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Bed-wetting in teenagers and adults: what your doctor can do

Check that there is nothing seriously wrong. Your doctor will ask you questions, especially about whether you have wet the bed since childhood, or whether it is a new problem. He or she will do simple urine tests for infection and for diabetes. Your doctor will also check that there is nothing physically wrong with the bladder system. This may require a hospital referral to a consultant urologist and/or a bladder X-ray or ultrasound scan.

Bedwetting alarms (enuresis alarms) are used for children who wet the bed (see bed-wetting alarms), but they can also work for teenagers and sometimes for adults. Modern types are worn between two pairs of pants, so they are small and discreet. If you have a partner, they will obviously have to be understanding and as motivated as you are. Your family doctor can advise you about obtaining an alarm or, in the UK, you can buy one from ERIC (see Useful contacts). If the alarm has not produced any improvement after 3 months, talk to your doctor about combining it with desmopressin (see below).
 
Medications are available on prescription from your family doctor.
 
Desmopressin is the best medication and is taken as a tablet, a nose spray or a sublingual wafer ('melt'). It works by concentrating your urine so that there is not such a large volume to cope with. It is especially useful if you stay away from home, or if you have a bed partner. Although it stops bed-wetting completely only in less than one-third of people, most find it reduces the number of wet nights. It does not cure the problem – when you stop taking it, the bed-wetting often recurs – but it is safe to take it over a long period.
 
Imipramine is a medication that somehow helps the bladder to hold more urine. It used to be popular, but is now used only if desmopressin has not helped. It has some side effects and is dangerous if too much is taken.
 
Tolterodine and oxybutynin calm overactive bladder muscle. They may be helpful if you have daytime wetting) as well as bed-wetting, and have to rush to get to the toilet (urgency). They can cause side effects, such as dry mouth and constipation, but these can be minimized by taking the medication at night. If desmopressin has not worked, they may be useful in combination with imipramine.
 
Dr Phil Hammond looks at the frustrations of bed-wetting, with a little help from ‘Henry’, in his informative and entertaining guide on bed-wetting (click on video below).
 

Written by: Dr Margaret Stearn
Edited by: Dr Margaret Stearn
Last updated: Thursday, May 17th 2012

 


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Comments on this article

Posted by Optional on 18/07/2014 at 05:23

Hello, I am a 39 year old male, with good overall health. About two years ago out of the blue I began wetting the bed. It happens maybe on average 4 to 7 times a month. Its crazy, my GF knows about my problem and is supporting me but it is so embarrassing. At home I can deal with it but while traveling it is very, very difficult. At nights, I usually put three thick towels under me to help protect my bedding. Not sure what the next step is. I am trying to get up the courage to see a Doctor but have not yet.

Posted by Bob on 28/05/2014 at 10:48

I was a bed wetter all through my childhood, every night without fail I would wet the bed. My childhood was very full of stress with 2 older brothers going out of their way to stress me out and threatening to tell friends about it. The eldest was 5 years older, the other one was a mere 11 months older. When the eldest moved out it continued, because simply the one closer to my age carried on stressing me out. I stopped bed wetting the day the one closer to my age left home, he left the day he turned 16, me being 15 at the time. That day I stopped and have never been wet since. Due to that, I put my bed wetting down to the stress my brothers put me through.

Posted by Optional on 27/04/2014 at 03:25

I am 26 years old, going on 27. I have been bed wetting all my life. I can go a whole week without any episode, then like clockwork, I can bed wet like 7 days consecutively. Growing up, i used to cover up with lies, but my mum always had a way of sniffing it out. It got harder covering it up when I got into the university and had to stay in hostels. One of my close friends found out in my first year, but even she does not know the extent of the problem. I suspect that she told another friend, but I cannot be sure. By some miracle, I managed to cover it up for the most part throughout school and now that I am out, it is such a huge relief. I avoid sleepovers at friend's or family's and the few times when I cannot I avoid it, I try very hard to stay awake for as long as I can. I guess now I am used to it, but I live in constant fear that my friend and her family, whom I currently stay with will find out or have even found out. But this is not as scary as the fact that I am currently engaged and unless I die or somehow disappear, I will be getting married before the end of this year. How will my fiance react when he finds out? How can I live with myself if he finds out? How can I be married to him and avoid him discovering? From all I have read here, marriage and childbirth does not seem to help. So I guess I am doomed to always bed wet. Right now, I just feel like I have made a huge mistake by accepting to marry him and I am praying for a miracle to get me out of it (this will be no mean feat as the families are already involved). Frankly speaking, I should be alone. I have tried everything (drugs (ditropan); alarm, not drinking before sleeping e.t.c. Nothing works and I can't exactly go to a doctor, I am afraid Nigerian doctors are not as open-minded. I am fed up and I try not to think about it for the most part, because I think I run the risk of going mad or worse.

