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Night-time Potty Training

Berkeley Parents Network > Advice > The Potty > Night-time Potty Training



2-year-old daughter is refusing pullups at night

September 2002

Hi, I saw the responses about a 2 year old wanting the pullup only to poop, and I remembered my problem. My 2.5 year old daughter is toilet trained except for the night time and we usually have her wear a pullup at night. Of late, however, she has been refusing to wear one. Im not sure why that is, but I think it has something to do with the fact that only the younger kids wear pullups at her montessori. Its leading to a lot of laundry loads and sometimes when she doesnt wake up immediately when she wets herself, Im concerned that being cold and wet may result in a cold. Has anyone else experienced this? Any ideas on how I can handle this? Thanks a lot in advance! V.


This suggestion is directed not at how to get your daughter to wear pull-ups, but how to avoid the need for them in the first place. I offer advice from the point of view of a mother and of someone who wet the bed until she was 12. My problem was that I slept too soundly to be awoken by the discomfort of a full bladder. After consulting several specialists, my parents simply set an alarm to wake me in the middle of the night. I would visit the restroom and finally there were no more wet sheets. Eventually I learned to wake myself. As a mother, I wanted to avoid the laundry problem and her embarrassment. This is what I did when my daughter was little. Each night when I got up to use the restroom myself (or before I went to bed late at night), I went to my daughter's bed, picked her up, and set her on the potty. Usually she awakened enough to sit upright on the potty (I provided support when necessary), but even when she appeared completely asleep, she would urinate. Then she either walked or was carried back to bed where she fell right back to sleep. You might try this with your daughter. After the first dry night, you can heap praise upon her and the positive reinforcement will help her feel good about herself. I kept this up for several months and then tapered back my intervention. She never wet the bed again, so either she was learning to get up herself or developing a stronger bladder. Good luck! Been there!

When can my 2-year-old stop night-time diaper?

My 2 year 4 month daughter has been potty trained during the day for a few months now. She is a very good potty user during the day, and does not need adult assistance in using her potty. She also takes her 2-hour afternoon naps without diapers. In fact, we usually place the potty in her room just before she naps, telling her the potty is there just in case she needs to use it. She has used the potty a few times during her naptime, without calling out for help. At night, we continue to put her in diapers, and her diapers are always wet in the morning (since she always drinks milk before bedtime). Some mothers have chided me for putting her in diapers at night, saying that this will confuse the kid. Of course there are other mothers who told me that most kids need night time diapers till at least 4-5 years old. My questions are How do I know when my daughter is ready to get out of her diapers at night? Is this something that needs to be trained such as waking her up in the middle of the night to go to the potty? Is it possible to train her to use the potty in her room without waking anyone up? How do other parents help their kids transition from needing diapers at night to saying goodbye to them?
I suggest that you should keep your child in diapers or pull-ups (or, if bigger, "overnights") until you regularly find them dry in the morning. You'll know she's ready to be rid of them when she no longer pees in the night. Lots of kids still use nighttime "protection" until well past 4 or 5; let it be "no big deal."
I was told to wait until my daughter woke up dry before I took her out of diapers at night. Luckily, I didn't listen to them! One day I just put her to bed in underwear and she was dry in the morning! She did go through a short period (later) where she would wet the bed. We started getting her up before we went to sleep and had her pee. We did this for 6 weeks and then stopped to see what she did. We have found that she gets herself up now. All that said, 2 1/2 is young to be totally potty trained. It is possible and I suggest giving it a try but if it doesn't work I would give her a few more months in a diaper at night.
I have 2 boys who potty trained very differently from each other. My suggestion is not to make a big deal out of it. Your daughter will be dry at night when she's physically able. Some children sleep so deeply (as my older son did) that they can't wake themselves up to pee. Eventually they grow out of it and can last through the night. Maybe the critisizm from other mothers makes it seem a bigger deal to you. It's really a matter of physiology and physical maturity. I know that as a parent we like to see our children progressing developmentally (along with their friends) but this has nothing to do with controllable behavior. Good luck.
I think 2 1/2 is still pretty young to stay dry all night. Most kids learn to stay dry through the night when they are physically able to do it. If the diapers don't turn up dry by age 3 on their own and the problem continues you should probably not use the diapers. Modern disposable diapers do such a good job at keeping the moisture away from the skin that the kids don't know they are wetting. My daughter has a severe wetting problem and with the diapers on she would sometimes think her diaper was dry in the morning and that she had accomplished her goal, but she really hadn't. As they get older with a wetting problem they need to know when they are wetting so they can use the muscles to stop it or wake up and go to the bathroom. It can be a lot of work for the parents to change sheets everyday, but there are bath towel size water proof pads that I place on top of the sheets (also using a waterproof mattress pad under the sheets), then a bath towel on top of the pad helps keep it in place so then you only have to wash the pad and towel. Both my kids were daytime trained by 2 yrs old but both are very deep sleepers. The older one wet at night until 6 yrs old and then finally out grew it. The second one is even worse, at 6 yrs she doesn't even wake up after she has wet. I have just started to read a book called "Getting to Dry" which takes a very in depth look at solving this problem and the different physical conditions that can contribute to it. I have just started reading, but they do suggest physically taking your child to the toilet in the middle of the night to build this habit for them. I do know from experience that a child may remain asleep during the whole trip to the toilet. Good luck

2.5 year old waking us at night to use the potty

January 2007

For a number of months, our 2.5-year-old son has been potty trained during the day and wearing a diaper just at bedtime. The past few weeks, though, he has been waking up in the middle of the night and screaming for someone to take him to use the potty. He still sleeps in a crib so this is not something he can do himself (plus, at 2.5 y.o., I don't really think he has the physical skills to get up in the middle the night, take off his pajamas, use the potty--even a little training potty in his room--and get back into bed). Although it seems a little counter-intuitive to encourage him to use his diaper at night, we've told him it's okay to pee in his nighttime diaper, but he still cries out to be taken to the bathroom. We've tried limiting liquids in the evening and stopped letting him take a sippy of water into his crib, to no avail. We've also tried to outlast him, figuring if we don't take him to the potty right away, he'll have no choice but to use his diaper, but this feels a little cruel and hasn't been terribly successful (it's amazing how long he can hold it at 2:00 in the morning while screaming his lungs out, whereas at 2:00 in the afternoon I have about 30 seconds to get him to a bathroom!). I'm reluctant to wake him and take him to the bathroom when we are going to bed for fear that he won't go back to sleep. Any ideas?
We thought the midnight wakings were long gone


Take him to the potty when you go to bed. He'll most likely not really wake up but he will be able to pee, I'm pretty certain. Then he shouldn't have to go again. (We called this The Sleepy Pee.)
-Check it out.
Why not just take him to the potty and be done with it? He's doing FANTASTIC in letting you know that he needs to go, and waiting. Please keep supporting him in communicating his needs and helping him. The ''interruption'' seems to be only once a night, and a real need, so I'd consider it cruel NOT to help him. He already is quite awake, from what you describe, but if it makes it easier for all of you, consider a night light or dimmer in the bathroom so noone has to be brutally awake for the potty visit. And remember, it's only a phase, like so many things, so pretty soon his bladder will get into a different pattern and not wake him/you at midnight. Or he will actually develop the skill to go potty himself - maybe some easy-on/off PJs, a nearby potty, and some help the first few times will do it. But please, keep supporting him in going to the potty, not the diaper...
Hooray for the little communicator
You should be very happy that your 2.5 year old is so far along in potty training! He/She is doing really really well. It could be quite confusing from your child's perspective that you are saying sometimes it is ok to pee in his pants (diaper), and sometimes not. Consistency helps in matters of behavior expectations; I think you will need to take him to the potty when he calls in the middle of the night, and praise him for being aware, as so few children have this awareness so young. We moved our 2 year olds to mattresses on the floor which solved several problems. A mattress on the floor would allow him the ability to safely get out of his bed (though developmentally, it is a lot to expect a 2 year old to urinate, flush, wash hands, and go back to bed quietly...) Check with your pediatrician. Anon
Well, yeah. Obviously, it's time to get the 2.5 year old out of the crib and into a bed where he can go to the potty by himself at midnight. Leave a light on in the bathroom - a nightlight works well - and let him at it. This is not a problem, this is good potty training!

Did you see the note below yours about the 5 year old still wearing pullups? Do you really want to prolong this so that you don't have to wake up at midnight? I can't figure out why anyone would want their child to pee in a pullup when the child WANTS to be potty trained. Again, it's not a problem. It's a success. anon


This may sound weird ... but maybe try to transition him in a toddler bed and get some Chinese split pants or other nighttime pants that are easy-off so he can get up and go by himself at night? I know the midnight wakings must be a pain, but look at how well potty-trained he is! My son didn't start waking up to go to the bathroom at night by himself until he was four (and he still calls out for us sometimes even though he's physically able to get up and take his pants off by himself), so I think it's really great that your little guy has picked up on it so fast.
Beth
Don't let this window of opportunity pass you by! If your child is waking to go potty -- great. I got less sleep when my daughter was 2.5-3 years old than at any other time, but it was completely worth it because it meant no more diapers. Get him a toddler bed and two-piece PJs so he can start trying to go alone.
-- a mom
I think its time to put your child into a big boy bed and let him use the potty at night. Put a nightlight in the bathroom and get him PJs that are easy to pull up and down. Put big kid underwear on him. Out boy did this of his own will at this age and we were amazed (shocked!) that he could do all this in the dark. He would get up, do his business (this was pre nightlight so it was really dark) and then march himself right back to bed. He obviously wants to be trained at night, so why not?
Mommy of a dry kid
You need to take him to the toilet! Is it really that much of a hardship for you? If you just go to him and take him to the toilet before he has to scream for you very long, he will go back to sleep without too much hassle. He uses the toilet now, just like you. How would you feel if you had to go in a diaper at night? This may just be a phase he's going through--to see what the potty is like at night. You can also cut back on liquids at night and make sure he goes right before bedtime.
potty 24/7
You should have him sleep in a regular bed so that he can get up at nite and use the potty! You are so lucky that he even wants to use the potty at nite instead of going in his diaper. That's the ultimate goal of potty training, and you're holding him back by keeping him in a crib. At 2.5 yrs old, he's definitely old enough to get out of bed use the potty and get back into bed.
leslie
you can let your 2.5 year old sleep in a regular bed. If you're worried about him falling out of bed, you can get those rails that attach to the side of the bed. Get some easy sweats for pajamas, no zippers. It must be difficult for your 2.5 year old to know when he can pee in his pants and when he can't. You are causing more confusion. Be grateful that you have a 2.5 year old who is already potty trained. Get safety gates if you have stairs. anon
That is great that he is potty trained AND asking to go pee at night. I would just get up and take him. It sounds like he realizes that sleeping in his pee is not so comfortable. I bet that he would just pee in the potty, feel relaxed that he was able to empty his bladder and then sleep the rest of the night and stay dry. I think you should definitely go with his request as people often have a hard time teaching their older kids to wake up to pee. I've talked to frustrated parents of 4 yr olds whose children are so attached to their disposable pullups that they can't get them to stop wearing them at night. The earlier you start this the better. It will also save you money and landfill space (assuming he's in a disposable) Our son was potty trained at 2 yrs 10 months and by 3 yrs he started waking up to pee. We took him for a few nights then he started just sleeping through the night again but stayed dry. Some kids can hold it all night and some kids need to get up every night to pee. Are you concerned that he would have a hard time falling back to sleep? Or are you not wanting to get up with him? If you're worried that he would have a hard time falling back to sleep then just talk minimally, keep the lights low (put a night light in bathroom) and act really sleepy yourself. Then hopefully he'll realize that it is not a time to socialize, but just to go to the bathroom and go back to sleep. good luck!
Suzanne

2.5 yr old and middle of the night potty

April 2006

Background: Our daughter is two and a half, and she's semi- toilet trained. She has been out of diapers during the day for about five months, and at night too (for the last month); she lets us know when she needs to go, we accompany her, and give her a hand with getting on to the toilet and wiping. She doesn't use a training potty, we just started her on the adult potty. Also, we recently switched her from a crib to a toddler bed, so she's just starting to realize she can get out of bed by herself.

