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|Quick reference medical handouts used
by Pediatric offices
Management of Daytime wetting (Diurnal enuresis)
Causes of Daytime
enuresis) is common in
Children may become so
involved in play that
they forget to go to the
bathroom. Also, they may
hold on to urine too
long. These children:
· Tend to empty their
bladders only 2 or 3
times a day compared
with the normal 5 to 7
times a day.
· Often do not
empty their bladders
when they first wake
Often do not
empty their bladders completely when they use the bathroom
Home treatment may be all that is needed to improve daytime
accidental wetting, especially if the wetting is not due to any
medical condition or stress. Try the following:
Check with your child's physician
to make sure there are no medical causes for the daytime wetting.
Encourage your child to go to the bathroom whenever the urge
Reward your child for being dry. You may use hugs, stickers, or
special treats as rewards. Reward them for
sitting on the toilet regardless of the result as they will not be
able to achieve dry pants initially.
Don't make your child wear a diaper. Wearing a diaper may make
him or her feel babyish. Also, it may be hard for a child to get the
diaper off when using the toilet. Wearing disposable underwear like
Pull-Ups may be helpful, but it may also make the problem last
longer because the child may have less motivation to learn bladder
After voiding urine have your
child count to 20 and try to empty their bladders again. This
reduces residual urine in the bladder
If the child is at school it is
important to communicate with the child’s teacher about management
during school hours
Encourage your child to use the toilet when you notice signs
that he or she may need to go, such as squatting, squirming,
crossing the legs, or standing very still.
Offer more liquids to drink. Drinking more liquids will
increase the amount of urine in the bladder, causing your child to
need to go to the bathroom more often. The
recommendation for children is 6-8 glasses of water or water based
cordial evenly spaced throughout the day (including 3-4 glasses
while at school). DRINKING LESS DOES NOT HELP as the bladder fills
more slowly making it harder for the child to recognize a full
Have your child go to the bathroom every 2 hours during the day.
Set a timer that will remind your child (and you) that it is time to
use the bathroom. As urgency improves, the interval between voids
can be extended
Encourage your child to take extra time on the toilet so that he
or she will be more likely to empty the bladder.
|How Teachers Can Help with daytime wetting
- Support children in
your class to drink at regular intervals. Children should
have at least 3-4 glasses of water per day while at school.
- Get to know the
child and their family. Discuss the particular needs of the
child with the parents. Have them put spare clothes, wipes
and a plastic bag in the child’s bag
a toilet routine/management plan for the child during the
school day. This may involve a "special" signal from the
child indicating that they need to go to the toilet
- Look out for signs
that the child may need to go to the toilet – holding
postures, playing with pants etc.
- Make sure that the
toilet environment is safe.
posted 11-11-2011 on
As a reminder, this information should not be relied on as
medical advice and is not intended to replace the advice of your childs pediatrician.
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