NAFC Downloadable Resources - Tips & Brochures To Help Keep You Dry

Here at the National Association For Continence, we understand that people learn in different ways. While we see a vast amount of people visiting our website each month (over 80,000!), we know it’s not always easy to get information from a screen. And in some cases, having a physical tool can help you do things beyond just educate yourself – you can take notes, track progress, or remind yourself of important tips that can help to improve your bladder health.

That’s why our Resource Center is so important. We have a large variety of downloadable material and tools to help you on your journey to a Life Without Leaks.  Our resources cover a variety of topics, including Overactive Bladder, Bedwetting, Pelvic Organ Prolapse, Urinary Incontinence, and more.  We also have tips sheets for retraining your bladder, information on how to do kegels, bladder and bowel diaries, and a host of other tools available to you.

Check out the below materials in the NAFC Resource Center, and explore the entire library of offerings. 

NAFC DOWNLOADABLE RESOURCES:

 

It's Time To Talk - Visiting Your Doctor To Talk About Bedwetting

 
 
 
 

Have some other resources you’d like to see on nafc.org? Send us a message. We’d love to hear your suggestions!

Patient Perspective: Ethan's Story. Overcoming Adult Bedwetting

 Ethan's Story of Overcoming Adult Bedwetting

I am an adult bed wetter.  Those are hard words to say for a 52 year old man. I first started experiencing nighttime leaks when I was in my teens.  Just once in awhile. I’d laugh it off with my brother.  

But as I grew further into adulthood and it kept happening, I knew it was no longer a laughing matter. I found that the problem worsened when I went away to college and I took great pains to keep it hidden from my roommate.  I dared not buy protection from the stores near my campus for fear of someone seeing me, so I would drive an hour away just to pick up whatever absorbent pads I could find, which usually were not a great fit and didn’t do a lot to protect me.  I put blankets on my bed to absorb the leaks, but they didn’t help mask the odor.  

After college I got my own place, without roommates, so I wouldn’t have to worry so much about them finding out. I finally made the decision to speak to a doctor at age 30 – nearly 14 years after suffering from this problem on and off.  

While I still don’t know the reason I wet the bed, my doctor helped me find resources to manage the condition.  After trying several different absorbent products, I finally found one that fits well and is specific to nighttime use, so I rarely wake up anymore with leaks.  

I’ve also discovered that I’m not the only one out there with this problem – NAFC’s message boards have really helped me connect with others and sharing with them has been such a relief.  After years of embarrassment and isolation, I’m so thankful to have found help and to know that I’m not alone.

Ethan S., San Jose, CA

How To Stop Waking Up At Night To Pee

 How to stop waking up at night to pee.

Do you find yourself waking up more than once to use the bathroom at night? You may have nocturia, a condition that causes you to need to get out of bed to pee 2 or more times in one night. And while a couple extra trips to the bathroom may seem harmless, it can lead to fragmented, disrupted sleep, leaving you tired and cranky the next day. 

Below are 5 things you can try to stop those frequent trips to the bathroom at night.

#1 KEEP A BLADDER DIARY.

It may sound funny to track your bathroom visits, but a bladder diary is a great tool in identifying the culprits that may be causing you to use the bathroom more often at night. A bladder diary will track your fluid intake (type and amount), how often you use the bathroom during the day, how often you get up to use the bathroom at night, and whether or not that accompanies any bladder leakage.  Keep it for 4-7 days to help you spot any trends. This tool is also useful for your doctor so hang onto it and share it with him or her on your next visit.

Download the NAFC Bladder Diary for Nocturia Here!  

#2 MINIMIZE URINE PRODUCTION AT NIGHT

This one is pretty obvious, but it’s important. As we age, we tend to not be able to hold as much in our bladder, which can make us have to use the bathroom more often even if we’re drinking the same amount as we always have before. Be careful not to limit your fluids too much, but do watch what you’re eating and drinking in the few hours before bed to ensure you’re not falling asleep with an already too full bladder. 

  • Avoid excessive fluid intake 4-6 hours before bed (this includes both food and drinks)
  • Avoid caffeine after the morning and limit alcohol at night. Both alcohol and caffeine can make urine more acidic which can irritate the lining of the bladder, causing you to need the bathroom more frequently.
  • Empty your bladder before bed.
  • Take any medications that may act as diuretics earlier in the day if possible (check with your doctor on this first).

