What is it?
Care for wetting during sleep through support, routines, an alarm or medication.
Related condition →When is it needed?
From age five, assessment considers impact, motivation, daytime symptoms and constipation.
How is it done?
- A diary is completed and associated problems assessed.
- Routines and, when appropriate, an alarm or desmopressin are agreed.
- Response, tolerability and ongoing need are reviewed.
Alternatives
Supported observation when suitable; options may be combined or underlying factors reassessed if treatment fails.
Everyday treatment
Alarm use needs family involvement. With desmopressin, follow fluid restriction from one hour before until eight hours after taking it.
Follow-up and precautions
Possible problems and precautions
Excess fluid with desmopressin can lower sodium. Do not take it during vomiting or diarrhoea; follow the prescribed medical plan.
Follow-up checks
Diaries and relapses are reviewed. Do not change doses independently or punish the child.
Frequently asked questions
Is the child doing it deliberately?
No; bedwetting is involuntary.
Does an alarm work immediately?
No; learning and consistency are needed.
Can wetting return after treatment stops?
Yes; review the plan without blame.