Many pre-schoolers occasionally wet themselves during the day – usually when they are busy playing or excited by something. If daytime wetting is something your child is experiencing often, there are things you can do to help.
Why does it happen?
Daytime wetting is more common in girls and younger children, and often there’s no serious underlying cause. Here are some of the reasons it happens:
- Physical or learning difficulties
Children with additional or learning needs may start potty training later than others, and may take a little longer to be consistently dry.
- A change in routine
Any significant change in routine, such as moving house or having a new baby for example, can be unsettling to a child who is potty training. Usually things will settle down again once a new routine is established.
- Absorbed in play
Younger children especially can become so engrossed in what they’re doing that they either forget or ignore their body’s signs that they need to go to the toilet.
- Not completely emptying the bladder
Some children are in such a rush to get back to having fun, that they don’t completely empty their bladder when they go to the toilet, and wet themselves as result
- Small bladder or overactive bladder
Some children have a smaller bladder capacity because it has not been stretched enough, while others have an overactive bladder and may need the toilet more often (usually more than eight times a day) or more urgently.
Some drinks can affect the bladder meaning you need to wee more often. These include tea and coffee (which aren’t suitable for younger children anyway because of the caffeine content), drinking chocolate, fizzy drinks and ‘dark’ squashes such as blackcurrant.
- Urinary tract infections (UTI)
It’s not uncommon for a child to get a UTI. A routine test by your GP will establish if your child is experiencing this.
When children are constipated, it can put pressure on the bladder, which means children may end up wetting themselves.
- Anxiety or emotional upset
If you think this might be an underlying cause, encourage your child to talk to you about their worries.
How can I help?
Your public health nurse (health visitor) or GP can help you explore why your child is wetting themselves and ensure you are supported to resolve or manage this. There are also several practical strategies that you can try:
- Use a reward chart and lots of encouragement
A reward or sticker chart accompanied with lots of positive praise will encourage your child to remember to go to the toilet on their own. If they tend to rush when they go to the toilet, encourage them to count to 10 slowly before getting off the toilet, to ensure they fully empty their bladder.
- Make it easy
Your child needs to be able to remove their clothing easily if they’re going to use the toilet independently. Avoid things with fiddly zips and buttons while they’re mastering this skill.
- Have a think about their drinks
If you think a particular drink is making your child need the toilet more often, substitute it with something else for a few days to see if it makes a difference. Your child should be drinking 6 – 7 drinks throughout the day. Drinking plenty helps ensure the bladder is able to work efficiently. When your child starts school, make sure they have a water bottle to take with them.
- Get a balance
Make sure your child’s eating a varied diet which includes cereals, fruit and vegetables. This will help to prevent them becoming constipated.
The most important thing is to stay calm. As and when your child has an accident, don’t get angry or upset. Just focus on praising them when they do use the toilet successfully.
If they’re about to start school and the problem is still persisting, talk to your public health nurse (health visitor), and make sure your child’s class teacher is aware there is an issue, so they can ensure the right support is in place.
Leicestershire Partnership NHS Trust runs a confidential secure text messaging service for parents of children aged 0-19 years called Chat Health. The service operates Monday to Friday between 9am and 5pm, excluding bank holidays. All texts will be responded to by a public health nurse (health visitor/school nurse) within 24 hours. Outside of the service working hours, you’ll receive a message back to inform you that your text will be responded to once the line reopens.
Should you require urgent health advice in the meantime, please contact your GP, visit an NHS walk-in centre or call NHS 111. For emergencies, dial 999 or visit A&E.
Leicester City: text 07520 615381
Leicestershire & Rutland: text 07520 615382