Posts Tagged ‘Teens and bedwetting’

‘Bedwetter’ Story, Sarah Silverman

Tuesday, April 20th, 2010

I opened USA Today this morning and was greeted with a great piece about the comedian, Sarah Silverman, and her new book, “The Bedwetter: Stories of Courage, Redemption, and Pee”. I plan to read it soon.

According to the article, Sarah wet the bed until she was in high school. One reason that I am so happy to see her story being published is that the more we can openly discuss bedwetting, its embarrassing implications and its resolution, the more families will feel comfortable seeking help. Getting the word out that bedwetters can grow into pretty wonderful people is important. At the Bedwetting Store, we try to offer concrete suggestions, matter-of-fact phone discussions and product reviews that are actual stories from families of bedwetting children.

As a nurse practitioner, I speak with families of bedwetting teens on a weekly, if not daily, basis. These teens often feel hopeless, helpless and that they are destined to be denied sleepovers, camp and college dorm living for the rest of their lives. Developmentally, the incidence of bedwetting decreases as kids get older so that only about 1% of 18 year olds continue to struggle with bedwetting.

That said, it’s also important to know that there are effective steps that can be taken to speed up the whole developmental process. Bedwetting alarms continue to be an effective strategy for teens with bedwetting to learn the behavior of getting up to urinate when their bladder is full. Some teens have half-heartedly tried using a bedwetting alarm at some point in time, perhaps when they were 7 or 8. Because they did not achieve dryness at that time, they assume that this method will not be effective for them. I have had success in my practice with using the wireless alarms for older kids. Both the Rodger wireless and Malem wireless alarms allow the teen to select a sound to alert them when wetting occurs. Picking a tone that is similar to their cell phone ringtone may be helpful. Achieving dryness and getting up as a response to a full bladder is a permanent behavior that can take time to learn, but having a tool to help speed up this whole process is a welcome relief for most teens.

Pull Ups for Older Kids

Monday, April 12th, 2010

We sometimes get questions from parents whose children have outgrown or are too large for the pull-up disposable pants that are found in the grocery stores. They mention that the adult Depends are too large or not absorbent enough for their kids. With camp and overnight obligations, these families are at a loss as to which products might work for their children with bedwetting.

We are happy to have some product suggestions for you. These products are not commonly found in stores but are available from us on-line. The extended size selection-youth, extra-small and small- is great for older or larger children. These products are not marketed specifically for youth or children but can provide some beneficial alternatives for keeping kids dry.

General guidelines:
• Products designed for youth have sizes measured in pounds (child’s weight)
• Products designed for small adults/older children have sizes measured in inches (measure waist size)
• Adult sizes are generally cut with a longer rise, but shorter persons can fold the elasticized upper portion inward to customize the fit

Alternative Pull-on Products for Older or Larger Children

Attends Underwear Super Plus Small 22 – 36 in.

Prevail Underwear Youth/Small 20 – 34 in.
Small 22 – 36 in.

Tena Extra Underwear Small 25 – 35 in.

Tranquility Overnight Disposable Underwear Extra Small 17 – 28 in.
Small 22 – 36 in.

Alternative Tape-on Products for Older or Larger Children

Tranquility Slimline Briefs Junior 28 – 42 lb.
Extra Small 18 – 26 in.
Small 24 – 32 in.
Medium 32 – 44 in.

Tena Briefs Youth 17 – 22 in.
Small 22 – 36 in.
Medium 34 – 47 in.

Teen Bedwetting

Monday, February 8th, 2010

I continue to get many questions from parents whose sons and daughters are now teens and still have bedwetting. Many families are worried that their child did not stop wetting when they went through puberty and now they are destined to wet forever.

It’s a myth that puberty cures bedwetting and that if you wait until your child is a teen, bedwetting will go away. It is true that each year, 15% of children with bedwetting will spontaneously become dry. While bedwetting affects up to 12% of 6 year olds, it becomes less common as kids get older (2% of 14 year olds, 1% of 16 year olds). If your child is the 1 or 2 out of 100 that continues to wet, you can begin to feel very alone and hopeless.

The good news is that bedwetting alarms work as effectively in teens as they do in younger children. It usually takes teens a little longer to get to complete dryness, but a few extra weeks to change a behavior that has been going on for years is quite tolerable. I’ve found that the key to success for teens and older children is to use an alarm that is easy to use and acceptable to them.

The wireless alarms (such as the Rodger and Malem Wireless) are my recommendations for teens for a couple of reasons. One, wearable alarms require that the user wear a shirt so that the alarm unit can be attached. Many teen boys sleep without a shirt so that could be a roadblock to consistent use. Two, many tech savvy teens quickly disconnect the sensor from the wearable alarm unit and roll over and go back to sleep. They rarely remember this is the morning and wonder why their alarm is disconnected but their bed is wet and they don’t remember getting up. A positive feature about the wireless alarms is that the teen must get out of bed to turn off the alarm. Since the receiver is located in an outlet or on a dresser, it will continue to sound from that location until it is turned off.

A third reason why wireless alarms are recommended is that there are few steps to attach them. The Rodger alarm comes with two pair of specialized briefs. (More can be purchased). The teen simply puts these on when getting in bed. The transmitter stays plugged in the wall or on the nightstand. The Malem wireless alarm fastens to underwear he or she already owns (close fitting, not boxers) and can be an advantage if your family doesn’t do laundry very often. If there is no wetting, the underwear go back in the drawer. If wetting occurred, the underwear is laundered with the sheets. I have all my patients sleep on a waterproof, absorbent overlay on top of their sheet. When the alarm sounds, it’s easy to remove the wet overlay and go back to a dry bed.

Even with teens, the parent’s role is important initially. Listen for the alarm and make sure that your son or daughter is getting out of bed and walking to the bathroom as the correct response. The quicker they learn how to respond to the bedwetting alarm, the more quickly they will be on the road to dryness.

One last point is to make sure the alarm is worn long enough. Having 14 consecutive nights of dryness is important before beginning to use the alarm every other night for 14 nights. Often, my teen patients are so excited to have 4 or 5 dry nights in a row that they stop their alarm use prematurely. Wet nights begin occurring sporadically and further progress is delayed.

Wireless bedwetting alarms can be used for any age child but they are particularly well-suited for teens. Persistence and patience will help insure success.

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