Urination - bed wetting

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Female urinary tract

Male urinary tract

(Page 2)

The health care provider will take a medical history from the patient and his or her parents (if the patient is a child).

Medical history questions documenting the bed wetting in detail may include:

• Time pattern
  • When did bed wetting begin?
  • How often does bed wetting occur?
  • Have there ever been "dry" periods before?
• Quality
  • How often does the child urinate during the daytime?
  • Does the child have a problem controlling urine while awake?
  • Does bed wetting cause the child to wake up?
  • How is the bed wetting treated within the family?
  • Is the bed wetting punished?
  • Are other family members aware of the problem?
  • Does the bed wetting cause shame?
• Aggravating factors
  • What makes the problem worse?
  • Does the bed wetting increase in times of stress?
  • Is there a urinary tract infection?
  • Does the child drink beverages containing caffeine or alcohol?
• Relieving factors
  • Is there anything that reduces the problem?
• Other
  • What other symptoms are also present?
    • Abdominal pain
    • Back pain
    • Fever
    • Pain or burning when urinating
  • What medications is the child taking?
  • Have other family members had this problem?
  • Is there a family history of diabetes?
  • Is bowel control a problem?
  • Can the child feel the need to urinate?
  • What prevention methods have been tried?
    • Alarm systems
    • Diapers
    • Periodic waking
    • Restricting fluids
    • Rewards

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A complete examination will be performed, with emphasis on the abdomen, rectum, and urinary opening. The health care provider will discuss the available treatment options.

Diagnostic tests will not be done unless your health care provider believes there is a medical problem.

After seeing your health care provider:

If your health care provider made a diagnosis related to bed wetting, you may want to note that diagnosis in your personal medical record.

Review Date: 01/29/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).