37 answers

4 1/2 Year Old Still Soaking Pull-ups at Night

Hi there,

My very sweet, wonderful 4 1/2 year old son is still soaking through is pull-ups/Goodnites every night and I think it is affecting his sleep. He wakes up at 6:15 every morning, but I think he would sleep later if he weren't waking up soaked. He's been potty trained since 2 1/2, but we never have tackled the night time situation. I know his bladder is just fine, as he only uses the toilet once in the morning and once around 3 pm. How do we get him to get up to go to the bathroom during the night?

What can I do next?

Featured Answers

I found with my son to not make a big deal about it. Limit drinks at night and make him go to the potty right before bed. After getting a routine of that, cut out the pull-ups. Yes, he will have accidents for a while but I think many kids feel the pull-ups are like diapers and their body thinks they are supposed to go in them and won't think about going to the potty. My son now stays dry everynight.

My youngest brother did this for years. My mother walked him to the bathroom or carried him, had him pee and carried/walked him back to bed.
Try limited fluids after 5, have him go right at bedtime, put a liner in the diaper.
Good luck.

You may want to try to cut back on his drinking after supper and try getting him up through the night to go potty. I had to get my son up a couple of times every night until his baldder grew. Hope it helps.

More Answers

Have you tried cutting off drinks after dinnertime and making sure he goes to the bathroom right before bed? I would hesitate to wake him up, but you might want to wake him up and get him to try the bathroom again around 10:00pm. If my 4 1/2 gets up at all during the night to go the bathroom it's usually between 9 and 10.

I agree that you should do away with the pullups and buy a plastic padded sheet for the bed.

Take the pull ups away. Replace them with underware. Stop all drinks except for water before bed. He may need to be woken up for a while during the night to go urinate!

He will stop this if he keeps wetting hisself in UNDERWARE not pull ups. Hes too old for them and will always rely on them if they are there. Put plastic on his bed under the sheets.

Some children cant help this problem but they eventually grow out of this.

My daughter had the same problem and I took her to a urologist. She had a bladder infection, he treated her, and she still wet the bed. Then he tried DDAVP nose spray. You spray the childs nose, once on each side, at bedtime only, and she didn't wet the bed again...unless we forgot to spray. He said that the pituitary gland tells the kidneys not to produce urine during sleep, but in my daughters case, the pituitary hadn't matured as fast as she did and it wasn't sending the signal to stop producing urine. She was on the spray until puberty at age 11 and never wet the bed again.

K. A.

Don't get frustrated with him which will only make things worse. I have 2 boys (17 and 10 now) who both potty trained very early, but had a hard time staying dry at night. We tried getting them up during the night, limiting night time liquids, everything. I even talked with their pediatrician about bladder issues. She said that she would not even test them until they were at least 12-13yrs old and still bedwetting. She said it was normal especially in boys to continue bedwetting longer than girls. She was right. Both of them stopped by the time they were 6-7yrs old. It was very tiring to get up and change the bed during the night and it actually kept them from wanting to spend the night with friends or family, but we didn't stress about it. If they spent the night with someone, they slept in their sleeping bag with a little pad in it and kept some spare PJs nearby. Also, make sure he goes to the bathroom right before bed. Just hang in there and don't make a big deal out of it. He will outgrow it.

Hey L., when my daughter was being potty trained when she was 3 I was told by the doctor they give them until the age of 6 to stop wetting the bed, if it doesn't stop by then, they would do some tests but luckily she stopped and was fully potty trained by the time she was 3 years and 3 months old. I hope this gives you some releif. I never woke up my daughter during the night to go to the bathroom. You might want to try this if you're not already, reduce his drink intake in the evening like don't give him anything to drink after 7:30 pm and see if that helps. I hope all goes well. Good luck. J. A.

Get him to go to the bathroom more frequently. He should go right before bedtime to empty his bladder. During the day, have him go every 2-3 hours. Even if he says he doesn't have to go, tell him to try anyway. Goodluck.

Do not give this child any liquids ( especialy RED colored) after 4 pm. insist on the child urinating immediatly before going to bed. (try running water while the child attempts "going".

Has your child seen a urologist? There are actual physical conditions that can cause this. There is kidney reflux and there is also a condition where the bladder is growing as quick as your child is. The latter will just take time and maybe years to outgrow. The former,though, will need checked by a urologist to monitor the kidneys. I have experience with both. All four of my children still wet to bed. Two, due to the kidney reflux and two due to slow bladder growth. Don't make your son feel bad for his problem. No matter the case it is not his fault. It's not like he wakes up in the middle of the night and thinks, "I think I will pee my pants." It's probably just as frustrating to him. Get him checked out. That will show him that you believe it's not his fault.
Also, I have come across some doctors who believe that it shouldn't be a concern until after age 5.

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