#3 REDISTRIBUTE FLUID

If your ankles or legs swell up during the day, the fluid that builds up then gets sent back into the bloodstream when you lie down to sleep, which increases your blood pressure. As a result, the kidneys start working overtime to create more urine so your body can flush the excess fluid out of your system, and consequently causing you to wake up to empty your bladder.  If you’re experiencing swollen ankles or legs, try some of these tips to help redistribute fluid throughout the day and minimize accumulation.

  • Elevate the legs periodically to avoid any fluid build up in the ankles and calves.
  • Use Compression Socks. These elastic stockings exert pressure against the leg while decreasing pressure on the veins, allowing fluids to be redistributed and reabsorbed into the bloodstream. (Check out these super cute ones from Vim&Vigr.)

#4 PRACTICE GOOD SLEEP HYGIENE.

Setting yourself up for a good nights sleep can help fight off insomnia, which may be part of the reason you’re up in the first place.  While waking up to go to the bathroom may be the culprit of your insomnia, it could also be that not being able to go or stay asleep could be contributing to nocturia. Many people only think they have to go to the bathroom at night but when they get up to go, they produce just a trickle. This may mean that insomnia, and not nocturia, is actually the culprit and can be caused by a host of different reasons. Be sure to practice good Sleep Hygiene to encourage a functional circadian rhythm (which is your body’s natural clock) and ensure you’re not sabotaging your own sleep. Check out the National Sleep Foundation’s article on sleep hygiene, which discuses the tips below in greater detail:

  • Limit daytime naps to 30 minutes
  • Avoid stimulants such as caffeine and nicotine close to bedtime.
  • Set a consistent sleep and wake time.
  • Exercise regularly (but not right before bed)
  • Avoid foods that may be disruptive right before sleep (like spicy or heavy, rich foods)
  • Reserve the bed for sleep and sex
  • Establish a regular relaxing bedtime routine
  • Keep your bedroom quite, comfortable, and dark.

#5 TALK TO YOUR DOCTOR

While the above tips may help ease your nocturia a bit, it’s usually a good idea to see a professional to treat your nocturia. Behavioral changes don’t always address the causes of nocturia. Nocturia is most often caused by nocturnal polyuria, a condition where the kidneys produce too much urine.  That’s why treating nocturia at the source is so important.  If you’re only focused on curing, say, overactive bladder, you’re only targeting the bladder, not the kidneys. In reality, both conditions should be treated to effectively manage their respective symptoms.

“Nocturia has always been hard to treat, but it is now recognized as more than just a symptom of another medical issue,“ says Dr. Donna Deng, Urologic Surgeon at The Permanente Medical Group, Kaiser Oakland Department of Urology.

Nocturia does sometimes have underlying causes so it’s important to get a thorough checkup done by your doctor to rule out any other conditions.

Download our guide to Preparing For Your Doctor Visit to help you talk to your doctor about nocturia. 

 Made possible by a sponsorship from avadel pharmaceuticals

Why You Shouldn't Let Nocturia Go Untreated

 Why You Shouldn't Let Nocturia Go Untreated

How often do you wake up at night to use the bathroom? Two times a night?  Three times a night? More than that? It may not seem like a huge deal, but waking up two or more times a night to empty your bladder is not normal, and is a condition that can and should be treated. It can be a huge bother to those who have it and is likely affecting your health in ways you may not even realize.

Nocturia, defined as going to the bathroom 2 or more times at night, happens to about 1 in 3 people over the age of 30, and becomes more common as we age.  Patients with severe nocturia may get up 5 or 6 times during the night to go the bathroom.  And while all these trips to the bathroom may feel more annoying than anything, they are having a big effect on your sleep patterns and put you at risk for a number of other issues. 

The impact of nocturia on your sleep

Sleep plays a big role in our physical and mental functioning.  Less sleep at night and lower sleep efficiency have both been associated with things like an increased risk of poor physical function, of obesity, diabetes, and cardiovascular disease, as well as a reduced physical function and decreased cognitive function. Not only that, but quality of life is greatly affected:  A US study of 1214 women showed that nocturia had a significant impact on quality of life in patients who made at least 2 trips to the bathroom at night.  