Situation: Before she was toilet trained, she used to sleep through the night just fine. But these days, she typically wakes up between 2-4 times in the middle of the night and ''asks'' us to take her to the potty. (Sometimes by the 3rd or 4th time there's hardly any pee, only a few drops.) I say ''asks'' because she actually tends to wake up crying or yelling ''potty''. We would love her to go on her own, but she's so used to our taking her that she refuses. We think everything is set up for her to go by herself - her room is right next to the bathroom, there's a footstool, and there's a nightlight in the bathroom (but not her room). We tell her when we put her down that if she wakes up, she has to go by herself, but we still end up helping her - so thus far we haven't really backed up our words.

Advice needed: My wife wants us to go cold turkey and not get up to help, letting our daughter realize she has to go by herself, even if it means a few accidents. I'm worried she could hold it in and hurt herself, and that it may also result in a regression in toilet training. I'd prefer to try to gradually help her less both during the day and night, so that she becomes completely independent, and going by herself will become no big deal. But perhaps this might just perpetuate the current state? Thanks in advance for everyone's help.


I would go cold turkey but get a little potty, too. She is very young--and the big potty (even if it is all she has used) is scary at night alone! Get a little baby bjorn Little potty (one piece, very easy for kids to use alone) and put it in her room or right in the bathroom door (we put a little changing pad underneath ours because sometimes when alone our son misfires). Tell her that she can use the potty at night all by herself-- it is her potty. And then I would go cold turkey. She may be so happy about the little potty that it is a distraction from you not helping her anymore... My son loves his little potty. He can go on the big potty, too--but he really likes his little one. It is an inexpensive item ($10 new) that you can pass in easily. Laura

2yr 10 mo old daughter wakes us up crying to potty

Nov 2004

Our 2 year 10 month daughter has been potty trained during the day for about 6 months. She's now initiated nap and nighttime potty training, refusing to wear a diaper or pull-up. Because of this, she often wakes up crying during the night when she has a full bladder. We tried initiating a sticker system - every time she gets up and goes potty without waking mommy or daddy she gets to put a sticker on the piece of paper we've taped next to the toilet. When she fills all the squares, we get to go to the toy store and she picks out a potty prize. This worked well for a week or so, and she ended up with one prize, but she seems to have gone back to crying and waking us. Sometimes it's only once a night, other nights it's 3 times. I thought maybe if she saw her portable potty when she woke it would be more successful than walking to the bathroom (which is only one room away from hers), so we then tried putting her little potty right next to her bed, with the stickers and sheet posted next to that. This also hasn't worked. I think she's just too tired and in that sleepy haze to remember what she needs to do.

Before this self-initiated nighttime training began, she consistently slept through the night since she was 9 months old.

I'm looking for other advice/ideas. I'm happy she wants to be trained at night, but the 2-3 times per night is making me a cranky mom, especially now that our 8 month old is sleeping through the night. nap times are not as much of a concern since she doesn't wake us and her nap usually just gets cut short if she has to go potty. I do try to limit liquids at night, but she does tend to be thirsty before bed.

Has anyone been successful with other incentives or ideas? Or is this just something that time will work out?

thanks!
need a few nights of uninterrupted sleep


Time will work this out. DO help her to the bathroom at night. This is much better than giving her a complex about bothering you when she needs help with something, or paying for pull-ups. Maybe trade off which nights mommy will help and which nights daddy will help, then she and you will know who gets to sleep and who gets to help.
a mom
I think nighttime potty training this young is a hard road towards independence. Especially hard on parents. Similarly to your daughter, my son was daytime potty trained around 2 took off his night time pullups at 2.5. 2 years later he still wakes at night about twice a week, and requests our help. No amount of reward system worked, as in his sleepy state, it was too difficult to remember all of that wakeful stuff, when desperate to empty his bladder. The times he has, he has peed in the tub, on himself or missed a vessel altogether. What we found to work was to limit liquids an hour before bedtime, pee before bed, and if we're up until 11 or later, get the sleeping child up to pee before you turn in. As your daughter grows, so will her bladder. Sorry you're so sleepy.
on the winding road to a full nights sleep
I think that children's nighttime needs are very different from their daytime needs. It's great that your daughter learned to use the potty so easily, but I believe it's asking too much of her to take herself to the potty when waking from a sound sleep in the dark. I'd encourage her to return to diapers or pull-ups for the nights. However, the most important thing is to help her out when she needs you at night. Since she made it for a week without waking you, she's letting you know that your presence is more important to her than any reward. I bet this will pass soon enough.
anon

2.5 year old refuses to wear pullups at night, wets the bed

Sept 2002

Hi, I saw the responses about a 2 year old wanting the pullup only to poop, and I remembered my problem. My 2.5 year old daughter is toilet trained except for the night time and we usually have her wear a pullup at night. Of late, however, she has been refusing to wear one. Im not sure why that is, but I think it has something to do with the fact that only the younger kids wear pullups at her montessori. Its leading to a lot of laundry loads and sometimes when she doesnt wake up immediately when she wets herself, Im concerned that being cold and wet may result in a cold. Has anyone else experienced this? Any ideas on how I can handle this? Thanks a lot in advance!


This suggestion is directed not at how to get your daughter to wear pull-ups, but how to avoid the need for them in the first place. I offer advice from the point of view of a mother and of someone who wet the bed until she was 12. My problem was that I slept too soundly to be awoken by the discomfort of a full bladder. After consulting several specialists, my parents simply set an alarm to wake me in the middle of the night. I would visit the restroom and finally there were no more wet sheets. Eventually I learned to wake myself. As a mother, I wanted to avoid the laundry problem and her embarrassment. This is what I did when my daughter was little. Each night when I got up to use the restroom myself (or before I went to bed late at night), I went to my daughter's bed, picked her up, and set her on the potty. Usually she awakened enough to sit upright on the potty (I provided support when necessary), but even when she appeared completely asleep, she would urinate. Then she either walked or was carried back to bed where she fell right back to sleep. You might try this with your daughter. After the first dry night, you can heap praise upon her and the positive reinforcement will help her feel good about herself. I kept this up for several months and then tapered back my intervention. She never wet the bed again, so either she was learning to get up herself or developing a stronger bladder. Good luck! Been there!
Unfortunately, I've had a good deal of experience with the nighttime wetting thing. The only idea I have for you is to involve your daughter in the consequences of wetting her bed. When I expected my son (and later my daughter) to strip the wet bed in the morning, I think it made their wetting mean more to them personally and motivated them to stop. If you change the bed at night, maybe have her fold the clean linens the next day or do some other related work that's created by her accidents. Caution: don't make the ''work'' she does into a fun, rewarding time she gets to spend with you playing like a grownup. (Also, don't make it a punishment: just a simple chore that needs to be done.) Incidentally, being cold and wet doesn't cause colds: viruses do, so no need to worry there. Susan
Our 2.5 year old also refuses to wear diapers. During the day she uses her potty, but she can't make it through the night dry yet. So we let her fall asleep without a diaper and put one on her as soon as she is in a deep sleep. In the morning she takes it right off ! another mom
Once our twins were no longer wearing diapers during the daytime, for years we took them to the bathroom just before we went to bed each night (about 2-3 hours after they went to bed). It only takes a short while for them to learn to go pee when they're still mostly asleep, and then it becomes automatic. We just picked them up out of bed, carried them in, put them on the toilet seat, (or in my son's case, stood him up in front of it when he was tall enough to reach it) and then put them back to bed once they had gone to the bathroom. Never in 4 years did they ever wake up. They virtually always went to the bathroom (if they didn't it was a sign to us that they hadn't had enough to drink over the course of the day). When they got too heavy, we walked them in, holding up their shoulders and steering them to the bathroom. We considered it 1) a courtesy to them so they could sleep more comfortably; 2) an aid to avoiding bedwetting, and 3) they slept longer in the AM because the need to go wasn't so urgent. We quit diapers early (2.5 years) and never had any problems. It was both easy and a time to be very loving with a child who is more than half asleep. If they needed encouragement, we said softly ''let's go pee.'' We finally quit when they turned six! Mary

Almost 3-year-old wakes us up at night to use the potty

July 2005

For the past few weeks my almost 3 year wakes at night to go pee. He is still in a crib so we have to get up with him. He has been potty trained since 2 1/2 except at nighttime. He goes right back to sleep however occassionally he wakes up his brother in the same room. It also often takes me a while to go back to sleep. We have wondered about moving him to a bed, but still think he will cry out for us to help him in the middle of the night. Prior to this his diapers were almost always wet at night - now they are dry. He generally doesn't get any milk before bed but does drink water in the evening. Is this something he will just outgrow? Any advice??
tired mama


First, let me say that I sympathize with your sleeplessness. The solution is simple...get him a bed and make SURE he goes potty right before bedtime. My daughter is three and sleeps in a pull-up. She is in a big-girl bed and we do not allow liquids within 30 minutes of bedtime. Also, going right before sleep allows them to empty what little may be in the bladder. You have to be strong and consistent! Good luck. never wet at night
I know this feels like a problem due to loss of sleep, but by the books this is GREAT that he is aware and able to initiate going to the potty rather than wetting the bed or regressing back to diapers. Of course you can limit liquids before bed to decrease the need but short of that, I would actually be praising him for his ability to seek out the potty. When he's in a regular bed he will be able to bring himself, or if he's still scared to go to the bathroom alone you could have a child's potty by the bed. If he then still wants assistance it may take some time and positive reinforcement for him to gain confidence to go himself at night without assistance. Deb
A 3 year old is pretty young to be expected to get up by herself at night without your assitance, if she has to go. If she pretty reliably needs to go every night and you're worried about her waking the other child, you might try waking her up yourself a bit before she usually wakes herself, to avoid the noise. Just for comparison, my 6 year old stopped needing help around age 4 and no longer gets up in the night, while my ten year old still gets up, and still on occasion needs our help. Each kid is different. anon
Wow, it doesn't sound like much of a problem that your child under three is so well potty trained he wakes up at night to use the potty! I wish my 4 year old did that - she sleeps so soundly, she still has to use a pull up or she will wet the bed.

The standard advice in this situation, I believe, is to wake your child to use the potty just before YOU go to sleep. Then there's a better chance the child will make it till morning. Restrict liquids before bedtime. You might also try a regular bed - your child may learn from you how to go use the potty by himself at night.

But from my perspective, I wouldn't try to discourage night time potty visits, because once they start going in the pull up at night, it's difficult to get them to stop. anon


Don't let this window of opportunity close for 100% potty training! Get him a bed, let him sleep in underwear. Waking you up at night for help will probably only last for a couple of months. Mom of a 5 year old

3-year-old twins' endless trips to the bathroom at bedtime

Sept 2005

Our three year old twins are doing well with day-time potty training but bedtime is becoming a circus. If they are not quite settled down at bedtime (which happens a couple of times a week if they happen to nap that day) they get up several times after lights are out and tell me they need to go. These trips drag out bedtime to 10pm as we pace back and forth to the potty.

Like I said, once in a while they seem to need that nap and then I have to extend bedtime a half an hour or more, past 9pm. We have a set routine that includes potty time before bed but if they say they need to go after lights out, I feel I always need to treat that seriously. They do go, even if just a few trickles, about 80% of the time after lights out. Also, if they need to go after lights out, we don't turn up the bathroom light much, I don't allow more books, and I just put them back into bed (as opposed to kisses and hugs which have already gone round).

But also, because they are not night time potty trained, they still wear a diaper to bed, so the extra trips to the potty not only drag out bedtime but I'm putting back on diapers 3-4 times per kid (that's eight re-diaperings in about 30 minutes). Whew my back!

Is this a phase (to drag out the bedtime ritual) that will pass or are there tricks I can use to get them to go potty and also think they are done? I don't want give them a message they cannot get up to use the potty so I'm a bit stumped. Potty mama


Pullups are MUCH easier to deal with than diapers. If your kids can get up and go at night without involving so much of your time of attention, maybe they'll stop yanking your chain this way. Sara

When will 3.3 year old be ready to stop wearing diapers at night?

