Enuresis Bedwetting


Enuresis is referred to a pattern of involuntary discharge of urine by a child age 5 or older, at least twice a week for three months. The term nocturnal enuresis, the most common form of enuresis, refers to bed-wetting at night during sleep and the term diurnal enuresis refers to daytime wetting. Some children experience either type or a combination of both.  This behavior may or may not be purposeful.

  • This condition, though for the most part not physically harmful, can cause psychological stress for the child and parents. This may damage a child’s self-esteem and interfere with social experiences such as sleepovers or attending summer camp.
  • This condition is more common in boys than girls and seems to run in families. It is estimated that 5-10% of children have enuresis at 5 years of age. This rate decreases to 3-5% in children by age 10 and to 1% by age 15 and into adulthood.
  • The main cause of enuresis in most children is the delay in the maturation of the part of the nervous system that controls bladder function and seems to have a genetic component. Other causes can include medical causes such as a urinary tract infection, overactive bladder, or neurological issues such as developmental delays as well as psychological issues such as severe stress and trauma.



  • Reduce caffeine, chocolate, and other stimulants. Do not drink fluids 2 hours before bedtime.
  • Diagnose and eliminate food allergies.
  • Consider bladder stretching exercises.


  • Reassure the child, do not punish the child for the enuresis incidents
  • Use a reward system and tracking on a calendar
  • Imagery techniques and hypnotherapy can be effective
  • Alarm systems that ring when the bed is wet may help some children
  • Psychotherapy if enuresis is stress or trauma-related

Medication may help in the treatment and management of enuresis.

Other treatment

  • Acupuncture may be of benefit to some patients

To schedule an appointment please contact us

Carolina Integrative Clinic

254 Towne Village Dr, Cary, NC 27513, United States

Email: office@ciclinic.com

Tel: (919) 869-6661

Fax: (919) 301-9349