Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
157 Doctors are Online

Child used to bed wetting despite potty training, urine has strong smell. Could this be a potentially bigger issue?

Feb 2013
User rating for this question
Very Good
Answered by

Practicing since : 2002
Answered : 3176 Questions
Our daughter is 9 years old, has been wetting the bed nightly since potty training unless we wake he up to go potty again at midnight (and then, she may still wet the bed) and the urine smells incredibly strong.
She sleeps so deep, we have trouble waking her up - we tried bed wetting alarms but she sleeps through them.
Is there potentially a bigger issue going on here or is it something she'll outgrow?
BTW - she is a very athletic child having begun gymnastics at 4 years old.
Posted Mon, 3 Jun 2013 in Child Health
Answered by Dr. E Venkata Ramana 51 minutes later

Thank you for your query on Healthcare Magic.

Bedwetting during night is known as nocturnal enuresis. And your daughter problem is looking like primary (persistent) type of nocturnal enuresis.

Was your daughter investigated for this problem with any urine, blood, and ultrasound abdomen investigations?

What about the results if investigated?

Children with nocturnal enuresis are difficult to wake up from sleep. And in children with only nocturnal enuresis usually there will be no underlying abnormalities of urinary tract.

But child should be investigated with less invasive and less costly investigations like complete urine examination (including sugar), urine osmolality, urine for culture, and ultrasound abdomen to look for any urine infection, diabetes, and any urinary tract anomalies.

As your child is having bed wetting during nights, the probability of having urine infections and urinary tract anomalies is rare but it is advised to investigate rule out them.

Most of the children with this problem will outgrow as the age increases.

I recommend you to go for the following first line of therapy. For this to be effective child cooperation and consent is required.

1.Rewarding the child for being dry at night is a useful step. You or the child can chart the dry nights, and with each dry night, a small reward can be given. More substantial rewards can be given for increasing success.

2.The child should void before sleeping.

3. Using an alarm clock to wake the child once 2-3 hour after falls asleep.

4. Punishment or humiliation of the child by parents or others should be strongly discouraged.

5. Restrict the intake of oral liquids after 7pm every day.

I advise you to continue bed wetting alarm in addition to the above measures, so the combined effect will be more effective.

Drugs (imipramine and desmopressin) are the second line of therapy and they are given to children if the above measures are unsuccessful.

Hope I have answered your query, if you have any clarification please let me know in your next follow up query along with the details I have asked.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Pediatrician

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor