Hi. My 5 1/2 year old is still in Dry Nites and is nowhere near dry at night - the nappy is still full every morning. I am not particularly concerned about this - he is the youngest of 3 and I realise it just takes some kids longer than others to become

This morning he got up from a wet bed about 8.00am - not sure if his nappy had been pulled down or not as I pulled it up when I went to bed. I heard him take the nappy off in his bedroom and then I heard him weeing on the floor! I was completely shocked. I asked him what he was thinking and he told me that he didn't know he was going to do it.
He has been the slowest of my three kids at toilet training, but I have not once hassled him or got annoyed about night time training. As I mentioned, I know that some kids don't become night trained till much later, but I can't handle this "deliberate" bed wetting every night and again, as I said, it is very difficult to not be cross with him!

Boys bedwetting (4-10 y) · Asked by K. T. about 1 year ago

Dr Cathrine Answered:

Hi K.T. – firstly, let me congratulate you on making the distinction between accidental and deliberate wetting, this is not always easily done especially when both result in an outcome that can be incredibly testing! I think the first behaviour that needs to be tackled is his wetting on the floor – the wetting in bed is a little trickier as, like you said, it is difficult to determine whether he is pulling down his pants while asleep or doing this deliberately. I find the best way to manage challenging behaviours is to adopt a reward system, which focuses on positive behaviours, rewarding your son when these occur. A common cause of daytime wetting, particularly among boys, is that they try and hold their urine in for too long. Explain to him that you would like him to use the toilet as soon as he wakes (even if he does not feel like he needs to go) – you can decide together what he will receive once this is done, it may be a sticker or a play at the park etc. With respect to managing his nighttime wetting; it is not particularly unusual for young boys to play with their genitals at night (this is a part of normal development), which may explain why his pants are pulled down. Some children do this out of interest while for others it is a form of comfort, just like sucking their thumb. You can try and avoid the wet sheets by checking that his DryNites are pulled-up just before you go to sleep.

Regards,
Dr Cathrine

Tags: bed wetting boys, bedwetting diapers

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