Night time training

iVillage Member
Registered: 04-08-2007
Night time training
4
Tue, 05-12-2009 - 1:36pm

My DD, born 7/06 has been potty trained for a couple of months now but still needs a diaper when sleeping at night time and nap time. Did I make a mistake when I first started training? Should children be trained both during the day and night at the same time to begin with?


iVillage Member
Registered: 04-11-2004
Tue, 05-12-2009 - 2:46pm

mommyyrn06, Hi and welcome to the Toilet Teaching board.

You can not night time train. There is a hormone that the body will start to produce to concentrate the urine, this will happen on it own. Pediatricians do not consider night time wetting an issue until the age of 8. You can try limiting liquids in the evening. You can try putting the potty near your DD's bed, but if she waking up wet she is probably waking up after she has peed or not until the morning. There is no harm in trying that though. Just give it time, it will happen. I hope that helps. Please keep us updated on your dd's progress.

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iVillage Member
Registered: 04-08-2007
Tue, 05-12-2009 - 10:14pm
Thanx for the response. Her ped told me that its OK until about 8 or 10 y.o too. I just thought that it was weird that she's been trained during the day for months but her diaper weighs a ton at night. I am going to discuss it at her next check-up so she can give me some more info.
iVillage Member
Registered: 06-25-2005
Wed, 05-13-2009 - 11:27pm

I totally agree with the PP. Nighttime potty training is completely different than daytime potty training, and a lot of it is out of your control.

As the PP said, the body must first develop the hormone to signal the kidneys to slow urine production when the body is asleep. Without that hormone, the body produces urine at normal speed, thus producing as much urine in 2-3 hours as most people produce in 8-10 hours overnight. There's no way a tiny little bladder can hold so much urine, so bedwetting occurs.

Although young children CAN and do develop that hormone, your dd is still on the young side. By age 5yo, 20% of children still wet the bed, and 10% of 7yo wet the bed. (I don't know that I've seen statistics for 3yo since it's still so common at 3yo.)

Of course there can be other causes for bedwetting (small or immature bladder, stress, caffeine -- such as in soda, deep sleep, too much fluid before bed, being too cold, etc), but for a child your dd age, the most likely reason for bed wetting is lack of having developed the hormone needed to slow urine production when the body is asleep.

There are synthetic versions of the hormone on the market available through prescription (such as DDAVP -- no longer available as a nasal spray because of risk of seizures and death; only available as swallowable pill), but most doctors would not consider using them in a child until they are several years older than your dd. The synthetic hormone is just a bandaid anyway, and as soon as you discontinue its use, the bed wetting returns (unless the body has developed the hormone naturally).

You may want to look at the book "Waking Up Dry: A Guide to Help Children Overcome Bedwettting," by Howard J. Bennett, MD, FAAP. The book is put out by the American Academy of Pediatrics (check your local library).

It explains on both an older kid level and an adult level, various reasons why bedwetting occurs and methods for overcoming it. It gives info about how many children are still bedwetters, how to deal with sleepovers, what medications are available, etc. It's geared not only toward solving the problem, but making the child part of the solution and helping the child not feel badly about being a bedwetter.

I don't think that your dd needs the info on how to overcome bedwetting at this age, but the book might provide you more info about bedwetting, so you can see how totally normal and on-track your dd really is! In fact, I don't think that there's much info in the book geared to children your age since the doctors don't really consider it a problem until children are several years older than your dd.

Best wishes.

iVillage Member
Registered: 04-11-2004
Thu, 05-14-2009 - 2:49pm
momnstuff, Thank you for going into detail on that issue.
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