Is It Normal for an 8-Year-Old to Experience Bedwetting? - Pediatrics

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Nocturia related?


It is not uncommon for an 8-year-old child to experience occasional nocturnal enuresis (bedwetting).
While many children outgrow this condition by this age, some may still have episodes from time to time.
If the bedwetting persists or is accompanied by other concerning symptoms, it may be

Xiao Zhang, 40~49 year old female. Ask Date: 2015/09/24

Dr. Xiao Kaiwen reply Pediatrics


Children over the age of 6 who still meet the definition of bedwetting, excluding physiological and psychological factors such as childhood diabetes, diabetes insipidus, urinary tract infections, bladder dysfunction, and psychosomatic factors, are diagnosed with primary enuresis.
In the absence of treatment, approximately 15% of children with enuresis will spontaneously improve each year.
Treatment options may include behavioral interventions (such as avoiding fluid intake before bedtime, waking the child to urinate during the night, and training bladder capacity by temporarily holding urine during the day) and pharmacological treatments (which can be discussed with a pediatric nephrologist at a major hospital).

Reply Date: 2015/09/24

More Info


Bedwetting, or nocturnal enuresis, is a common issue among children, and it can persist into the age of eight and beyond. It is important to understand that bedwetting is generally considered normal for children up to the age of 5, as many children do not have full bladder control until they are older. However, if an 8-year-old is still experiencing bedwetting, it can be concerning for parents, but it is not uncommon.

There are several factors that can contribute to bedwetting in children. These include:
1. Developmental Factors: Some children may simply develop bladder control at a slower pace than their peers. This can be due to genetic factors, as bedwetting often runs in families. If one or both parents experienced bedwetting as children, their child may be more likely to experience it as well.

2. Deep Sleep: Some children are deep sleepers and may not wake up when their bladder is full. This can lead to bedwetting, as they may not be aware of the need to go to the bathroom during the night.

3. Bladder Capacity: Children have varying bladder capacities, and some may have smaller bladders that fill more quickly. This can lead to nighttime accidents if they are unable to hold their urine until morning.

4. Stress and Anxiety: Emotional factors such as stress, anxiety, or changes in the child's environment (like starting school, moving to a new home, or family changes) can also contribute to bedwetting.

5. Medical Conditions: In some cases, bedwetting can be linked to underlying medical issues, such as urinary tract infections, diabetes, or abnormalities in the urinary tract. If bedwetting is accompanied by other symptoms, it is advisable to consult a healthcare provider.

6. Hormonal Factors: The body produces an antidiuretic hormone (ADH) that helps reduce urine production at night. Some children may not produce enough of this hormone, leading to increased urine production during the night.

If your 8-year-old is experiencing bedwetting, it is important to approach the situation with understanding and support. Here are some strategies that may help:
- Encourage Regular Bathroom Use: Ensure that your child uses the bathroom before going to bed. Establishing a routine can help reinforce this habit.

- Limit Fluid Intake Before Bed: Reducing the amount of fluids your child drinks in the evening can help minimize the chances of bedwetting.

- Use Positive Reinforcement: Encourage your child and celebrate dry nights with praise or small rewards. Avoid punishment, as this can lead to feelings of shame or anxiety.

- Consider Bedwetting Alarms: These devices can help train your child to wake up when they need to use the bathroom. They work by detecting moisture and sounding an alarm to wake the child.

- Consult a Pediatrician: If bedwetting persists or is accompanied by other concerning symptoms, it is advisable to consult a pediatrician. They can evaluate your child for any underlying medical conditions and provide guidance on effective treatment options.

In summary, while bedwetting at the age of 8 can be concerning for parents, it is not uncommon. Understanding the potential causes and implementing supportive strategies can help manage the situation. If needed, seeking professional advice can provide additional reassurance and assistance.

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