Meet the Experts: Why Do Kids Wet the Bed? Tips to Help Stop Bedwetting.

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good afternoon and welcome to Arkansas

Children's I'm Rebecca Brockman I'm

joined by sally puckett she is with our

urology clinic here at Arkansas

Children's and Sally I always like to

start with our mission statement before

we dive into our topic at Arkansas

Children's we champion children by

making them better today and healthier

tomorrow and at the urology clinic you

definitely do that there's a couple

there's quite a few services you offer

but today we want to talk about a

sensitive subject but it's also very

common and most importantly a treatable

subject which is bedwetting absolutely

so first of all what is bedwetting and

how common is it a bedwetting is defined

as having any kind of incontinence


overnight why you're sleeping after the

age of five so it's defined that way now

obviously we know that we typically have

it as toddlers that's considered common

but when we're treating bedwetting it's

usually after the age of five that it's

considered a medical issue okay and what

are some stats related to bedwetting so

it's it's much more common than many

people think I mean at age six thirteen

percent of six-year-olds have bedwetting

overnight by age seven it drops down to

ten percent by age ten about five

percent of kids still have bedwetting

and even at age fifteen there's still

one to two percent of kids with

bedwetting so very common even into

later ages okay and we did a Facebook

poll so thank you to people who voted

because we asked what percentage of

six-year-olds wet the bed and we gave

two options seven percent or thirteen

percent and it was actually the thirteen

percent which most people voted on so we

know it's common in toddlers and small

children's small children but when

should a parent be concerned I don't

think you ever need to be concerned with

wetting issues or accidents I want

parents to know that you know these are

treatable conditions they are common and

and don't don't worry something's wrong

with your child but anytime after the

age of five whether you're having

accidents during the day or at night I

think it's reasonably evaluated by a

specialist to see if there's something

that you could do to help the kid

because we know it affects self-esteem

and what are some of the

and causes of bedwetting there's many

suspected causes of bedwetting the

research that we have shows that it can

likely be related to producing too much

urine while you're sleeping so just

making too much pee there's some

relationship to sleep apnea not

breathing well why you sleep if you had

a small capacity bladder you couldn't

hold very much pee that could cause you

to have bedwetting overnight it I

usually find my practice that it's more

than one factor that may be causing

bedwetting I mean certainly one thing we

see a lot is constipation and if you

don't empty your bowels really well I

mean you're not gonna have as much room

to hold urine so that can even cause

some wedding issues as well and the

message we want parents to understand is

that bedwetting is treatable absolutely

I mean I know we hear it all the time

you need to outgrow bedwetting or you

will outgrow it and yes that's

absolutely true most of the time if you

do nothing bed wetting still going to

eventually get better but you don't have

to wait you don't have to wait till like

aged 10 to seek treatment you can be

evaluated as early as age 6 and

hopefully kind of kickstart things into

gear ok and we've talked before we

started recording the important the

importance of coming in early absolutely

I mean we find that kids with low

self-esteem are more likely to have

persistent bedwetting so you can imagine

if a kid sees their peers who are aged 8

or 9 or 10 that don't have it they're

gonna self restrict themselves from

activities like going to sleepovers may

be participating in summer camp and that

is going to cause even more social

anxiety and low self-esteem if you're

treated early and they understand that

there's nothing they're doing wrong then

that's really going to help their

self-esteem so coming in early I think

does help in that long course of the

condition exercise if you're just now

joining us we're talking with sally

puckett from our urology clinic here at

Arkansas Children's and we're talking

about bedwetting most importantly that

it is treatable and it's a common

problem or common situation that that

can be treated here at the urology

clinic at Arkansas Children's let's talk

a little bit about the difference

between daytime and

time bedwetting okay so buddy we have a

lot of kids do have both they'll have

nighttime issues where they have

accidents while they're sleeping but

then they also have accidents why

they're awake maybe they don't seem like

they know they need to go to the

bathroom or they simply can't hold it it

is very common to have a little bit of


the treatments are similar but there are

some differences so if you're kids

having daytime issues or nighttime

issues or a little bit of both

absolutely bring them in we can help we

can't help you determine what exactly is

best for your child and helping them to

get over these issues okay and let's

talk about the initial visit at the

clinic what can parents expect and what

can they tell their children to expect

it's a very simple visit initially it's

not scary and I think that's the first

thing I want people to know is that

we're not going to do anything invasive

or anything scary to the child but what

we're gonna do is have a really long

conversation we're gonna get to know

your child specifically every kid is

different we're not gonna do a blanket

treatment we're gonna do something

that's specific to your child we're

going to make sure that you get

something that works for your family

excellent and we do I meant to mention

this earlier of course ask questions if

you have something for a question for

Sally talking about bedwetting we did

get a question thank you at what age is

it too early to bring my child in for

bedwetting I think if you're treating

looking for treatment specifically for

bedwetting I think that you can bring

them in as early as age six and that's

simply because some of the treatments we

use in bedwetting

we don't really start them till age six

there's always things you can do before

age six you can cut off fluids about an

hour before bedtime make sure your child

pees before they go to bed treat them if

they're constipated those are things you

can do at any age but if at age six I

think that that's an appropriate time to

get evaluated for bedwetting

excellent and then do one of our closing

questions do parents need a referral to

the clinic or how can they make an

appointment great question so it depends

on your insurance

so most insurances you can self-refer to

clinic by just calling our appointment

center at five zero one three six four

four thousand asking for the urology

clinic certain insurance is typically

Medicaid does require a PCP referral so

you do need to ask you're just your

primary care

at the next time you see them you know

my kid has bedwetting can I go see a

specialist right just talking and

something we were talking about before

recording just talking about it is yeah

a first step bring it up please bring it

up because I know it's tempting to not

say anything and and and not want to

embarrass your child or even yourself

talking about these issues but they are

common and they can be treated excellent

if you have any other questions for

Sally as you watch this segment please

leave them in the comments section we'll

make sure you get them and then also

make an appointment with our urology

clinic if you if your child needs help

with bedwetting or any other urology

concerns you have so Sally thank you

absolutely thank you so much thank you

for talking about this important issue

again it is common it's treatable and

we're here to champion your child so

thank you for watching thanks for your

questions we'll see you next time