? National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/whatiscam. Accessed Aug. 29, 2014.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 1, 2014.
- Lynch BA (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 18, 2014.
- Desmopressin Acetate (marketed as DDAVP Nasal Spray, DDAVP Rhinal Tube, DDAVP, DDVP, Minirin, and Stimate Nasal Spray) December 2007. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm152113.htm. Accessed Sept. 19, 2014.
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