Bed Wetting Boy 7 years

Posted on December 29, 2011 by Renee Mercer, Pediatric Nurse Practitioner

Our 7 year old boy sleeps very soundly and wets the bed every night. We have tried waking him up around 11pm and 3 am, but he’s still wet at some point. We have restricted fluids and make sure he goes to the bathroom before bed. He’s beginning to feel very discouraged by his nightly wetting. Our New Year’s resolution is to help him conquer this problem. What do you recommend?

It sounds like you and your son are very motivated to solve his bed wetting. I know he sleeps through the wetting episode and would like to know when he should get up and go to the bathroom. Some children develop this ability quickly, when they are getting day toilet trained. Others, like your son, need some help in getting that brain-bladder connection when they are asleep. Using a tool like a bedwetting alarm will speed up the process of learning how to wake up to a full bladder.

Bedwetting alarms sense wetness, and then sound at precisely the moment that wetting occurs. Initially, you may need to help him wake to the alarm and remind him to get up and walk to the bathroom. Over time, his bladder will stop the urine stream in response to the sound. Then you’ll notice that he has urine left to empty in the toilet. Eventually, he’ll learn to wake up before he wets or hold his urine until morning. The average time to dryness is about 8-12 weeks, so it is important to be patient. However, a few weeks is much better than waiting a few years for him to spontaneously learn how to wake up before wetting.

The best thing about using a bedwetting alarm is that it’s a permanent solution. Once he learns how to wake up if he needs to urinate in the night, he’s just like you and me. A full bladder triggers your body to wake up and walk to the bathroom, not let it out in bed. He can then stay dry, no matter how much or what he has had to drink.

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Alarm Sounds Too Late?

Posted on December 6, 2011 by Renee Mercer, Pediatric Nurse Practitioner

I don’t understand how the alarms work. The alarm doesn’t sound until my son is already wet. Isn’t this too late? Shouldn’t it sound before he wets?

Everyone starts like this. The alarm detects the first drop of urine and immediately sounds. It pinpoints the actual time that the bladder needs to empty, not a few minutes before or a few minutes too late. There is no way to know precisely the time of the wetting until it begins to happen.

Initially, the urine comes flooding out of the bladder, just as it has always done. Even though the alarm sounds at the first drop, your son has not learned to stop the flow yet.

Over time, his bladder and brain will work together to stop the urine quickly so he can get out of bed and walk to the bathroom to empty the rest in the toilet. This is a new conditioned response and takes some time to learn.

Eventually, his brain will begin to recognize what a full bladder feels like and that he must be awake before the urine is released. He’ll learn to get up before the alarm sounds.

The first few weeks are the hardest and the messiest. Using mattress overlays (waterproof pads on top of the sheet) make your job much easier. Put one on top of his sheet before he goes to sleep. When the alarm sounds, have him walk to the bathroom and empty any urine left into the toilet. Simply replace the wet pad with a clean one and he can immediately go back to a dry bed. In the morning, just wash the overlays. The Starter Kit has two overlays in it, as well as the bedwetting alarm and the book.

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Help for Bed wetter

Posted on November 21, 2011 by Renee Mercer, Pediatric Nurse Practitioner

Help us! My 9 year old son is so embarrassed by his nightly bed wetting. We’ve tried nothing to drink after dinner, walking him to the bathroom when we’re awake, and even a medication that our doctor prescribed. Nothing has worked so far. What do you suggest?

The missing piece for most children with bed wetting is the ability to independently arouse from sleep to the feeling of a full bladder. Some children can do this from the time they are day toilet trained; others take longer and might need a little assistance. Bedwetting alarms speed up this development and provide a long lasting cure to the bedwetting problem.

Bedwetting alarms sense the wetness and sound to alert you and your son that he needs to wake up and walk to the bathroom. Over an average of 10-12 weeks, he will develop the ability to do this by himself. The first two weeks are the hardest and he may not even respond to the loud alarm. You should go to his room when you hear his alarm, remind him what is happening and assist him to the bathroom. He may have no urine left to empty in the toilet in the beginning. Over time, he will start having smaller wet spots in his bed and urine left to empty out when he uses the toilet. Ultimately, his body will learn to wake up to the feeling of a full bladder or hold the urine until he wakes in the morning,

Providing your son with the right “tool” to permanently stop his bedwetting in a few weeks will be a step in the right direction. Most kids are cooperative and so grateful to have something that will make a difference. The Malem Ultimate alarm, which is a wearable alarm that sounds and vibrates, is popular with boys his age. The Rodger wireless is also a great choice. The sound unit is located across the room, which encourages him to get out of bed to turn it off. You might let him look at the different options, look at the alarm videos and select the color and style he would most like to use.

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