April 2006

My son is 3.3 years old and has been out of diapers since he was 2.5 years old. He sleeps like a rock and becomes EXTREMELY irritable when awoken ''before his time.'' When do I know he's ready to stop wearing diapers at night/nap? How do we get him to stop wearing diapers during his sleep? I have seen him sleep through wet clothes and sheets so I don't think that it would motivate him to not pee in bed. We already try to limit his liquid intake and make him pee before bedtime. Is there any way to train him without waking him up in mid-slumber? He now has occasional dry diapers in the morning but they're mostly wet. Any tips would be helpful- thanks. eugenie


My son is just a little older than yours (3 yr, 8 mo), and I think he was in exactly the same place yours is at 3 yr 3 mo. He was pretty much dry during the day, we'd put him in pullups for night, and he'd sometimes have a dry one in the morning but not usually. A few months after that he started waking up when he needed to pee and crying, and we'd bring him to the potty. Now he wakes up and says that he needs the potty.

We didn't do anything special... just continued with that. Today he told me, ''Mama, Friday is the last day that I'll wear a pull-up. AFter that I'm going to wear underwear to bed.'' We did have a week or so where he wore underwear to bed about 2 months ago and stayed dry, then after a night where he wet his underwear he started asking for a pullup again. Lately though his pullups have been dry every morning.

So I guess what I'm saying is that we've entirely left it to him (of course, getting excited with him about being dry in the morning, but otherwise no pushing one way or the other)... and he's on his way to night potty-training himself. will be happy when he can take himself to the potty though!


If your son is over three and still wearing diapers then he is not potty trained... But don't worry! I think you just need to stop letting him rely on the diaper for nap/bed time and just go for it. You may have a bed wetter for a six months to a year (the older the child, the longer it takes) but he has got to learn to wake himself up or hold his pee. It is better now than when he is older! The diaper is not letting him learn. Do not use pull ups or any disposable diapers. Get him in the cotton training pants--you can even fold a cloth diaper in thirds and put this in the training pants if need be. A good way to deal with the bed is to buy some extra shower curtains. Cut them in half--and then put one on top of the top sheet and then place a big towel on top of that. Then another plastic sheet, then another towel. I wouls set an alarm and check him every three hours or so at night. When he is wet immediately wake him up or change him if he will not wake up at all (he will cry, but he needs to learn this)--remove the first towel and plastic sheet and put him back to bed dry. This way you don't have to make the whold bed in the middle of the night. Two weeks of this and you will notice him changing. Sure he'll still have accidents, but all kids do. Try to keep positive and just keep saying ''we need to keep you clean and dry.'' Cloth Diapers Rule
My advice for you is to just let it go for awhile. Especially at night, there's probably nothing you can do with a three-year-old boy to get him to wake up when he has to go; nor can his bladder probably hold enough to get him through most nights. He's just going to have to grow out of it. Everything I have read says that many kids, boys especially, may have to wait until they are at least 6 before they can make it through the night. My son's almost 5, and sleeps extremely deeply; he wears the ''good- night'' kid diapers. Just in the last month or so, he's started to have more than a very occasional dry diaper. When more than 50% of his diapers are dry, I'll think about it. In the meantime, it's just not worth worrying about, as it is perfectly normal. Karen
My 3 year old has also been potty trained since 2.5 yrs. He doesn't wear a pull-up at nap time, and has no problem with that as long as he pees right before going down. At night he still wears a pull-up, and I am prepared to do that until he's 5 or so.

It's quite common for boys to have a hard time w/ bed wetting at night. Our other son, who's in his teens, wet his bed at night at least once a week until he was 12. According to the Nat'l Kidney Foundation, that's totally normal in boys. Even waking him up at night didn't help, and other things we'd heard said that was bad to do as you interrupt their deep sleep regularly. Small bladders and other conditions in boys are also common, and for older kids there are bladder stretching excersises that your doctor should be able to teach him. anon


My son is almost 6 years old and is soaking wet every night. Why? Because he sleeps deeply and is not ready to be dry at night. Many, if not most, boys are in the same boat. Our ped. is not even going to recommend nighttime dryness methods until he is 8 because it just doesn't work this early.

Contrary to what someone has said, your son IS potty trained even if he is not dry at night and he very well might not be ready to ''learn to wake himself up or hold his pee.''

He has no control of what his body does when he's sleeping and pushing the issue might lead to worse problems. My advice, let it go and he will be dry at night when his body is ready to be dry. Good luck! Jen


Diaper Leaking at night - 3.5 y/o boy

April 2005

Help with advice for best night time disposable for a 3.5 y/o boy whose diaper overfills/leaks often. He pees before bed and has milk 1/2 bfr bed. Any recomendations so that we are not waking up at 4:30 and 5:00 with wet jammies? Thanks


Try Huggies Overnights, purple package, hard to find, look at Walgreens. Carolyn
I used to use diaper doublers but the drug stores near my house don't carry them anymore. I now just use a nighttime maxi pad and it works great. I usually fold under the top inch or so just to give extra coverage at the very top of the diaper. anon
Get the GoodNites brand of night time pull-ups. At this point diapers and regular pull-ups won't work. Make sure his penis is pointing down too! Been There

Friend says I should have stopped 3.5's diapers cold turkey

Aug 2003

Hello, Our 2 3/4 year old daughter is potty trained, but still uses a pull up or diaper for nap and night time. We just did this because that's what we saw friends of ours with older children do. Recently we had some friends over who have a 3 1/2 year old who said we should've stopped diapers cold turkey at all times when she potty trained .Do any of you have advice on transitioning out of diapers for nap and night time? Thanks so much!


The process of potty-training our daughter was in phases, and I really feel this was the best. My daughter is over three. She first became potty- trained for everything except nap-time and night-time. Now she can get through her nap in her panties. We still have her in a diaper at night, and she wakes up most mornings with a very wet diaper. I talked to our pediatrician, and she said some children simply cannot hold their bladders all night. I would hate to think of the daily struggle of cleaning up a messy bed every morning in an attempt to go cold turkey (both effort-wise and my daughter's self esteem). If your child is not that wet after nap/night-time, you could talk to her about trying to stay dry for her naps, and then move on to night-time from there.

Also, we encourage our daughter to drink lots of water all day. We know we will have to do a better job of tapering this off at night, but with the heat and her high activity level, we have let her drink what she wants. Monitoring your child's fluid intake may be something that works for you, but I think 2 3/4 is pretty young to be completely potty trained. Elizabeth


My daughter was finally potty trained during the day, around her 3rd birthday. A couple weeks later she was dry all night, for a week straight. We kept her in Pull-Ups after she was day-trained, assuming it would take months for the night training to follow...but it happened spontaneously, and fairly quickly. Once she'd been dry every night for a week, she switched to sleeping in panties, with only a rare accident once or twice since (it's been 6 months). I don't think there's much you can do to speed it along, it just happens...their muscles & brains have to connect, and once they do, they stay dry all night. Best of luck! Heidi
I have been very pragmatic about this issue -- I don't see how you ''train'' kids to do something while they're asleep. Both my older kids eventually stopped peeing during sleep on their own -- but rather later than other kids did. Basically, when your child is dry through the night for several nights running (or through nap time, which ususally happens first), then you take off the pullup. I get the kids to pee before bed and try to limit fluids. Otherwise, what can you do? Mom of 3
My friend did the biggest favor by lending us her absorbent bed bads (they absorb without leaking) that were similar to lap pads but much larger. That night we put one on my daughter's bed and one on our bed, and have not put her in pull-ups since. She had about 7 accidents and as soon as I figured out that her last drink had to be one hour before bedtime, the few accidents stopped altogether. It's been great! Good luck. am
Just because it worked for their kid doesn't mean it's best for your kid.

I think 2 3/4 is pretty young to be dry at night. My boy trained during the daytime quite early (about 22 months) but he's now 3 1/2 and just recently stopped nighttime diapers (naptime diapers stopped at about 2 3/4). It's a big challenge and there are still lots of accidents, and most of my friends are telling me that's too young!

What ended up happening for us is that at naptime he was quite often dry afterward, so we just stopped using them. Bedtime happened when there was a miscommunication and nobody put him in a diaper one night, and he woke up dry. After that, we used a reward system (stay dry seven nights and get Bob the Builder underwear) that worked just fine. Anon


4-year-old is leaking out of diaper every night

Sept 2005

My 4 year old son wets his bed several nights a week. I realize this is common at his age, but the problem is that we can't find a diaper to contain the urine. He often wets through the diaper and wets his sheets and blanket. We use Huggies Goodnites (pull-up types of diaper). He is 42 lbs, and that is the only brand that I have found in his size. Are there any inserts out there to help absorb the urine? I've started putting in maxi pads, but is there another option? Thanks. anon


My daughter wet her bed at night until she was about 5. Here are 2 things you can do (if you don't find better diapers).

Put a crib protector on his bed over the bottom sheet (one of those diaper pad things you put in a crib to protect the crib mattress...they are absorbent and leak proof. Then put a large beach towel folded in half over that. This way, if his diaper leaks it will wet the towel and possibly the pad, but not the sheets and everything. Much easier to change the towel and let the pad dry out (unless very wet in which case it may also need to be washed) than to change the sheets and everything. Make sure you put something over the crib pad...they are very cold (I tried napping with my child once and forgot the towel...couldn't stand the crib pad).

Also, with my daughter, she could not wear diapers at night after she was potty trained...they tended to give her diaper rash (the doc said it was because she wasn't wearing them during the day and her skin was no longer as ''tough'' as it was). So, I started taking her to go to the potty when I went to bed (around 11pm) or when I woke to go to the bathroom in the night. I would carry her from bed to the bathroom (still asleep), sit her on the toilet and shake her a little and tell her to pee. She would usually wake up a little, pee then immediately fall back to sleep. Another friend of mine who's child weighs more than mine, walks her child to the bathroom kind of in front of her between her legs. I did this with my child too...she is really mostly still asleep but I could get her to walk to the bathroom usually. You have to wait until about 2 hours after they first go to bed...if I tried to do this with my daughter too soon, she was just too deeply asleep to go potty. But usually, in the middle of the night, she was able to do this.

This usually prevented any bed-wetting that night. I did this for about 1 year. I would try every once in a while to skip and see if she was able to hold it yet. Eventually she no longer needed this. Good Luck Anon


They do have disposable diaper liners/doublers available. I usually can find them at the Albertsons in Montclair. They are in a yellow package (it may be an Albertsons brand) and they look a lot like maxipads. I bet that would solve your problem. Mom of a heavy wetter
We've had similar issues with our 3 year old, who insists on drinking a cup of milk and a cup of water each night. What's worked for us is having my husband change her diaper right before he goes to bed. So she gets one diaper when she gets into her jammies at around 8:30, and a new one when he turns in at 11:30 or 12. We've been doing this for long enough that she usually manages to sleep through the diaper change. Most of her pee seems to be released into the first diaper, so even though she wears the second diaper for a longer time each night, she rarely ends up wetting the bed. Hope this helps. Janice
My son (almost 5) also wets the bed somewhat frequently. We no longer use pull-ups at night, but I have another suggestion for you. Buy saddle pads from One Step Ahead or Target. It is a waterproof sheet a couple of feet wide that tucks in across the bed above the bottom sheet. When the bed is wet, you simply pull this off and the rest of the sheets are protected. No changing the entire bed in the middle of the night. It is machine washable and dryable, but buy two so you're covered when one is in the wash. When you want to abandon the pull-ups (I think it helped decrease the night wetting--) I'd suggest a spare washable blanket too! Good Luck! Hoping for dry nights
Hi, We had the same problem. What helped, (though there are still occasional leaks), are (1) moving up to the largest size of GoodNites-XL and (2) using inserts. What we use are Depends incontinence pads which are designed for use with disposable underwear. If you use maxi-pads, make sure that the urine can flow through to the diaper - e.g. no plastic backing. Also, with any pads, make sure that the edges are tucked under the elastic on the diapers, otherwise the urine gets channeled straight to the bed. Don't bother with the new Safeway version of GoodNites - they led to quite a few wet nights. KB
I'm so interested in what we all may find out! I have a almost 6 year old son. still in a nightime pull up. 42 lbs too. we wear the goodnites also. i have to add 2 adult pads (depends, assure etc) which can do the trick. I would love to also hear if someone has a better idea. Wouldn't it be great if there was a nighttime pull up that is really made for big kids. Big kids = alot of urine! looking forward to not spending $on pullups!
You could try to wake him up at the time he usually gets wet, and put him on the potty. I made it with my 1-year old daughter for a period and it worked. When she anyway woke up a little bit (around 1 a.m.), I put her on the potty and then she was dry after that the rest of the night. After a while she was completely dry the whole night through and I rushed to put her on the potty in the morning. At daytime she was then almost diaper-free. You can have the potty in his bedroom, so you have not to turn on lights that can disturb him falling asleep again. MiaL
We found the problem wasn't so much the diaper leaking -- it was that our son would, well, play with himself at bedtime and end up falling asleep with the tip of his penis either sticking out of, or just really close to, the waist of the pullup. (We use the Goodnights also; as far as I know they are the only thing available for kids this size.)