Posted by kaynaat on 16/01/2014 at 12:44

i have wet the bed all my life and i have tried desmopressins, bedwetting alarms they don';t seem to be working.

Posted by Brayden on 19/11/2013 at 01:10

I have been a bed wetter for a long time now, I'm 14 turning 15 in a week. I still don't know what is causing the problem, I've tried medication, alarms, everything! My doctor said that I would grow out of this by age 14. I'm getting a bit better but I don't think it will stop any time soon. :( Why does this exist!

Posted by Linda on 23/10/2013 at 08:10

The information is helpful but i still wet the bed and i need help

Posted by aqhama on 30/05/2013 at 07:58

i also have dat prob n it happened when i'm wth ma patner i'm so embarrased nid hlp plz.

Posted by josh The Ninja on 17/05/2013 at 08:47

wetting the bed all of my childhood life and most of my teens, i have ADHD a shunt, and short term memory problem that drives me insane, i live with my parents that are no help whatsoever at the age of 26 still,and don't know what to do? depends and goodnights are a joke, i'm currently in assurance brefs that kinda work but,the slight leaking dose suck ass, cause that's kinda the point for brefs is A DRY BED Right?! WTF do i do? i'm nearing the end of my rope hear! HELP PLEASE ANYBODY?!!!!

Posted by richard on 06/05/2013 at 03:06

thx for the advice

Posted by Optional on 23/01/2013 at 05:17

As a teenager in boarding-school some kids had a wet night now & then, but I was the only chronic BEDWETTER!Lovely new Matron Miss R.made it OK with a simple routine. Wet sheets/pjs to her; rubber sheet to bathroom pulley to dry; collect clean gear & rubber sheet afetr evening meal; make up bed. Later, into bed, sleep tight, don't worry. Now I still bedwet, wear nappy and rubber pants, DON'T WORRY. It's OK!

Posted by Optional on 28/11/2012 at 06:55

I tried many treatments when i was a child. None worked and i felt like it would never end, the social exclusion, low self esteem, embarrassment. I felt so alone and grew up to be a pretty strange person because of it. It makes my heart break reading some of these stories, especially those form people sill suffering with it. I wish i could say it will all end, i thought it never would, but with luck and a decent doctor, you can find an end. My problems just stopped the moment I moved out of my mums house at 16. All I read is that its rarely a psychological condition, but my case doesn't seem to fit the model.

Posted by Optional on 05/11/2012 at 03:44

I used to have repeat water infections 4 yrs now my blader feels ful altime pain over pubic area n 6 months weting in sleep what is it

Posted by embarrassingproblems.com on 17/10/2012 at 12:48

To Optional on 14/10/2012. We're sorry to hear you haven't yet found a solution, but appreciate your frank, well-written comment. Thank you for sharing lots of practical advice that will help other people visiting this site.

Posted by Optional on 14/10/2012 at 08:29

I have had this problem all my life. I would advise young people to get full medical exams when you are young - the embarrassment doesn't go away when you are older, so don't wait. I have never found a solution and have tried the usual things that everyone eventually tries. (yes, I have gone to a doctor without good results) I have tried not to limit my life but it is inconvenient. For example, when I travel, I take a vinyl sheet and my own sheet to cover the regular sheet in case there is a problem. Also, I wear plastic pants and something to absorb the problem. I have a vibrating alarm clock that I set for about 2-1/2 to 3 hours after I go to bed to try to minimize the chances of there being a problem when I travel. That way, if I am staying at someone's house, I can wake up without waking up anyone else. The thing I hate the most is having to have this "secret" and the fear of being found out.