It makes sense – the less sleep we get, the more tired we are the next day, affecting our abilities to do our daily tasks and be our best selves.  Even work is affected – lower work productivity and increased sick leave have been reported in patients with nocturia. Getting up often in the night also increases the chance of falls among older adults with nocturia.  Studies have shown that patients who make at least 2 or more trips to the bathroom at night have a greater than 2-fold increase in the risk of fractures and fall-related fractures.

The impact of nocturia on your partner

And if you’re the one with nocturia, its not just you that is affected.  Your partners are waking up with you. In one study 46% of women were waking up at night due to their partners nighttime bathroom visits.  Another study that looked at men with nocturia and their spouses showed that sleep disturbance was rated as the most inconvenient issue, with 62% of spouses reporting fatigue, and 36% reporting feeling dissatisfied, unhappy, or terrible.  Your nocturia is not only costing you a good night’s sleep – it’s preventing your partner from getting one as well.

If you have nocturia, don’t let it go untreated. There are lots of behavioral options you can try to fix the problem and if those don’t work, your doctor can prescribe a medication. New medications are now available to treat nocturnal polyuria specifically. Nocturnal polyuria is a condition where the kidneys produce too much urine, and is the most common cause of nocturia. 

“What’s exciting is that physicians are learning more about nocturia and now have more treatment options available for their patients,” says Eric Rovner, MD, a Professor in the Department of Urology at the Medical University of South Carolina in Charleston, and the director of the Section of Voiding Dysfunction, Female Urology and Urodynamics in the Department of Urology at MUSC.

If you live with nocturia, talk to your doctor today about things you can try to stop those middle of the night bathroom trips, and get back to a full nights sleep.

Need help finding a doctor in your area? Use our Find A Doctor Tool!

 Made possible by a sponsorship from avadel pharmaceuticals.

REFERENCES:  1. SONIA ANCOLI-ISRAEL, DONALD L. BILWISE, JENS PETER NORGAARD. THE EFFECT OF NOCTURIA ON SLEEP. SLEEP MED REVIEW. 2011 APRIL; 15(2): 91-97.  2. KUPELIAN V, WEI JT, O'LEARY MP, NORGAARD JP, ROSEN RC, MCKINLAY JB. NOCTURIA AND QUALITY OF LIFE: RESULTS FROM THE BOSTON AREA COMMUNITY HEALTH SURVEY. EUR UROL. 2012;61(1):78-84. 3. CAPPUCCIO FP, COOPER D, D'ELIA L, STRAZZULLO P, MILLER MA. SLEEP DURATION PREDICTS CARDIOVASCULAR OUTCOMES: A SYSTEMATIC REVIEW AND METOANALYSIS OF PROSPECTIVE STUDIES. EUR HEART J. 2011;32(12):1484-1492. 4. FISKE J, SCARPERO HM, XUE X, NITTI VW. DEGREE OF BOTHER CAUSED BY NOCTURIA IN WOMEN. NEUROUROL URODYN. 2004;23(2):130–3. 5. OHAYON MM. NOCTURNAL AWAKENINGS AND COMORBID DISORDERS IN THE AMERICAN GENERAL POPULATION. J PSYCHIATR RES. 2008 NOV;43(1):48–54. 6. KOBELT G, BORGSTROM F, MATTIASSON A. PRODUCTIVITY, VITALITY AND UTILITY IN A GROUP OF HEALTHY PROFESSIONALLY ACTIVE INDIVIDUALS WITH NOCTURIA. BJU INT. 2003 FEB;91(3):190–5. 7. NAKAGAWA H, IKEDA Y, NIU K, KAIHO Y, OHMORI-MATSUDA K, NAKAYA N, ET AL. DOES NOCTURIA INCREASE FALL-RELATED FRACTURES AND MORTALITY IN A COMMUNITY-DWELLING ELDERLY POPULATION AGED 70 YEARS AND OVER? RESULTS OF A 3-YEAR PROSPECTIVE COHORT STUDY IN JAPAN. NEUROUROL URODYN. 2008;27:674–5. 8. ASPLUND R. HIP FRACTURES, NOCTURIA, AND NOCTURNAL POLYURIA IN THE ELDERLY. ARCH GERONTOL GERIATR. 2006 NOV;43(3):319–26. [PUBMED] 9. SHVARTZMAN P, BORKAN JM, STOLIAR L, PELEG A, NAKAR S, NIR G, ET AL. SECOND-HAND PROSTATISM: EFFECTS OF PROSTATIC SYMPTOMS ON SPOUSES’ QUALITY OF LIFE, DAILY ROUTINES AND FAMILY RELATIONSHIPS. FAM PRACT. 2001 DEC;18(6):610–3. 10. KIM SC, LEE SY. MEN’S LOWER URINARY TRACT SYMPTOMS ARE ALSO MENTAL AND PHYSICAL SUFFERINGS FOR THEIR SPOUSES. J KOREAN MED SCI. 2009 APR;24(2):320–5.