So now we wait until he's solidly asleep, and then yank his pullup back up, making sure nothing is sticking out and his pjs aren't tucked in to it either. No more wet sheets! anon


Diaper Doubles work. They come in a light blue package. I can only find them at the Safeway on Broaway and 51rst. They are tucked in between the diapers, so look hard for them. They look like a maxi pad, but without the plastic( the plastic stops urine from getting to diaper,which you want). Plus they are a lot less expensive then maxi pads. mom

4-year-old is wetting the bed every night - back to pull-ups?

Nov 2003

Recently, my 4 yr old son has ''graduated'' from pull-ups at night. For two weeks all went well. He woke up at night and went to the bathroom if he needed to. Then all of a sudden it's been a bed wetting bonanza EVERY single night - in our bed and his bed (sometimes he sleeps with us). We try to make sure he pees right before bedtime, and are no limiting how much milk he drinks. Nothing traumatic or unusual has occurred in his life over the past few weeks to bring about the bed wetting. Is this normal? Should we go back to those expensive pull-ups?
Tired of washing sheets everyday


Go back to pull-ups!
Mary-Anne
Hi, my 4 year old also started wetting her bed after a few 'lucky' days without pullups. Now I am extremely strict about not drinking anything after 6:30 (she goes to bed at 8:30-9:00). This includes grapes or other food high in water content. She has to pee right before going to bed. Now she sleeps all night without any accidents. I told her to drink as much as she can during the day, since water is important for our bodies. Laura

4-year-old daughter bedwetting

I have a 4-year-old daughter who is having a real problem with wetting her bed at night. She is perfectly potty-trained during the day, and has been for over a year. But she has never been able to be consistent about not wetting her bed. Sometimes she will go for as much as a month without wetting, and just as my husband and I are thinking she's finally over it, she will start wetting it 2-3 times in a week. The pattern of bedwetting is very irregular. One thing we have noticed is that she seems to have a VERY hard time waking up in the middle of the night. On those nights when she "wakes up" to go potty, she can't manage to get out of bed and go potty by herself. She sits up in bed with her eyes closed and cries until one of us comes in to get her. Then we try to wake her up (talk to her, shake her gently, etc.) and get her to go potty. We get her out of bed and she will start wandering vaguely down the hall in the opposite direction from the bathroom. I've even tried using cold, wet, washcloths to wake her up more, but it doesn't seem to work. I suspect that her inability to really wake up at night has a lot to do with the bedwetting, but I don't know what to do about it. My husband and I are thinking about putting her back into diapers or pull-ups at night, but since she hasn't worn them for over a year I am concerned that she will somehow feel disgraced or punished by wearing them at night (our concern is more for keeping the bed dry!). I don't want to do any psychological damage. I am also considering taking her to see the pediatrician about this, but when I suggested that to her she did not like the idea at all. I am really at my wits end about this, and would appreciate any help/information I can get! Thanks so much!!

P.S. I don't know if this makes any difference, but she is the oldest, and has a 2.5 year old younger brother. She was not potty trained before he was born; became potty trained about 9 months after he was born; he is almost potty trained now (wears diapers only at night). The bed-wetting has been going on with her, off and on, ever since she started wearing underwear. It is not a new/recent development.


to the parent concerned about 4-year-old bedwetting: Our daughter is four years and five months old and is often not dry at night. We don't think of it as bedwetting, but as not being night-time toilet trained, i.e. she's just not there yet. She wears pullups at night and sometimes she's dry, sometimes not. It doesn't seem to make much difference whether she goes to the bathroom shortly before bed, drinks or doesn't drink etc.

Our pediatrician says don't worry or even do anything until she's five--some children's bladders are just not physically mature enough to last the night. I don't know if we're doing the right thing--I just have my fingers crossed that she'll outgrow it. We've encouraged her to try to stay dry and offered the reward of getting to wear panties, but whenever we've tried the panties the bed ends up wet. Mostly we haven't made a big deal about it, and, for better or worse she doesn't seem to mind wearing the diaper or be embarrassed about it. We did buy a vinyl mattress cover for her futon at Sears which simplifies life when she wants to try panties. I know this information may not be very helpful, but maybe you should try consulting your pediatrician by phone before taking your daughter in. If the doctor says just wait till nighttime dryness happens, then you might spare your daughter some embarrassment. On the other hand, if anyone has any techniques that have helped children this age stay dry, I'd like to hear them!


This sounds familiar in more ways than one. Both of our children took a long time with night training, and both were very heavy sleepers. It sounds like your daughter is highly motivated and really doing pretty well, but consistent control might have to wait on a change in her sleep patterns (which I think is wired in--nobody can do much about it).

Your pediatrician should be aware of this, of course, though it's probably not a sign of anything serious. If s/he wants to examine her, s/he probably should. A phone call certainly wouldn't hurt, and with cold season coming on you'll probably have more than one occasion to bring your daughter in anyway! Of course you could take the bull by the horns and tell your daughter, "I know you don't want to see the doctor about this, but this is the kind of thing we have doctors for."

Both our children, around the age of seven, licked the problem once and for all by using an alarm (Sleep-Dry is one brand name). I want to emphasize that this tactic has to be the child's choice--if it's forced on them it probably won't work and will probably do more harm than good. It's important that this be THEIR battle, project, challenge, whatever.

Another tactic that might be good is the use of "chucks"--absorbent disposable sheets, about 2 x 3 feet, with waterproof backing; they're used a lot in hospitals, and I think you can get them at most drugstores. They protect the bedding but aren't as intrusive (or humiliating) as a diaper.

My husband and I are thinking about putting her back into diapers or pull-ups at night, but since she hasn't worn them for over a year I am concerned that she will somehow feel disgraced or punished by wearing them at night (our concern is more for keeping the bed dry!).
I think if you present this to her in just that light, she'll understand it that way. I mean, you should specifically say, "This is not a punishment or anything bad--it's just something to help you keep the bed dry."

Good luck. Learning to keep the bed dry is a bit of childhood learning that is consistently underrated, when you think of what we ask the brain/mind to do: relax, lose consciousness, dream--but remember this one thing . . . . [My children would probably prefer that this remain anonymous!]


4.5 YO Bedwetting after 6 mos of being dry

Oct 2003

Our 4.5 year old son (who is a deep sleeper) has suddenly started wetting his bed at night, despite waking up once a night to use the bathroom. He's been potty trained for a year (daytime) and a half year (night time), so this seems strange to us. The only signifigant change in our lives was the birth of his second sister (now 6 mo), and his regression seemed to last a few months (but not now). He's very close to both of his siblings so we don't think he's doing it to get attention. We limit his drinks (no more after dinner, 6ish) and have him use the bathroom before bed (8pm). We're also thinking about waking him when we go to sleep 2-3 hrs later. Any other ideas?? Help!!
Frustrated


My slightly over 4-year old son could not make it through the night if he were to last pee at 8 in the evening. (As well, he is a deep, deep sleeper.) We awaken him between 12 and 1A to pee (''pot'') him and, then, again, in the dark of the morning around 5 or 6 (if we can get up). This seems to stop him from having bedwetting incidents even though he has been diaperless since about 3 1/2. Know also that it is reasonable that the diapers not be able to contain all of the urine that a 4.5 year old can produce. I would try ''potting'' him at least once (if not twice) after the 8 o'clock peeing session. When I watch/hear my son pee, I realize that he can produce and store so much pee that it would make sense that a diaper, if he wore one, could not contain all of his pee. You can pot your child even if he is wearing a diaper of pull-up at night. Take heart; by the time he is college-bound this will be a non-issue. I also know that sleeping boys are so much less responsive to their need to pee than sleeping girls. Good luck
Dry sheets

4 1/2 year old son is bedwetting

I know this topic has been somewhat addressed in the past and I've read the posts, nevertheless, wouldn't mind some fresh thoughts. My son potty-trained at about 3 years old. We were pretty lazy about the night stuff and kept him in a pull-up until recently. He is now 4 1/2. He was the type who always got complacent as soon as he got his pull-up on, and even if he were still awake, he would use that rather than the potty. About a month ago, he decided he wanted to be through with pull-ups completely. We had a week or two of accidents, then suddenly it appeared that he "got it". For two weeks in a row, he would wake up in the middle of the night, go pee, then go back to sleep (in our bed, but that's another post!!). But now, for the past week, he doesn't seem to be able to wake up until after the accident. We are being very careful about restricting the fluids after dinner, and making sure he goes right before bed. Yet its not working. My husband works at night, so at first we had tried having him wake my son up when he came home. This met with mixed results. There was usually a lot of crying and struggling, (the poor guy was being roused out of a sound sleep!), but often he would pee. I'm thinking we need to go back to this method, as unpleasant as it is. Any thoughts??
My first advice is to remember that his bedwetting in not necessarily something your son has control over. His body needs to recognize when the bladder is full and that it is time to get up and visit the bathroom. You did not mention limiting his liquid intake before bedtime or whether you require him to empty his bladder before bedtime. Do not ask him to do something over which he may have no control.
This is for the parent who was concerned that her son wet his bed at 4.5. Don't worry! That is normal. All kids develop differently, even in their bladder control. My daughter used a pull up until she was 6 years old. There were a couple of her friends who did the same. She is now 7 and doesn't need any sort of diaper. Your son will get there, he just needs more time. His bladder obviously isn't developed enough to hold urine all night.
I would like to respond to the person who was concerned about a 4.5 year old boy wetting the bed at night. I have two sons 9 & 11 and neither one of them stayed dry at night until they were 6. I may be blocking this out, but I think my oldest was almost 7!! They were both day-time potty trained at 3 but couldn't stay "dry" all night for years more. I think it is very early to get worried about these types of accidents. My two didn't mind pull-ups since I didn't make a big deal about them wearing them, so maybe if you can back off this issue a little, your son won't mind pull ups either. It may be a while from my experience and I can imagine washing bed clothes everyday would be awful. But I'd suggest dropping the issue entirely for a while. I don't know whether boys mature here slower than girls, but I don't remember my friend's sons staying dry this early either. Relax, it will happen when he's ready and then, as mine have, go on to bigger and better ways to make you crazy.
If your 4 year old is bedwetting at night, it his not under his volitional control, as in the day. He probably just needs to be a bigger boy with a bigger bladder. How he views pull-ups probably has a lot to do with how they're presented, and if he was taken to Disney for obstensibly giving them up, then it wouldn't be too surprising if he saw using them as a failure. I'd suggest a low key and matter of fact approach: "kids who wet the bed pretty regularly need pull ups, and when you're bladder is a little bigger, you won't need them anymore." NO shame, embarrassment or berating, just "that's the situation for now."

