Nighttime Accidents After Potty Training

A Common Problem

• Bed-wetting is more common than most people think. According to the American Academy of Pediatrics, by age 5, a quarter of kids still wet their beds. The number goes down to about 20 percent by age 7; by age 10, 5 percent of kids still experience nighttime wetting. The AAP reports that two-thirds of bed-wetters are boys, and almost all kids will outgrow it by adolescence.

Possible Causes

• According to the AAP, the exact causes of bed-wetting aren̵7;t fully known, but there is usually a history of bed-wetting in the family -- more often with the father. Bed-wetting isn̵7;t usually associated with other physical or emotional issues, but it can be. For example, emotional stress can cause some kids to wet their beds, but that̵7;s only if it begins after an extended period of dry nights. A urinary tract infection can be the culprit or even constipation, which can cause extra pressure on the bladder from the rectum. Very rarely, bed-wetting is an early sign of diabetes mellitus.

  Since bed-wetting is the failure to wake up when the bladder is full, it might relate to the development of kids̵7; nervous and muscular systems to subconsciously suppress the sensation of a full bladder while sleeping, explains the AAP. Just like learning to walk, nighttime bladder control can only occur when a child is physically ready.

Simple Hygiene

• Try not to fret the bed-wetting; it will pass. Plastic mattress covers or pads can help minimize the mess at night. The AAP suggests presoaking wet sheets and blankets in vinegar to remove the ammonia. Or have your child wear a disposable, pull-up-type diaper until he̵7;s dry for an extended period. Invest in a new set of sheets for his bed for middle-of-the-night sheet changes or in case you don̵7;t get around to doing laundry.

What You Can Do

• Although the problem will resolve on its own, if you̵7;re impatient or worried about your child̵7;s bed-wetting, consult a physician for possible solutions. Bed-wetting alarms are available that sound at the first hint of moisture, at which point the child can get up and finish his business in the toilet. This bladder-conditioning method works for about half of the children who use it if used consistently and under the guidance of a physician, according to the AAP. Oral medication is another option, working for about half of all users with limited side effects, according to the AAP. Some doctors recommend medication be reserved for special occasions like sleepovers or hotel stays.