Treatment options for daytime wetting include medication, biofeedback and healthy bowel habits.
Some medicines help relax the bladder and decrease bladder spasms. This can help the bladder hold more urine. Commonly prescribed medicines include Ditropan, Detrol and Enablex. Your child may need to take medicine for several months to years.
Biofeedback can teach your child to how to relax their pelvic floor muscles so that they can empty the bladder completely while on the toilet. During biofeedback, a specially trained nurse places stickers on your child’s belly and buttocks. These are attached to wires that record muscle activity. The nurse uses video game-based exercises that your child controls using pelvic floor muscles. Biofeedback is most effective for children who are motivated and willing to do extra exercises at home, complete diaries and follow a schedule for urinating.
Healthy Bowel Habits
Having a soft bowel movement every day is very important in preventing daytime accidents. You can promote healthy bowel movements by making sure that your child:
- Eats a nutritious, fiber-rich diet. A good rule of thumb for how many grams of fiber your child should eat daily is to take your child’s age and add five.
Drinks plenty of fluids during the day
Goes to the bathroom around the same times every day
Is relaxed when using the bathroom
Your child’s doctor may recommend stool softeners or laxatives to help ease constipation.
The Healthy Bladder Center at Cincinnati Children’s provides comprehensive treatment for children with daytime wetting issues. If your community does not have such a specialty clinic, consider taking your child to a pediatric urology provider.