My son wet through age 5 and had occasional bedwetting with once or twice per year til 8 or so. I have friends whose kids wet past 7 and have heard that boys especially can go up til 10 and be within normal limits. Huggies finally started making large sizes after enough requests. My son had a friend sleep over twice who wet the bed: my only rule was that he put the bedding in the bathroom and crawl in to a dry bed. After the second time, I asked his mom to provide pull-ups that he could discreetly put on under his pyjamas, but she said he wouldn't wear them. Too bad.


We haven't even considered taking our almost-5-yr-old out of pullups for the night. If he's not yet dry on his own, why make the extra fuss/discomfort/work? I understand that lots of kids aren't ready to sleep through the night without peeing by this age -- and even later. Their bladders may not be large enough yet, or the body control just there isn't yet. I'd change tactics and not make it an issue anymore -- no blame, no shame. Get him back into pullups in a non-shaming way, or get those larger, less-bulky "pretend underpants" that are advertised in a lot of the parenting magazines.
My daughter, now 10+, had the same problem and did need to wear pull-ups until almost 6. I understand that it can be quite frustrating, above all when you have to change the bed every day; luckly she was ok with pull-ups, so that made things easier.

One thing that seemed to help was that for quite a while, after we decided to give it another shot to night without pull-up, I would wake her up around 11:30pm or so and ask her to go to the bathroom which would ensure that the rest of the night would be dry. And there was no drinking from 1/2 hour before she was going to bed. It took some time (2-3 months), but it worked.


To the parent worried about your son's bedwetting: I wet the bed almost every night until I was twelve. It didn't have anything to do with lack of motivation get up. Rather, I was a very very heavy sleeper. Eventually my parents brought in an expert to diagnose my sleep patterns. I had to be trained to wake up (at least once) during the night so that I wouldn't wet the bed. I would recommend investigating the web or the library for more information on sleep cycles and bedwetting. My guess is that if you could help him wake up in the middle of the night (or before you go to bed) until he got into the habit of waking up on his own, that his bedwetting would diminish. I only wish my parents had brought in the expert earlier in my life as it would have saved me years of embarrassment. Good luck!
I would like to respond to the person who was concerned about a 4.5 year old boy wetting the bed at night. I have two sons 9 & 11 and neither one of them stayed dry at night until they were 6. I may be blocking this out, but I think my oldest was almost 7!! They were both day-time potty trained at 3 but couldn't stay "dry" all night for years more. I think it is very early to get worried about these types of accidents. My two didn't mind pull-ups since I didn't make a big deal about them wearing them, so maybe if you can back off this issue a little, your son won't mind pull ups either. It may be a while from my experience and I can imagine washing bed clothes everyday would be awful. But I'd suggest dropping the issue entirely for a while. I don't know whether boys mature here slower than girls, but I don't remember my friend's sons staying dry this early either. Relax, it will happen when he's ready and then, as mine have, go on to bigger and better ways to make you crazy.
According to my pediatrician, about 12% of children are still not dry through the night by age 6 or 7. This is largely due to the fact that some children are such sound sleepers. I would talk to your pediatrician. If your child is drinking a lot however, and peeing a lot, have your doctor check for diabetes. Those are two classic symptoms of the disease.
I wet the bed until I was 8, and so did my sister. I really think it has to do with sleeping too heavily to wake up when you have to go to the bathroom. I was humiliated by my parents' efforts to cure me by playing a song called "I Woke Up in a Dry Bed." Stress might have something to do with it (I stopped wetting the bed when my mom left work), but I think it is something some kids just have to grow out of. It is definitely not something kids can control -- what 8-year-old would choose to wet the bed?
I don't think it is uncommon for a 4.5 year old not to be dry at night. My son, now aged 16, toilet trained himself when he was 2 years old, but he was not dry at night until he was 6 or more. It has, in part, to do with how soundly the child sleeps and whether or not she or he wakes up to the need to pee. My son did wear diapers (pull-ups weren't around yet) for many years. In fact, his younger brother (3 years younger) was dry at night while the older still was not. I was encouraged to know that his situation was well in the realm of normal and tried not to stress myself or him about it. I think the key is to not consider it a problem. We did use an "alarm" for awhile. Pinned to his underwear, it would buzz when he first started to pee. It had the positive effect of waking me up, so that I could wake him up. He slept right through it. Hope this helps.
Probably you will get lots of advice from experienced parents (which, as a parent of a two-year-old, I am not) on this, but just in case you don't, I wanted to chime in on this. I've read a far amount on this issue, including on this list, if memory serves. As far as I understand it, bedwetting in a four-year-old is not at all uncommon--not the norm, but I think somewhere around 15-25% of kids this age, particularly boys, wet at night. It's typically not "bad behavior" that's causing it, but usually very deep sleep: the child sleeps through the bladder's "wake-up" signal. I think it's not even considered an "official problem" until age 7 or 8. There are all kinds of coping stratgies, from instituting a practice of "pee three times" right before bed, to limiting fluids after seven p.m., to parent-led awakenings during the night, to hypnotherapy, and onwards to more intrusive measures involving electronic moisture sensors and buzzers. How about talking with your pediatrician about this, since there is also a possibility that there is a medical issue underlying the situation. But above all, and this is why I decided to pipe up here, it is most important not to shame or punish your child for his "accidents." Most likely this is something out of his control. Try to keep the tone light, not serious, when you address the matter with him.

About the laundry...one strategy I've read about is to make up the bed with several layers of bedding, with waterproof layers in between. Then if the bed gets wet, you only have to strip off the wet layer, and the clean sheets are already ready to go. As for pajamas--how about sleeping "bottomless," or how about poly-propylene long-johns, which stay warm even if wet. Best of luck to you in coping with this--it will surely pass.


A friend of mine had two sons, who both kept wetting their beds at night. She tried various methods over time, but the one that worked was the alarm method mentioned by several people in the previous post. If their pants were even a little wet, the alarm went off and woke them up so they could go to the bathroom.
I've read all the answers to the mom whose child is wetting the bed at 4 1/2 and I agree with the majority of responses that said "don't worry, he's normal." I also agree with responses about use of an alarm system for older kids, but it my experience it's best to wait until they are much older, 7 or 8 and really motivated on their own. If you persuade a younger child to try it and he gets upset with being awakened or the device doesn't work for him, he may be unwilling to try it again later. I have a much longer piece about this in Parents' Press in the next month or so (it really is a common question!). You'll have to pick up the paper since they hold copyright on my columns. Meg Zweiback
When my daughter was about 3 years old she began to refuse to wear pull-ups at night. The problem was that she did not stop wetting her bed regularly (so can you call these accidents?) for another couple of years. In fact for several more years she would go through phases of wetting her bed every other night or so. We talked to a couple of pediatricians about this, and they both said that some children do not develop the hormone that prevents people from urinating in their sleep until quite late. Another explanation was that our daughter would not want to miss any play during the day, so she would hold her urine in until she couldn't possibley stand it. This trained her body to not awaken her at night until it was too late. This pediatrician recommended having her try to urinate every two hours during the day so that she would train her body to feel uncomfortable before the bladder was completely full. This strategy seems to have been the one that finally worked. So, I would recommend that you talk to your pediatrician about your 4 year old's bed wetting. It will probably put your mind at rest, and your pediatrician will probably have some good advice about how to deal with it as well. Hope this helps.
I actually asked Par. Dig. readers about this issue last year. My 4/12 yr. old daughter was wearing Pull-Ups at night and wetting during the day. She was starting kindergarten in the fall and I was getting nervous. The advice to just wait worked out. Without any pressure, she eventually stopped wetting all by herself, just before her 5th birthday
I noticed a couple of parents recommended not giving their child anything to drink after dinner to prevent the bedwetting. While I suppose that would work, I know that my son who is 4 1/2 is so busy during the day that he probably doesn't remember to stop and drink as often as he should. We can't expect day care providers to keep tabs on the fluid intake of all the kids. I think I'd rather let my kid drink in the evening and wear pull ups than risk his not getting enough fluids. Of course, there are some drinks which run right through their little systems, like coke etc, and those should be avoided.

As for the deep sleepers, I have a friend whose 7 year old daughter had this problem and repeatedly wet her bed. His doctor suggested she stop drinking milk, as she may have some mild allergic reaction which made her sleep so soundly. Anyway, it worked -- I'm not sure I understand why!


Waking him up is exactly the wrong thing. His body needs to recognize when he needs to pee, and wake him up. Waking him up saves you some laundry but doesn't help the problem. Maybe he needs to grow up some more?
I had a problem with my daughter wetting the bed at night- several times. Several children in my family have had this problem. This went on for years and the body does not learn to "wake up". Apparently the problem is twofold. One, the body should not produce so much pee at night, and two our children sleep too deeply to wake up in response to the need to pee, which is considered a sleep disorder and causes the body not to get enough of the sleep they need. The only solution to the nightly pee production was a nasal spray (hormone) and I did not opt for that.

I started taking my daughter to the bathroom several times a night to avoid changing the bed - she would not wake up through these visits to the toilet. This did not help. Then I was told (by my sister who is a nurse and did some research on the subject for her own children) that I actually needed to wake her up and take her to the bathroom and that this was the way to resolve her sleep disorder. I began to do that (not easy believe me) and she stopped wetting the bed every night within two weeks and within a couple of months did not wet the bed at all. When my son turned out to be a bed wetter also, I immediately began to wake him up a couple of times a night to go to the bathroom and his bedwetting was resolved shortly after he got out of diapers.


4 1/2 year old son having "accidents" every other night

My son is almost 4.5 years old and he is having accidents every other night! I wonder if I can call it "accidents" anymore since it happens so regularly!

We have tried bribing him by toys and reward for staying dry and even took him to Disneyland when we thought he graduated from pull-ups during the summer. but alas...

Should we go back to using pull-ups? He hates wearing pull-ups and refuses wearing them, but I am afraid that sleeping in wet clothes may cause a cold or other problems. besides, it is not fun to wash linens every day. We have talked to him many times, but seems like he cannot control it.

I am also getting a little concerned because I not seen children over 4 with bed-wetting problem.