Posted by Optional on 04/10/2012 at 12:53

im 16 and i think i started wetting the bet about 5 years ago. i cant even remember a time when i didnt wet the bed apart from when i was a young child. it upsets me so much. i am in tears right now because i dont think ill ever stop and i hate having to keep this secret. it makes life so much harder! i just want to stop! :(

Posted by Optional on 25/09/2012 at 02:54

God will helps as one day.

Posted by Optional on 23/09/2012 at 09:49

After reading about helpful medication I have hope even more and hav calmed down

Posted by Tinkerbell1234 on 08/07/2012 at 04:38

I am 13 and have wet the bed since little. i get very upset as i share a bunk bed with my sister last night i wet the bed and it leaked through and went on my sisters duvet my wetitng is getting worse and doctor did give me propananol but that didnt help .

Posted by Anonymous on 30/05/2012 at 08:18

HI I AM 26 YEARS OLD and I wet the bed since childhood...growing up I grew out of it on and off there would be 8-9 months that would go by without a single accident....I tried controlling liquids but I think it's a combination of deep sleep and and stress although sometimes when I am stressed I will have dry nights as well.....NOW I am PREGNANT and just wanted to see if anyone is in a similar situation? I just hope and pray matters get better....when I wake up wet in the mornings I feel so fatigued mentally/emotionally and my body feels so drained does this happen to anyone else??

Posted by Optional on 26/04/2012 at 12:37

I am wetting myself since i can remember.I am 18 years old now.At the begginig my family doctor said that i will just grow up out of this.Then i kept this for myself and i havent told anyone for years , At age of 16 my problem got worse and i decided to go t doctor , i am also suffering from constant urine infections so my doctor focused on infections and i am on antibiotics since last years december , none of the medicines that i was taking helped for the infection.Last week i had my cystoscopy done and they found some cystis in my bladder , i am also on desmopressin and amitriptyline it was helping for some time and now when i am taking a new dose its even worse.I dont know what to do i am not drinking much , i am not drinking coffe at all , alcohol just occasionally not in huge amounts and i also cut down on acidic food and liquids for some time now i am also having problems during the day i really dont know what to do , and no one to talk to who will understand my situation , my parents are supportive but i still feel embaressed to tell them what i feel and im just scared that my situation wont change ever...

Posted by Optional on 25/04/2012 at 05:10

I have this problem since i can remember.At the beggining my family doctor said its normal and i will grow up out of this.I am 18 years old now and the problem is getting bigger and i even have problem during day time , im also suffering from constant urine infections and last week i had my cystoscopy done and they found some cystis on my bladder , but they said its just because of my infections , for the moment i am on Desmopressin and Amitriptylin , I am cutting down on alcohol i was even cutting down on any liquid during the day , i am not drinking coffe at all.I tried pads but they are not working for me well i even tried to set up alarms during the night to wake up myself to go to the toilet but none of this is helping me at all , what else can i do ??

Posted by Optional on 17/03/2012 at 03:56

When I was 5, I was taken to the hospital where they strapped me to a circle table that moved me around the procedure they told me "changing my tube" when they were finished The told me to go pee, I could hardly go it burnt like fire. when I came out they asked if their was any pain (feeling Violated) I said no - Do you know any possible names for a procedure like this and what is for. can I have complications later -

Posted by Sheri on 31/01/2012 at 01:12

Wow i cant believe people are saying im just used to wetting the bed there are worse problems in the world its not bad blah blah, but reality check hunni! Us bedwetters have limited lives we cant go away or to sleepovers which limits our friend ships to the point of not having any friends at all which pretty sure stuffs up our self esteem then comes along trying treatment scince you started noticing its a problem at (6) years of age and for 8 years you get nocked back from billions of treatments you start to build depression and have no one to talk to you get lonely and contemplate suicide everytime you wakeup in a wet smelly bed. All we want is a normal life but for us thats pretty impossible

Posted by Optional on 20/11/2011 at 01:28

I've been wetting the bed off and on for years now- ever since I can remember- I guess I was 8 y.o. when I remembered when I first started to wet at night. Throughout the years and now, I am still wetting the bed on occasion as for I wet the bed a few nights ago and all I can think about is when I will wet it again and I've been panicking about it for 2-3 days now. I'm embarrassed that somebody will find out and I don't want that to happen.

