Adolescent Psychiatrist Questions Child & Adolescent Psychiatry

Why is my child wetting the bed at age 9?

My 9-year-old son just started wetting the bed. Why is he doing that?

8 Answers

Majority of kids grow out of it, family history genetics also plays role, 1st step to discuss with pediatrician to rule out any organic pathology. Consult Urologists, child ever being dry or not? Any other associated behavioral or medical symtoms? Bell bad method most effective if used consistently with behavioral modification, limit fluid intake before bedtime, there are medications approved for nocturnal enuresis
You might want him to meet with a pediatrician, to rule out underlying causes such as a UTI?

Hope that helps.
Dr Sangra
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New onset bedwetting in a 9-year-old male is concerning for medical issues such as a bladder infection, medication side effect, or a change in his sleep quality such as sleeping deeper. You should start with seeing his pediatrician to do a urine test (urinalysis and culture) and to look at what medication he is on. If they are non-revealing, consider an EEG and/or sleep study if the problem persists.
It's normal, based upon different rates of development of this function. Sleep depth and bladder signals must learn to coordinate to allow sleep despite accumulating urine. I tell parents it is highly unlikely it will not go away by early adolescence. The issue really is minimizing the embarrassment and inconvenience of sleeping in a wet bed. A bell and pad system that sounds an alarm when the child begins to pee can help train then to awaken easier when they need too pee.
Thank you for your questions at FADT. Generally speaking if a child presents with "new onset" bed wetting (meaning the child starts bed wetting after he was potty trained in the past) then this may have several potential etiologies, including but not limited to: recent trauma, expression of anger or other feelings that the child feels are not allowed to be expressed at home or school, stress related to school/ friends/ sports. In addition there maybe dysfunctions related to the child genito-urinary system including kidneys, ureters, urinary bladder. Optimally the child's pediatrician and a mental health specialist will work together to diagnose and treat. I hope this helps, thank you! Dr. Dodd, MD.
He seems afraid of what is going on in his life.
Have pediatrician ensure it is not due to a urinary tract infection. If he has never been dry it is quite possible a familial deficiency of DDAVP a hormone that has to do with fluid balance and can be deficient and can be replaced. He had been dry for more than 6mo then we need to be concerned with possible trauma or stress that could have prompted it. Pediatrician shuld be able to access and address
There can be a number of causes for this. First step is to see a pediatrician to see if there is a physical health issues causing the nocturnal enuresis. From there, an evaluation from a therapist or child psychiatrist may be warranted to see if its related to a mental health concern.