To the parent who asked about bedwetting -- I think this is not all that uncommon. Our daughter wet the bed until she was about 6. It gradually tapered off, and now, at nearly 8, she never does. I think it was a combination of immature muscles and the fact that she is a deep sleeper. I have also heard anecdotally of other children also up to about 6 or 6 and a half who wet the bed. I think I had heard that it was usually boys who had this problem, but I know of at least two other girls like my daughter. It did help a little if we made sure she went to the bathroom before going to bed. Other than that, I would put her in pullups or else get a mat for the bed and a few sets of sheets! (That, in fact, is what we did.) I think we were a little worried that it was some deep-seated psychological problem (or an attempt to drive us insane), but it now seems that her muscles were just slow in developing.
Some hints about night time bed wetting: Approximately 10% of children have night time bed-wetting, and this is normal. It's clear that even when children are very motivated they often can't wake up to go to the bathroom. It's not uncommon for some children to still wear pull-ups when they are 6, 7, or 8. You just don't hear people talking about it much. One plan that has worked for some people is to increase water intake! You want to have your child drink lots of fluids during the day to try and help to stretch his bladder(you can talk with your Pediatrician about how much is ok). It's ok to limit fluids some in the evening, but make sure to increase it during the day.This is a key piece that can work very well for some children. Then with a child who is older (over 6) who wants to stay dry I would try the alarm. The problem is that most of these kids are very deep sleepers, and they don't hear it when it goes off.Parents try it a few nights and then give up. SO, what you can do is tell the child that you want to help them learn to wake up.If they too want to stop bed-wetting they will probably go for this plan. Take a mattress and put it on the floor of your bedroom. If you have a partner you can take turns getting up each night (this is worth doing, even though it takes work). Put the special Enurisis alarm (different types..cost approx. $40-60) in place after your child has gone to the bathroom. When you hear it go off in the middle of the night wake your child up and take him to the bathroom. DO this every time it goes off until your child learns to wake himself up. Again, the key is to increase the fluids during the day....their bladder can hold more so they feel more pressure...and hopefully it will be towards early morning when they need to go and at that time they are not in such a deep sleep.DIfferent things work for different families...this has worked for some I know. Good luck, and keep in mind that the worst thing of all is for a child to feel ashamed about wetting the bed. Pay attention to your facial expressions and tone of voice when he or she is wet in the morning. If possible just say something like, "OK lets get the sheets off into the washer" Some folks also just put a towel under the child in the middle of the night so the sheets can wait to be changed till morning. Mattresses that smell like urine can be thrown away, a child's shame stays with him for life.
Regarding the 4 year old bedwetting. My child had this same problem which also came with a family history of it. When he was five we asked the pediatrician about it. He said that it is not unusual for boys to go up to age 7 with this problem. They usually outgrow it he said. Well, 7 came and went and he didn't outgrow it. We went back for more help and were told we had two alternatives. There is a nasal spray that somehow helps. And an alarm pad method which alerts the bedwetter with a buzz at the first drop of wetness. The nasal spray sounded like a drug to me so we went with the alarm pad. Within 2 weeks the problem was solved and we have never had the problem again. You can buy the alarm pad from your pharmacist without a prescription. They keep them behind teh counter and come with great instructions. Remember, the child has absolutely no control over this problem. It is not a sign of laziness. It is unusual at all. A large percentage of children suffer from bedwetting and for some reason boys suffer from it more than girls.
My son's dr. said not to consider them bed wetters until the age of six. He further stated that we should just be matter of fact and not make a big deal, but continue using the pull-ups until he was dry 3/4 of the time. If your son is giving you trouble with the pull-ups I would just explain that until he is "ready" to get up and go to the bathroom at night he has to wear them. I would stop talking about it so much and just wait for the sign that he is ready.
My 4 year old also has "accidents", but his are during the day. We have not yet dealt with night time issues. However, we have recently started a reward system for him that seems to be working. One of the main advantages is that it has been a lot easier for me to deal with my frustration when these accidents occur. Simply, he gets stickers for peeing or pooping in the potty. If he gets enough stickers in one day, 5 in his case, he gets to have a special treat. He and I came up with the treats - such things as watch a video, blow bubbles, play blocks, chocolate milk, etc. If he has an accident, then I don't feel inclined to give a lecture, etc. He just missed an opportunity to work toward his special treat. It has successfully helped him take responsibility for himself in this area, and helped us emphasize the positive results. It may also be that your son is not ready to stay dry every night.
That your son wants to stay dry but can't despite your attractive incentives seems to suggest that there is a physiological side to the problem. May I suggest that you contact a Jin Shin Jyutsu practitioner who can teach you how to do Baby Pose on your child. I can teach you this pose over the phone or give you a referral.
My husband wet the bed until he was 5, and he said that his parents got a "Wee-Alert" or something -- a pad that sounded an alarm when wet. He said that really taught him how to read his body's signals when he was asleep.

Getting 4 y.o. out of night diapers

December 2002

Our daughter, just turned 4, is finally potty-trained except she still wears pull-ups at night. She wakes up wet 9 out of 10 times, but I suspect that she's wetting right when she first wakes up or is about to wake. My evidence for this is that one night she mysteriously removed her diaper (which was dry) and when I came in to her room to change her brother, she was dry. As soon as she started to wake up, she wet the bed. Also, when I send her in to use the toilet in the a.m., she often doesn't need to go. Suspicious, eh?

So, here's my question: She's still in a crib, but moving into a ''big girl'' bed after Christmas -- do I take the diapers off, put her on a rubber sheet and let her figure out that it's better to get up and go? Or do I wait until she starts waking up dry more frequently? There were a couple of times a few months ago when she woke up in the middle of the night saying she needed to go potty, but that hasn't happened since. I'm afraid to misstep here and would appreciate hearing other people's experiences with this. Thanks, elisabeth


Your daughter is almost certainly NOT ready to sleep through without a diaper. Putting pressure on her will make everyone miserable. Some people don't manage to ''bed train'' themselves until they are quite old - even as old as onset of puberty. (Yes, puberty.) My mother was one of those, as was my older brother, and so was I. Now my older daughter is showing signs of not being ready until later. This is not nearly as uncommon as we're led to believe.

Remember that YOU don't ''train'' her - she trains herself, and nothing anyone can do will force her to do what her body is not ready for. Four is not that old. Trust in her body's ability to decide for itself. Believe me: nobody likes waking up wet.

The canonical determining factor for ascertaining whether a child is ready to go diaperless at night is if she is dry every morning for a week. Don't do a thing until that happens on its own. Even then, expect a setback if anything upsetting or unsettling happens in life. Refer to those old standbys, Sears, Spock and of course Penelope Leach. A late bedwetter


My husband's family are from England, and they have a technique there that no one here seems to do, called ''lifting''. I learned about it while living there with him, and now we do it with our 3 1/2 year old, with absolutely fabulous success.

Basically, our daughter goes to bed at 8 or 8:30, and then we go to bed at 10 or 11. I usually am up at least once in the night to drink something or pee, and at that point (usually about 2 or 3) I go pick her up and carry her to the toilet, where she basically ''sleep pees'', then I put her back in bed and she sleeps beautifully until pretty late (no bladder waking her up early).

If you go to bed later than that, you can simply do it before you go to sleep. The point is that with less pee in her during the night, she sleeps better (many nightmares are bladder- related), she sleeps later, and she doesn't do what she used to do, which is wake up with a bladder so full that she can't make it to the bathroom. Somehow sleep supresses the urge a bit, so if we don't lift her she goes longer than she would if she were awake, which means she simply can't hold it any more.

This method is not for everyone. Some people simply don't wake up at night, and to be honest there are some nights we forget to do it (and lately we are actually okay, she makes it). But if you are someone who wakes in the night anyway, or if you have a baby who wakes you or one of you goes to bed late, it works wonderfully! I don't know why more Americans don't do it. Heather


My daughter was in night diapers until 4 and a half. What happened at 4.5 was me instituting you have to pee before bed time deal. Before that, I would suggest peeing, but did not make her, and she would never go (she never much liked having anyone else in control of her bodily functions). For a couple of weeks, she would have to sit on the toilet before bed and I would run water. If that didn't work, I would wake her up every hour until she did pee. My daughter is a very deep sleeper, and I'm sure that's why night-training took so long, although when she was initally potty trained she would not pee at night or during nap. Everyone said to restrict fluids at night, but my daughter often didn't drink much during the day and was often very thirsty at night. If your hunch about wetting her diaper right before she wakes up is correct, maybe you could try getting her up early to go to the toilet then. Bethany
Don't worry about your 4 y.o. who wets the bed at night. Approximately 40% of 4 y.o.'s still wet the bed sometimes, and this is something they grow out of. In those who wet at an older age, it appears to be a combination of being a ''deep sleeper'' and having a smaller bladder capacity. I recommend just continuing the Pullups, not making a big deal, and wait till she's dry all of the time. It's not her ''fault'', and it is generally not something these children can control (unlike daytime potty training at this age). So save yourself the trouble of constantly washing sheets, and your child the embarrassment, not to mention discomfort, of sleeping in a wet bed. BTW my daughter potty-trained at 2 but wet at night consistently until age 5yr. 4mo. After she was dry every night for over a week, we took her out of Pullups and she's been dry ever since. It was never a big issue for us or for her. Margery
I'd let her stay in diapers until she's waking up dry more often than not. It is NO fun to be changing sheets at 3 a.m. and when you get tired of that, it might well be that going from no diapers back to diapers could make your kid feel as if she's failed. Some children are just heavy sleepers and need longer to recognize those nighttime signals. I'd wait until your daughter begins to wake up dry with some regularity. Then you can take her to pee every night right before you go to bed. But I know plenty of kids his age who still need a pullup. Big deal. They all get there. Wendy

5 year old still in pullups at night

Jan 2007

My 5 year old daughter is still wearing pullups for sleeping at night. I just don't know how to potty train her so she wakes up to go pee. She does wake up when she has a bowl movement but this happends anyway more during the day and is kind of rare at night. I know she is a deep sleeper because I can actually vacuum her room and she doesn't wake up from that. Her pullups are pretty much always wet in the morning and every once in a while it's actually so full that it leaks on the sheets. She does use the bathroom before she goes to bed and she told me that she wants to use the bathroom during the night when she has to go. We tried it without pullups for a while but the sheet where wet everytime. The last few days I also woke her up at around 11:30 pm to use the bathroom. She did pee but her pullup was still wet in the morning. I think she drinks a normal amount of water. I have to use the bathroom at least 3 times a night (weak bladder???) but my friends say that's a lot. I guess it's normal for me and maybe my daugher and I are just the typ of people who have to pee a lot. Does anybody have an idea how to potty train a five year old at night ? anon


Is there some reason you feel the need to train your daughter NOT to wear them? My daughter is 5.33 yrs and still wears pull-ups at night. Lilke yours, my daughter is almost always wet in the morning, and her pull-ups are quite full. Once in a blue moon they are completely dry. This has nothing to do with her fluid intake before bed. At her 5 year appointment, I asked my pediatrician about this and she said, of her three girls, one was out of pull-ups at night by age 4, one at age 5 and the last at age 7. Kids develop at different rates. My ped says that some kids just don't produce enough of the hormone that tells their body that they need to wake up and go potty, like my daughter. As for you, getting up 3 times in a night is A LOT, and not to scare you, but I would get tested for diabetes if I were you. It's a classic sign. I think you can stop worrying about your daughter, though. Good luck. OK with pull-ups
Don't worry about your daughter. My daughter was potty trained during the day quite easily at 2.5 years. She was a very sound sleeper and just simply did not wake up to feel the signals about needing to urinate at night. She stayed in pull ups also, and partly because we didn't want to get up and change the sheets in the middle of the night. Her pediatrician assured us it was nothing to worry about and pretty common. One day she said she wanted to try going without the pull ups. She was dry all night and hasn't worn them since. Sometimes she gets up to go, but mostly she sleeps through the night and doesn't need to go until morning. Maybe it has also to do with bladder control in some kids -- being able to ''hold it'' longer or something. Anyway, don't worry, she'll give them up when she's ready. Maybe check with your pediatrician if you are worried. been there
If the pull-up is wet in the morning, I suggest she's not ready to give it up. My daughter was 4 1/2 or so when dry pull ups started appearing in the morning. Before that they were loaded, sometimes leaked, and she had worse diaper rash on her butt than at anypoint prior. Once the dry pullups started occuring in the morning we attached a reward (a new barbie I think) to multiple nights dry. I think some people's bladder sphincter to brain control starts later than others. We do insist on her peeing before AND after stories. If sitters forget the second or skip the first we do have the occasional wet sheet. it tends to be in the wee am hours. Personally, as someone who wakes to pee at night, I decided to try and avoid taking her in her sleep or teaching her to wake up to pee at night. And she for now sleeps through and is dry unless she sleeps an extra 45 minutes to an hour, but even then she wakes herself up before there's any damage beyond pjs and tears into the bathroom. To alleviate shame/frustration, we keep a rubberized flannel on under the top sheet just in case. If you can wait a few months it might resolve itself is the short version of my reply. anonymous
My daughter wore pullups until she was just shy of her 6th birthday. My husband and I argued about the situation, my mother-in-law weighed in on the situation and was furious with me for allowing her to still be in pullups. I decided that the stress of waking her in the middle of the night; the humiliation of a wet bed for her; and the pain of frequent sheet changes for me was not worth it for any of us. She was also a deep sleeper and clearly was not able to rouse herself. The situation was resolved when a cousin, a year younger, came for an overnight. My daughter was humiliated to note that her little cousin wore big girl underwear at night. There was suddenly an incentive for her to correct the situation on her own and this clearly coincided with the development of her ability to hold her urine in her bladder throughout the night. Within weeks pullups were ancient history. ANON anon
I say, let her outgrow it. My older son stopped pull-ups around 9 years old, he was ready to work on the problem himself. My 7 year old still wears pull-ups, and I don't fret about it. He says some of his friends tease him at sleepovers, so last time he took a sleeping bag and no pull-up and we laundered the sleeping bag after. But he doesn't seem ready to stop the pull-ups at home. Certain kids just have more tendency to this: we come from a family of ''bedwetters'' and deep sleepers; with time, the issue will resolve itself. Not so worried with the 2nd child
Don't fret! My 5 year old son is still in Pull-ups at night and they are almost always wet in the morning as well. I have been told by many that this is fine and normal. Some kids wet the bed at night for years. When my son is really engaged in something, he has occasional accidents during the daytime hours, so imagine how hard it is to be that kind of kid and have to wake up, get out of bed, and use the potty. Be grateful that she is such a good sleeper and that you don't have to get up in the middle of the night to change her sheets! anon
Dear Pull up Mommy!