Posted by Nickf on 09/11/2011 at 12:49

There are far worse things than wetting the bed.I do,and you just get used to it :))It is just a dream and you wake up in a wet bed.So things like that happen,not the end of the World.

Posted by Optional on 13/10/2011 at 04:36

I've had this problem for all my life! I'm 23 years old & have a 3 year old & 8 month old! When I was a child my parents tried seeking me help, So I underwent hospital treatment plenty of times, nothing worked! My parents just thought I'd grow out of it but still I haven't! I've been mocked about my problem plenty of times & ashamed to do anything about it! Bit the other day I seeker doctors advice! Which didn't do me any justice! Doctor just told me to keep doing pelvic exercises! He reckons it's something to do with having children! Which I explained clearly I have been doing this from as long as I can remember! I need help! It's embarrassing and I'm really ashamed! Luckily I have a very caring and understanding partner (this time round) that doesn't mock me for my problem with besetting! He just wants me to be able to have a dry night! Can someone please HELP! I've tried everything & nothing works!!! :'(

Posted by Optional on 11/06/2011 at 12:33

im,12 years old now..i still have a problem on bed wetting since i was a child..im so shy about it..pls help me what do i have to do to stop bed wetting..

Posted by Optional on 09/06/2011 at 09:24

Im having a serious problem at the minute with this, i don't drink now because i cant with the problem. I'v had it as long as i remember, but i'm living with someone now and its a problem. I need to sort this out but docters can pass you about help if you can

Posted by bedwetter on 13/05/2011 at 07:45

i have been a bedwetter for the biggest part of my life, i wet from being a child until i was 17. i left home at 17 and it stopped for a great many years, then at the age of 45 it started again but i now also have the occasional day wetting aswell. i have seen doctors and been to hospital but the problem is still with me. im now 52 and have a very loving and understanding wife

Posted by jo on 28/03/2011 at 10:40

i has always been a bed wetter all my life. nothing seems to work.i has tried medicate.not drinking water,wearing pads at night.but they dont work for me,my parents has tried to be helpful with me. i dont stay overnight at my friends places because i too scared of being tease about my bed wetting problem.

Posted by pda patient on 01/02/2011 at 11:02

Im a PDA CHD patient.. i resigned at because of my health problem. last night i've dream peeing then i woke up my bed is wet.. Is it something to do with my illness? i also experience severe headache i think its because of lacking of oxygen..is it correct? and i frequently more forgetful than before... whats wrong with me... any doctor give me some advise.. thanks

Posted by Optional on 28/12/2010 at 07:44

I've had this problem my whole childhood. There is a lot of unecessary embarrassment and stress that went along with bedwetting. I got fed up with avoiding overnight trips, friends sleep overs, waking up in a bad mood, and cleaning my sheets everyday. I finally went to the doctor about the problem when I was 17 and had an ultra sound on my bladder. Everything was normal. My doctor said that my body probably isn't producing hormones that slow urine production when I sleep, so he gave me desmopressin. I had no idea that there was a pill available to help me. I take half a pill every night and do not have a problem. I also try to avoid caffeine which helps a lot. Please don't be ashamed to see a doctor, you will feel so much better about having it under control and knowing you will sleep well :)

Posted by Anonymous on 21/10/2010 at 06:15

i found this web page very helpful thank u

Posted by Optional on 24/09/2010 at 05:35

hi i always dream that i go to the toilte and then wet ,y bed or very recently found i wet my bed in my dream to its got to the stage that i ask my self in my dream make sure you not dreaming again can this be a sicological problem

Posted by since childhood on 05/09/2010 at 05:01

I used to have a nightly bed-wetting problem until I was 12. My brothers would make fun of me and give me all sorts of grief. Luckily they never told my friends, but it was still hugely embarrassing. After about 12 years old it became less and less frequent, but still often enough to be embarrassing. I've tried cutting down on fluids and that works, but I don't drink enough during the day so it's a no-win situation. Sometimes I will be having a dream in which I am urinating and won't wake up. Only after it starts getting cold on my bed is when I realize I've made a mistake. I'm afraid I'm going to ruin a bed if I don't do something about it.

