Be kind to your bedwetter! In an effort to protect themselves from continuing blows to their self-esteem, some youngsters adopt an I-could-care-less attitude. Parents may mistakenly conclude that they are not motivated to solve the problem or worse — are purposely wetting the bed — and react by becoming increasingly punitive. Since stress and depression cause secondary enuresis, parental negativity, shaming, and harsh punishments can cause what might have been a passing problem to become entrenched.

Instead, provide sympathy and reassurance that your child is still too young to awaken at night. Limit fluid intake after dinner without being overly restrictive so that your youngster remains well hydrated. Have him use the potty before bed, and take him before you turn in for the night. If that does not work, track his wetting patterns and carry him to the potty to try to head them off as per the instructions explained previously. Put out clean pajamas if he is old enough to change into them by himself, and spread a sleeping bag on the floor so he can crawl into a clean, dry bed without awakening you.

Look for ways to lighten your workload. Use a vinyl sheet to protect the mattress and a waterproof cover over a diaper or pull-ups to contain the wetness. Even preschoolers can help remove soiled linen, and load the washing machine (as long as they do not touch detergents and cleaning solvents!). Do not assign these tasks as a consequence or punishment! Enlisting children's help in the cleanup process gives them something positive to do about the problem and helps to relieve their guilt.