Don't worry about your daughter's age and the fact that she is still not out of pullups at night. My own daughter was also a VERY HEAVY sleeper and no matter what I did - limit water, chocolate, sugar, wake her up multiple times a night - she would rarely have a dry morning. Her pediatrician never worried about it (but I did!) and kept telling me that she would eventually outgrow it which she did. Some kids outgrow this quickly and others do not (my daughter was 10 when she finally stopped wetting). It was a test of my patience, but like the doctor said she did outgrow it and is no longer wetting the bed. My best advice is not to worry about it and let your daughter's body figure it out. As long as we all got a good nights sleep was all that really mattered.

One thing that helped with the constant wet sheets was moving up to Goodnight's - they seem to be more absorbent than pull ups and fit better (more like underwear) so the leaking factor is less of a problem.

Good luck to your family from someone who has been there. anon


Sounds like my daughter. Please do not stress about it. I was just grateful that they invented those pull-ups for nighttime use. (pull-ups were wet every morning) I think I remember researching and discovering that there is a hormone that needs to come into play that decreases the amount of urine during sleep hours and that the age at which the hormone starts being produced in adequate amounts is very variable. So I think it is simply a developmental issue. If her doctor is not concerned, you should just relax and let nature take its course. It is unusual, but probably if everyone were to come clean, not that unusual. I actually remember consulting the Huggies on line site for reassurance. My daughter probably wore pull-ups at night until she was about 9. I understand some kids (maybe more often boys) are not completely done until 12. She won't go off to college needing them! As for us, my daughter has stopped even getting up at night to use the bathroom. I am not sure when that happened, but she is 16 now and it is all a dim memory. Good luck, don't stress and don't let her stress either. everything will be fine
How do you night train a heavy-wetting, heavy-sleeping five year old? You wait about two years. ;-)

And you thank your lucky stars that you live now, when night- time pull-ups are readily available, instead of a generation ago, when you'd've been washing cloth pads and sheets all the time!

I've heard that devices like pee alarms can help, but really, it's too early for you to worry about it. Some kids (more often boys, but sometimes girls too) just aren't physically/neurologically ready to stay dry at night until they are 6 or 7 or 8 years old. Any push to train your 5yo now will only lead to stress and upset, for no purpose. Also still buying GoodNights


Our almost 6yr old daughter is also still in pull ups. The facts around my d sound just like yours. I'm interested in what others have to say, but for now I have decided it is just perfectly OK. I wet my bed until I was 6 or 7 because I was a deep sleeper and just couldn't or didn't wake up. I was ashamed of the wet sheets and smell etc. I think just not having it be a big deal is the way to go, since I can't think of any way to change it. And from all I know of life most of us learn eventually how to wake up! Seems like no big deal
The ability to wake up to pee is a purely physical development that is not under conscious control in any way. I also think that the normal range for this development is up to 7 years old. I really wouldn't worry about it until then. (What does your pediatrician say?) I think it would only be a problem if she were to be too embarrassed to have a sleepover that she would otherwise enjoy. In that case, my advice would involve either the discreet use of pull-ups and possibly sheet protectors and/or talking with the other kids and parents. (BTW, I had a 6 1/2 year old friend of my daughter's pee in her bed during a sleepover and it was not a big deal.) --also took a long time to develop that ability
What we did was to cut our kids off from liquids at 5:00. We were very clear with them that it was their choice, but that if they wanted to stay dry (which they did) this would help them. We explained to them that if they drank no liquids in the evening, their bodies would really need a lot of liquid during the day to make sure they stayed healthy and hydrated. Also, we took them to the bathroom (essentially in their sleep as they are very deep sleepers) around 10 or 11 at night (whenever we were going to bed ourselves). Even though the night time diapers had been soaking wet every morning before we tried these things, we took away diapers cold turkey when we started and the kids woke up dry almost every time right from the start (a puddle pad on top of the bed sheet worked to handle any wetness and meant no hassle of changing sheets). Good luck! Julie
My daughter who just turned 6 in December is also still wearing pull-ups all night and our situation sounds identical to yours. I was concerned so I discussed it with her pediatrician at her 6 yr old check-up. He guessed that she was a very heavy sleeper - which she is. He wasn't overly concerned and said that if she is still not able to sleep without pull-ups when she is 7, there are things we can do to help her with it. So, we have just decided to let it go and see if it gets better before she is 7. Her older brother did not have this issue and was completely dry at night by the age of 4. I have a waterproof mattress pad on her bed and sometimes put a towel under her sheet to absorb any leakage. She isn't bothered by it, so I decided I shouldn't be either. I hope this helps. Mom of heavy sleeper
We had the same issue with our daughter and received the same advice you have been getting here, except one- to try a bedwetting alarm. We did, with excellent results. Our daughter had her first dry night ever the third night, and used the alarm a total of 2 weeks before going it alone. She has been successfully waking herself to use the restroom ever since.

The brand we used was WetStop, but there are several to choose from online. The alarm has a moisture sensor that attaches to underwear and sets off an alarm to wake your child at the first sign of wetness. It helps your child learn to identify the sensations of needing to urinate while sleeping by waking them immediately. Sharon


Bed wetting alamd for 5-year-old deep sleeper?

March 2005

My 5 year old daughter is trying very hard to stay dry at night. (Although my husband and I initially suggested that she try, this is now something that is very important to her and not something we feel that strongly about because it seems that she may not be ''ready''). Unfortunately, she is very determined to sleep in underpants AND she is a VERY deep sleeper. About 3 nights out of 7 she wakes up wet. Over a year ago our pediatrician mentioned that for children who really want to sleep in underpants, but whose bodies are not waking them up when they need to go pee, a ''bed-wetting alarm'' may help ''train'' their bodies. Has anyone had experience using these? How do they work? Are they likely to work for someone who sleeps very heavily (through her younger brother crying/screaming, through alarm clocks, etc...)?
tired of changing the sheets


Our son was still wearing Pull-ups to bed as he was approaching his 7th birthday.

We tried wearing underwear at night, but he just didn't seem to care if his bed was wet. He would just sleep right through it into the morning. I happened to be at the Ped's office for something else and saw a brochure for an alarm called Wet-Stop.

You attach one part of the alarm to the underwear and the speaker part attaches to the shoulder of the pajamas. (All the pouches and velco comes in the kit) When the sensor feels the wetness, the alarm sounds, waking the child. At first the parent goes to the child and helps to finish emptying the bladder, change underwear and go back to bed. Eventually the child can do this alone. With my son, he taught himself to just sleep through the night without needing to use the bathroom until the morning. It took him about a week of being awoken, then a couple weeks of occasional wakings and then permanently dry. I think that in his case, he just didn't know how to stop the flow when he was asleep. So, yeah, they do work. You can find the kind that we used at www.palcolabs.com.
Sleeping Better


We used bedwetting alarms and it was like magic. My son was 6 at the time, slept like the dead, and was wet almost every night. Using the alarm, he was dry on his own in about 9 nights. We haven't had a single incident since. My daughter was four at the time and not as sound a sleeper, and she was dry within two weeks. It is hard as the parent to get yourself out of bed and take them to the bathroom ( a must even if they are already wet at that point), and my son hated the alarm by about night 4 or 5, but we stuck with it and had great great results. If your room is far away from hers, you might want a baby monitor in your room and hers so you wake up when the alarm goes off. The funny thing is that they both manage their bladders differently at night: my son just goes before bed time and then as soon as he wakes (still pretty much sleeps like a log, although on the very odd occasion he will go to the toilet at night), and my daughter gets up regularly in the middle of the night to go. But it worked equally well with each of them.

Follow the directions carefully and good luck!

We used one I found on the internet -- It had ''starry'' in the name, I can't remember the exact brand but I believe they were in Santa Cruz. I called them and they shipped it out immediately and we received it within a couple of days. happy dry nights


We used a bedwetting alarm very successfully with our younger daughter. We used one by StarChild Alarms which hooked onto her underwear and when it got wet the alarm went off. The point is that the alarms wake up you and you wake her up to get up, go to the bathroom and change the bed.

I do have to add that my daughter was 7 when we did this; some children just are not ready to be dry at night until that age. But if your daughter is motivated then you should give it a try, it really worked quite well for us in a matter of weeks. Glad we tried it


We did not have success with one of these alarms. I think they do work with some kids, but it's definitely not 100%. If the bedwetting is secondary to psychological issues, your success rate may be lower. Our older child was traumatized by a divorce when she was young and we found out way down the line that her bedwetting was due to this. In the end, time pretty much cured it. anon

Night-time toilet training for 5YO

Nov 2004

My 5 year old son has been toilet trained by day for almost 2 years but has NEVER had a dry night. He's still wearing pull- up's and shows no interest in giving them up. I'd hoped he'd have a few dry nights which would be the start to sleeping in underwear. Has anyone been through this? Should we start waking him up to pee, putting him to bed in underwear or continue waiting for him to show some readiness? All we've done so far is limit drinks in the evening, have him pee before bedtime and talk vaguely about rewards... Thanks! Tired of Pull-Up's


I really wanted to respond to your request because I've gone through the same thing. Our son did not become dry at night until he was 7 yo. I read books, tried waking him, tried using the cloth training pants at night (he would just sleep all night in a wet bed)... I finally tried to let it go. It didn't bother him at all, even when he understood that other friends didn't wear pull-ups at night. And everything I read stated that until a boy is 8yo, it's not usually a physical problem, but rather an issue of developemental readiness. Every few weeks, we would ask him if he was ready to try to stay dry, but he never was. I started worrying that maybe he was afraid to try. Anyway, one day at the ped's office (for something else) I picked a brochure for a bedwetting alarm. It's called Wet-Stop and is made by a company called Palco (www.palcolabs.com). It fits on your child's underwear and when s/he wets the pants an alarm sounds, waking the child to (hopefully) finish emptying the bladder in the toilet. Well, I showed it to my son, explained to him that I thought that he was ready to try and that this would help him. He was game and so we did it. He set off the alarm about 3 nights in a row, and got a little discouraged. But he kept trying and within the week he was staying dry (he can actually sleep all night without needing to go to the bathroom). I think that, for him, the issue was understanding how it felt to have a full bladder at night, and what to do about it. Hang in there. Keep trying things gently, but don't give up. Chances are good that one day soon it will all come together for you and your child. ruth
we went through the exact same thing with our 6.5-y.o. son who had a similar attitude. a 6.5 y.o. friend of his had success with wearing a monitor/alarm (made by malem). his friend gave our son the device, and our son was interested in being dry. it seems cruel and our son was upset when the alarm sounded in the middle of the night, but he did really well and has been consistently dry after just a few weeks. we'll be passing that monitor on to another 6-yo friend of ours who has the same problem. no more pull-ups!
I strongly recommend getting a bedwetting alarm (clever device that, soon after urination starts, senses the wetness and sounds a buzzer and wakes the child) Sears used to sell them. They are everywhere. They cannot electrocute your child. They just sit under the sheet and wait for wetness. It helps to sleep naked (the alarm gets the wetness quicker) but is not necessary.

As a child I went through many silly privations (no water late in the day) and probably harmful recriminations (if you don't...) BUNK and a waste of time. Your kid is very likely a sound sleeper and needs help training to recognize the feeling of a full bladder and to have that sensation stimulate waking up. All you need in most cases is some classical conditioning which is what the bedwetting alarm provides.