Posted by marc on 18/04/2010 at 10:53

i think i need diapers to stop wetting the bed

Posted by Aggravated on 08/03/2010 at 05:13

I have been wetting the bed since i was little. i made up lies to hide it so that my own sisters and brothers didnt laugh at me or tell my friends at school. I moved out of my moms house, got an apt...i was still wetting the bed and i had a son. while i was pregnant with him i peed the bed only once, but i thot my water broke, it didnt! but for a while after i had him, the bedwetting stopped. but around 3-4 months after he was born it came right back and stayed. it kept happening over and over again. not night after night...not quite, but pretty close. then 3 yrs go by of wetting the bed and i get pregnant again. and during that whole pregnancy i peed the bed only once again...and i was about the same amount of months along w this child as i was my first. well once again after i had my other son i hadnt peed the bed even once...now its comin back. it jus hapnd and my son will be 4 months on the 14th. this is driving me crazy! I do have a bed partner and yes he does understand that things happen, but i dont want this to control my life or the people in it. I want the bed wetting to stop! Ive tried to stop drinkin for hours b4 i went to bed and id still go. but when i wasnt peeing the bed b4 i could drink as much as i wanted b4 bed and id always wake up in the middle of the night and go pee or id wait til i woke up in the morning and go pee...but i wouldnt ever pee the bed. What else can i do? i already take depression medicine so i dont wana have to take anything for it. Please someone help me! ive got a 3 1/2 yr old and a 4 month old and i have to do my luandry jus as much as i have to do theirs.

Posted by concerned on 02/02/2010 at 09:28

My son is 15 and wets the bed off and on sometimes every night then he will go days or weeks without it but on average like 10 times a month. I am reading about all of you and I am DEEPLY concerned. I am praying for ALL OF YOU... Sounds like one common factor is stress??? In his story too. His father went to jail when he was 2 and not a fine example of a dad since. :( Again my prayers are with all of us God is the only way out of this. STRESS FREE prayer. I am going to check him out with a doctor if nothing pans out physically I can only think it is emotionally.

Posted by Frustrated on 18/01/2010 at 09:45

Iv had a problem with bed wetting since i was 11 its started after alot of movin around and was caused by stress.now 9years on it wont stop.i was kicked out of home at 18 cause of it and am living at a hostel and this is making my life so hard as i live with 10boys in a shelter!!!iv tried desmopressin and oxybutin hydrochloride and av stopped drinkin tea and coffee and try to do pelvic floor muscles to control my urge but nothing works!!im at my wits end.please if someone has any advice id love to hear it

Posted by Becky on 11/01/2010 at 01:50

Ive resently had alot of stress in my life with my parents, and have just wet the bed for the first time ever i never did when i was younger. I ve done it twice now and its makeing me a bit nervous. its not a fun thing. i have a boyfreind who i stay with alot and it makes me nervous now cuz i dont want to wet the bed when im with him. it really is embaressing.

Posted by s on 29/11/2009 at 06:51

I've always had a bedd wetting problem ever since i was a child. I thought i'd finally stopped at the age of 16 years old. I've since had 4 children and now for the last 3 years i've started wetting the bed again,at first i thought it was the fact that maybe its because i've had 4 kids and my bladder isn't strong anymore but it could be a multitude of things. Just lately i've been dreaming that i'm on the toilet i can't understand why or how i manage to incorporate this into my dream. I'm married to the most understanding man in the world, but it still doesn't stop me from feeling ashamed, a few times i've had near misses or i manage to sort it out without him knowing so i don't think he knows the true extent of my problem. Two out of my 4 children have a bedwetting problem so i understand what they are going through, so i'm doing my best to help them get over it. Does anyone else dream that they are on the toilet?

Posted by Anonymous on 22/11/2009 at 11:48

i am so embarrased right now. i was a bed wetter when i was a kid, but it stopped when i was 7 now im 21, and this morning i woke up to discover that i had wet myself. i cant understand why this happened. i dont drink much but i do find that i have to rush to the loo during the day. i share a bed with my boyfriend every night so obviously i had to tell him. luckilly he was really understanding but i feel so ashamed and dirty. and im too embarrased to go to my doctor about it.

