Still Bedwetting at 10 Years Old

My boy is 10 years old, turning 11 in October. He wets the bed just about every night. He currently takes DDAVP tablets prior to bed and does not consume fluids after 6:30 pm. I simply can't get him to stop wetting the bed. I read a news study that said heart hormones are in some cases elevated in children who wet the bed. How can I learn if this is the issue and, if it is, will this help me to find a much better treatment?

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It seems like you have actually tried a lot of different methods to assist your kid with his bedwetting (likewise called nighttime enuresis). Initially, I simply want to emphasize how typical a concern bedwetting is in children, especially males. About 5 percent of children aged 10 to 11 years old will have problems with nocturnal enuresis. There can be a range of causes, consisting of a little bladder, an immature bladder that does not always empty properly, a family history that makes bedwetting more likely, deep sleeping, tension, and increased urine production during the night that may be related to abnormal secretion of hormones that impact urine volume.

I think the "heart hormonal agent" that you have found out about is atrial natriuretic peptide, a hormonal agent involved in the body's fluid policy that is secreted from the heart. Research studies I have actually read have actually not supported preliminary thoughts that children with nocturnal enuresis have irregular quantities of atrial natriuretic peptide. It is not presently suggested as a treatment for children with primary nighttime enuresis.

Certainly, by the age of 10, I do recommend treatment for those with bedwetting problems since it can be very humiliating for kids this age to participate in sleepovers or camp. DDAVP (desmopressin) has actually been revealed to be reliable in practically half of patients who have nighttime enuresis; nevertheless, there is a very high regression rate when the medication stops. DDAVP works by reducing the production of urine. It is generally given right prior to a child goes to sleep. It appears that your boy has not reacted to DDAVP, which is not uncommon! Remarkably, the most effective treatment for bedwetting is really "bedwetting alarms," or underwear that can find urination. These "alarms" assist around 70 percent of patients, with a low regression rate. I would certainly advise that you try a bedwetting alarm before you try a new medication. Your kid's pediatrician can offer you specific directions about how to best utilize the alarm to customize bedwetting habits.


If your kid is still having considerable issues with bedwetting, I would recommend he see a pediatric urologist. Your kid's medical care medical professional can be an excellent resource in assisting you develop a prepare for your son's treatment. I would absolutely involve him in whatever choices you make.