A quick explanation to your child that he or she is a sound sleeper (a good thing probably) and the alarm is to help them learn how to wake when they need to use the toilet. It takes a little time but you can usually sense the progress as there are usually ''almost got it'' nights on the way to success... If your child has a scientific bent it might be interesting for them to keep a log of how it is going. This could give them more sense of control and efficacy.

Please do not make this a ''growing up'' issue if you can avoid it. If it is treated as a learning project like kicking a ball or drinking from a cup (you just develop a feel) you'll get farther faster with less of a downside.

Remember standing near your child as they climbed up and down stairs? They did so with greater and greater facility but still occasionally fell. You gave advice but they still had to do it over and over and get the sense in their body. Here you are again training a different part of the nervous system (and at a less convenient time of day, sorry to say, but the process is the same: they try, you give feedback and cheer.)

I wish someone had told this to my mom and dad. dry dad


Our former developmental pediatrician pointed out to us that some children have bladders that need to be trained to hold urine throughout the night and the muscles need to strengthen in order to keep it in. With these children, rewards for staying dry throughout the night are not enough because their bladders just don't have the control. Her recommendation to us was to have our child pee before he went to bed, get him up to pee before we go to bed, and then set the alarm for 4:30 (or whatever interval your child is able to successfully stay dry), wake the child up and have them pee again. Stick with this interval for about a week, and then move the time back to 5:00 a.m., 5:15 a.m., 5:30 a.m., etc. until the child is able to go all night without wetting. We did not use this method with our son since he was only 2-1/2 when it was recommended to us (this was our last visit before our beloved pediatrician retired and she was filling us up with information), but it does sound logical and might be worth a try for a 5 year old. You might also want to check with your own pediatrician to see if he/she has any other ideas. anon

5-year-old girl with bed-wetting phases

May 2002

Anyone out there with a 5 year old girl who goes through phases of regularly wetting her bed? She has had urine tests-- everything normal. No unusual stressors. The pediatrician says she will outgrow this, but in the meantime, any advice? Thanks!


If your 5-year-old is still wetting the bed, and all the tests are normal, then don't worry about it. It takes some kids longer to awaken at night. My daughter didn't start staying dry at night until about 5-1/2. We just kept her in Pullups, made no big deal about it. To keep your/her stress level low, I strongly recommend the Pullups. There's no evidence that having a child wet the bed shortens the course of bedwetting. There's nothing ''wrong'' with your child, he/she just sleeps heavily, or has a small bladder capacity, or both. These resolve with time. margery
Both my daughters wet their beds - only at night, not even naps - until they were 6 years old. It can/does just stop abrubtly. The older one stopped right at 6 years, the second one was going past that and I was frustrated and tried the ''wetting alarm'' because I believe they were both deep sleepers and just didn't feel it until it was too late.She did stop wetting not long after using the alarm, but I am not sure if that was it or if it was just the time she would have stopped anyway. I would use water proof pads (made for this) and a towel or two on top so that I would not have to change the whole bed each time, especially in the middle of the night. Neither of my daughters has had any problems with this since they stopped. lynn
Bedwetting can recur when the diet is too high in sugars. Even 10 year olds can have recurrences, much to their dismay and social embarassment. When I mention sugars, keep in mind anything that tastes sweet--including fruit juices, dried fruit, sweeteners (even natural ones like honey, although stevia appears to be safe), juice squeezes and sodas-- would be best avoided. If you have no progress there or your child doesn't have much sugar in her diet, try a Jin Shin Juytsu practitioner who can address the underlying cause, be it emotional (very common in illnesses), digestive or other physical stress. Self-help is freely given to parents and the children accept this bodywork as they know it is helping them. Nori

5-year-old son needs diaper at night

How do you get a child out of pull-ups at night? My 5 year old son potty-trained just fine but still needs a pull-up at night. He routinely wakes up with it very full. We haven't pressured him to lose the pull-up or anything, but he's starting to feel a little embarrassed about it now. He is an extremely sound sleeper and is afraid of the dark, so it's hard to figure out how best to help him to learn to wake up and go pee. Any suggestions would be much appreciated.
Our 5 year old is still in pull-ups at night and I am just going to wait until he's more ready. He is also a very deep sleeper, but for the first time ever, he has recently mentioned that sometimes he wakes up at night and just decides to pee in his pull-up rather than get up. So I suppose if I wanted to get up, I could tell him to wake me, but I'm not ready for that yet. I wet my bed til I was 7, my husband was also a bedwetter and we both remember just "growing out of it." My sister was 11 or so before she outgrew it and my mom would send her to sleep-overs in a sleeping bag that she could just roll up and bring home.
In reply to the issue of the five-year old still in pull-ups at night: we have a daughter who got out of nighttime pull-ups at age 9 1/2. It seemed at times she would never be able to do it. We played it real low-key and waited for her to start being really unhappy about it, which she began to be quite a long time before she could do anything about it. Every few months we would give it another try for two weeks, but after the lack of sleep both she and I experienced stripping wet beds and pj's we would give it up for a while. It was helpful to log on to the web site that is sponsered by I think Huggies. Although it is not really discussed much, there is a fairly high percentage of kids, esp. boys, not dry up to the age of 12. I know that sounds like forever to you now, but something does happen when they are physically ready. My daughter also slept very soundly, I've personally watched her throw up in her bed and hardly rouse. But for many of these kids, there is a hormone not yet produced in their bodies that concentrates the urine in the bladder at night, so the volume is greatly reduced and the kid can make it through the night. Some physicians actually think this is the biggest cause of night wetting and can prescribe something to help this along. (But as soon as the drug is stopped, the wetting recurs) In our case, our daughter did get out of pull-ups, but does get up 2-3 times a night to go to the bathroom. I wonder sometimes if she has just trained herself in spite of the lack of the production of the urine-concentrating hormone. I also wonder if she didn't get a better-quality night's sleep when she didn't have to get up 3 times. However, this is just to say that if you really polled everyone, you would find there are many of you out there- kind of like finding out how many people actually let their kids in bed with them for the night. Somehow it is just not what we think everyone else is doing. Someday, he'll be out of them and that will be that.

Five year old still in pull ups at night

Sept 2003

My five year old still wears pull ups every night. He hasn't needed diapers since he was about 2 1/2 and is generally a pretty mature guy. I didn't want to work on his going without pull ups at night during the kindergarten transition, but now that that has happened I'm wondering when to do something and what to do. Also, he sleeps in a top bunk so I'm wondering if getting up in the middle of the night to go to the bathroom will be more difficult for him. Should I keep waiting until he stops needing a pull up on his own, or try to do something to help him make this transition? Any advice? Anon


I would say wait it out. You're already ahead by having him wear pull-ups so you aren't washing sheets everyday. As for being in the top bunk it's a possible but not likely situation. Plus if you take him out because he wets the bed it well make him hurt and angry. Some children aren't ready until they are in a ways to grade school. So just wait for him to be ready. Five is still pretty young. Anonymas

5 1/2 yr. still wants diaper at night

Jan 1999

My healthy 5 1/2 yr. old daughter still uses "Good Nights"(the big kid version of Pull Ups), and has no interest in kicking the habit! And, she refuses to go to the bathroom before she goes to bed to reduce the chances of her peeing. The Good Night usually has been used by morning. I think she's afraid to try to go without a "diaper" though I've tried to make it a completely non-judgmental endeavor. She doesn't want to discuss this topic at all. Is this something that she'll grow out of? Thanks in advance for any responses.


My 41/2 yo son still has some trouble staying dry at night, too. I'm told that this is normal, especially for boys, and that he will eventually out-grow it. He wears pull-ups to bed. We put him on the toilet when we go to bed (11ish). He doesn't usually wake up, but if we carry him in and put him on the toilet (running water in the sink), he will pee. We have been doing this for the last month or so, and he has been dry in the morning for about 15 nights. He is so proud of himself for staying dry that he makes sure that he pees before bed, and one night he got up on his own at 3 am and when to the bathroom. Good luck!


My daughter is also 5.5 and still wears a diaper at night. My pediatrician has told me that 12% of kids still use diapers at age of 7 so in his view my daughter was doing fine (well within the range of "normal") and I shouldn't worry. He said that some kids are such heavy sleepers in their early years that they are not developmentally able to rouse themselves to go to the bathroom in the middle of the night. My question is--are there diapers larger than size 5 for bigger kids? Where do you get them?
I have a suggestion for the parent who wrote about the 5-and-a-half-year-old wearing Good Nights to bed: Good for you for not shaming her about it. I have a thought that hypnotherapy might really help get to the bottom of the "why" of it, and also get to dry sleeping. Probably your hunch about fear of going without a diaper has a good basis, but the way I read what you you wrote, it sounds to me as though she is happy with the way things are. Maybe she keeps on this way because she feels comfortable peeing without getting up during the night, and is afraid to go without the diaper because then the bed will get wet. If she is happy this way, there will have to be some motivation to change before change will happen. Maybe outgrowing the largest size of the GoodNights would be motivating? Until then...hypnotherapy works principally by finding appealing ways to attract the mind to the desired direction. It could help find a fun (i.e. motivating) reason for or approach to dry sleeping.
My daughter wore disposable diapers until she was eight, but after many nights of dry diapers and her no longer choosing to wear a diaper at night, she stopped. Several years ago (when she was five or six), my pediatrician told me that some children do not experience "light" sleep cycles while sleeping. So in my daughter's case, since she didn't experience light sleep, she was incapable of waking herself up to go to the bathroom even if she needed to. This may or may not be the case for your daughter.

My pediatrician also said that bladder size is a factor. As a child grows her bladder gets larger and her sleep patterns change, all of which contribute to fewer wet beds (or diapers). Your daughter may just need the security of a diaper at night right now, but I bet that when she is ready to give them up, she will. I would encourage you not to make a big deal about it. The only thing I don't understand is why your daughter won't pee before bed. Maybe if you let her wear the diaper even if she pees before bed, then she'll get in the habit of peeing before bed, and after many dry diapers will decide to give them up.


This is in response to the questions about diapers at night. We just got our daughter out of the Good Nights about 6 months ago right as she turned 6. She had been able to get up and go by herself at 3-31/2, then just started having accidents over Christmas while we were traveling. After changing sheets every night and getting her up to go before we went to bed, we started using the Good Nights after a couple months. That lasted about two years. We checked several times for urinary infections, but there was no medical reason for the change. It seemed like she was sleeping so heavily that she didn't even wake when she wet.

Some friends in the same situation gave us a device called a Potty Pager that they used with success. It is a pager-sized device that has a moisture sensor and vibrates when it gets wet. I sewed a little pocket into her underwear to hold it in place. She hated it because it woke her up, cried and complained everytime we put it in her underwear, but within a couple weeks she wasn't having any accidents and after that didn't have to wear the device. She later said she liked wearing diapers better because she didn't have to get up. I loved the thing because it put the responsibility on her - if she took the Pager out after we put her to bed, she had to clean up the accident. Now when she wants a big drink before bed, I make sure she understands that she is responsible for getting up to go or cleaning up.


I, too, have a 5 1/2 yr old daughter who wears pullups at night and shows no real urge to get rid of them. She's not even in a hurry to take them off in the morning when they're soaking wet. She was dry, wearing the pullups, for several weeks last August and then kindergarten started and she started being wet almost every night again. I suppose that was a natural response to the stress of starting school, but there hasn't been any improvement as the school year goes on. Our pediatrician, whom I trust completely, says just wait, don't worry, and if she's still wet at night by her sixth birthday she can try those electronic wake-up sheets that buzz when they get wet. My daughter is a very sound sleeper--sleeps right through the loud wails of her baby sister, and I wonder if that's part of the problem. Do any of you have kids who magically became dry at night at age six? I guess I'm just being lazy, partly, taking a laissez-faire attitude, but I also don't want to put her through a lot of traumatic effort if her body's just not ready, as her doctor suggests. Any advice?
July 1999

I know this is going to sound odd, but have you looked at t