Posted by John on 04/09/2009 at 09:57

How do i stop occasional bed wetting? say twice in a year. am soo embarrassed about this situation so help me out.

Posted by Anonymous on 25/08/2009 at 01:13

i am a 21 year old bed wetter and i am too embarrassed to go to doctor and tell the entire truth. i am so ashamed of myself, what is wrong with me why cant i stop?!

Posted by Anonymous on 21/08/2009 at 02:38

I have wet the bed all my life and though it can be a problem sometimes it isn't something that I worry about very much.

Posted by stella on 14/08/2009 at 11:55

i wet my bed not all the time but occationally and this period its been constant but not every day. i also cannot hold on my urine when i see the toilet it just starts comming out

Posted by K on 08/05/2009 at 12:26

I used to wet the bed frquently until i was 17.It then stopped. I am now 42, had a hysterectomy 6 1/2 months ago,all healing well although since my op my urine has been much darker and has a much stronger smell... This morning at 5.30 i was dreaming i was going for a wee,quickly woke up only to realise i had wet the bed.It has really upset me,i feel so..well any dignity i had left has gone. I have been under a lot of family pressure recently,my brother was knocked off his motorbike and suffered bad injuries (3 wks ago) then on the way to visit my brother,my parents car blew up.I have done all the running around and am still working full time (physical job)and keeping the house going...stress do you think ?

Posted by niceta on 15/04/2009 at 05:41

i wet the bed on and off

Posted by desperate bedwetter on 12/04/2009 at 01:26

Hi! I have been a bedwetter for all of my life. My sister and brother also were, but my brother stopped it at the age of 8 and my sister at the age of 10. I am 23 and I still wet my bed. I tried stop drinking liquids at night, but it doesn't always work. Sometimes that I have to go for vacations with friends, I try not to drink anything but when we go out for a drink it's hard not to drink something, if I never dirnk something they might get suspicious. And of course, on these times I try not to sleep for the whole night and so I am always tired and not having fun. The longest period I have gone without wetting my bed is 3 months. From January untill the end of March.After 2 months had passed I tried drinking a lot of water before going to bed, just to see if I was over it and I managed to stay dry, so I was hoping that this would be the end of my problem. But it wasn't. Three weeks ago, it started again, and since then it has happened 7 times. I am tired of waking up like this. everytime I wake up and I am wet, I realise that it will never end, I start crying and hating my self for being like this. I hate my life. I am thinking that I will never be able to get marry. Who would like to share a bed with a bedwetter? And I love children and I really want to have children but I don't think I will. Even if I find a man to marry me, I don't want my children to suffer like me. I know that this can be genetics so it's not worth bring another miserable person to life. I have been reading articles on bed wetting and I really get angry when they say that as a treatmend, parents should let the kids change their own bedsheets and wash them. I have been changing my own bedsheets since I was little. Not because I thought it would stop it but because I was ashamed of my problem and I didn't feel right to have my mother doing it for me everyday. Changing and washing your own sheets doesn't work. We can't stop it by being punished. We don't wet the bed because we are bored to

Posted by j on 01/04/2009 at 02:53

i dont understand why,even after 2 kids,i still wet the bed.ive been tracking and most of the time,i wet the bed at least twice a month,its embarassing and it has affected my confidence,my partner teases me and so does my family.ive even gone so far to only have 4 hours of sleep each night not going to bed only after i went to the loo.thruoghout daytime,i minimalise my liquids and sometimes its so extreme that i feel dehydrated.i need help.fast!!!

Posted by Anonymous on 16/03/2009 at 08:53

I have had a problem of bed wetting since i was a child maybe 4 or so... sad thing is that 17 years have gone by and the problem is still there... i have boyfriend that i share a bed with on weekends and because of this i try so hard not to fall asleep... it hurts. i jus really wish i could stop. i am so scared that one day i will have to tell him that i hve this problem and what if he leaves me. i relly want to get married but won't if this problem continues... i hate myself because of this... and i am so embarresed to see a doctor about it... i need prayers everyone

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