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At What Age Should I Worry About Bedwetting?

3 min read

At What Age Should I Worry About Bedwetting? - Biomedical Devices Australia

Bedwetting is common in childhood, and there is no single age when it suddenly becomes something to worry about. As a practical guide, if your child is around six or seven and still regularly wetting the bed, is bothered by it, or starts wetting again after previously being dry, it is worth talking to a GP or continence health professional.

Key points

  • Bedwetting is common in younger children and is usually part of normal development.
  • Children develop night-time bladder control at different ages.
  • Around six to seven is a sensible time to seek advice if bedwetting is continuing regularly.
  • Seek advice earlier if there are daytime urinary symptoms, pain, unusual thirst, constipation, significant snoring, or your child is distressed.
  • Bedwetting that starts again after a substantial dry period should also be discussed with a health professional.

So, when should you start to worry?

For most younger children, occasional or regular bedwetting is not a sign that something is seriously wrong. The Royal Children’s Hospital notes that bedwetting is particularly common between four and six years of age and that children under seven generally do not need treatment unless there are other symptoms or the bedwetting is upsetting them.

Continence Health Australia similarly recommends seeking support when bedwetting continues around six to seven years of age, or sooner when it is affecting a child’s wellbeing.

That makes six to seven a useful guide, not a deadline. Some children become dry earlier and some later.

Why does age matter?

Staying dry overnight involves several things developing together. A child needs to produce an appropriate amount of urine overnight, their bladder needs enough capacity, and their brain needs to recognise the bladder’s signal and wake them when necessary.

Those processes do not mature at exactly the same rate in every child. That is why comparing your child with a sibling, cousin or school friend is rarely helpful.

Bedwetting is also not laziness, bad behaviour or a lack of effort. A child cannot simply decide to stay dry through willpower.

When should you talk to a GP sooner?

Age is only part of the picture. It is worth seeking professional advice earlier if:

  • your child was dry at night for several months and starts wetting again
  • they also have daytime wetting, urgency or other bladder symptoms
  • passing urine is painful or uncomfortable
  • they are unusually thirsty or passing much more urine than usual
  • constipation or soiling is also a problem
  • they snore heavily or appear to have breathing problems during sleep
  • bedwetting is causing significant embarrassment, anxiety or distress.

If something simply does not seem right to you, that is also a perfectly reasonable reason to ask your GP.

What if my child is seven or older?

Continuing to wet the bed at seven or older does not mean there is something wrong with your child. It does mean there is more reason to look at what is happening and consider support rather than simply waiting indefinitely.

A GP or continence health professional can ask about your child’s bladder and bowel habits, sleep, general health and any other symptoms. They can also discuss practical options that suit your child and family.

What can parents do in the meantime?

Keep the approach calm and practical. Encourage regular drinks through the day, a toilet visit before bed and easy access to the toilet overnight. Avoid blame, punishment or making dry nights a test of effort.

As children get older, involve them in decisions about managing bedwetting. Privacy matters, particularly around siblings, sleepovers and school camps.

When might a bedwetting alarm be worth considering?

Bedwetting alarms are one established option for children who are ready to work towards night-time dryness. They detect moisture when wetting begins and are designed to help the child learn to respond to the bladder signal over time.

They are not an overnight fix. Consistent use and family support are important, and results vary between children.

Oopsie Heroes Plus is a wearable, wire-free bedwetting alarm available in Australia through Biomedical Devices Australia. It is one option families can consider when an alarm is appropriate for their child.

The bottom line

There is no birthday at which bedwetting suddenly becomes abnormal. For a younger child who is otherwise well and unbothered by it, time and supportive routines may be all that is needed.

If bedwetting is continuing around six to seven years of age, affecting your child, returning after a dry period, or happening alongside other symptoms, talk to a GP or continence health professional. Getting advice does not mean something serious is wrong. It simply gives you a clearer idea of what is happening and what options may help.

For a broader introduction, read our guide to bedwetting in children.