Do I Have Nocturia?

 What Is Nocturia and how do I know if I have it?

It’s 2 am and you’re up to use the bathroom. Again. Sound familiar? If your bladder is constantly waking you up to relieve itself, you may suffer from a condition called nocturia

WHAT IS NOCTURIA?

Nocturia is defined as the need to use the bathroom 2 or more times in one night. It’s a very common condition – in fact, 1 in 3 adults over the age of 30 have it – although it tends to occur more as we age. 

Nocturia causes us to wake up multiple times at night, disrupting our sleep, which can cause some serious side effects. The interrupted sleep caused by nocturia can cause real problems with your quality of life and your health. Many people dealing with nocturia experience fatigue, poor physical function, and decreased cognitive function due to insufficient sleep. Nocturia is also associated with an increased risk for falls (especially worrisome for older adults) and mortality, so it’s a good idea to get it treated. 

The causes of nocturia can vary, but it’s most often caused by nocturnal polyuria, a condition where the kidneys produce too much urine.  That’s why treating nocturia at the source is so important.  If you’re only focused on treating, say, overactive bladder, you’re only targeting the bladder, not the kidneys. In reality, both conditions should be treated to effectively manage their respective symptoms.

HOW DO I KNOW IF I HAVE NOCTURIA?

If you often wake up 2 or more times in one night to use the bathroom, you probably have nocturia. You may also notice that you feel groggy during the day and your productivity may even be impacted.  If this sounds like you, don’t let it go untreated.

Start by keep a bladder diary for a few days to see if you can spot any trends. (Download our free bladder diary for nocturia here.) You may notice that you’re consuming a certain type or quantity of food or drink on the nights your nocturia occurs. Or maybe a specific medication that you take at night is the culprit. Track your activity for a few days then make some adjustments on your findings to see if it makes a difference. 

Some things you may want to try to improve nocturia include:

  • Limiting fluids a few hours before bed. This includes water rich foods as well.
  • Avoiding alcohol or caffeine before bed
  • Elevating your legs, or wearing compression stockings (if you notice you have any ankle or calve swelling during the day, indicating fluid build up in the legs.

If none of these behavioral options work, you’ll need to make a visit to your doctor to rule out some of the other potential causes of your nocturia. Your doctor can also prescribe a medication specifically for nocturia to help eliminate your nighttime bathroom trips (Noctiva, the first FDA approved treatment of nocturia has recently become available).

Need help finding a specialist near you? Use our specialist finder!

 Made possible by a sponsorship from avadel pharmaceuticals

A Caregivers Guide To Keeping The Bed Dry

 A Caregivers Guide To Keeping The Bed Dry

A Caregivers Guide To Keeping The Bed Dry

One of the most challenging things about being a caregiver to someone who has incontinence can be the mornings. Waking up each day to your loved one’s wet bed can be both physically and emotionally draining. No one likes to wash and change sheets each day, and knowing the discomfort (and likely embarrassment) that your loved one feels can be disheartening.  In fact, incontinence is often a big reason that older adults are placed into long-term care facilities.

The key to managing this problem is prevention. Having the right tools at your disposal will do wonders to help keep the bed dry and your loved one comfortable.  And remember, layers are your friend. They will help keep any leaks to a minimum and make clean up so much easier.

Here are some of our top tricks for keeping the bed dry and making your life a little easier.

  1. Zippered, Vinyl Waterproof Mattress Cover. This should go on the bed first and will help keep any moisture from getting on the mattress. After all, replacing a mattress is expensive, and getting lingering odors out of them is very hard. If you do nothing else, do this.
  2. Waterproof Mattress Pad. Use this as a second layer – it’s a softer, but still waterproof cover that will go over your vinyl cover.
  3. Waterproof Flat Sheet.  
  4.  Waterproof Underpad. You can use these both under, and on top of a flat sheet if you wish, and they can be disposable or washable. We recommend putting a large, sturdy, washable pad on the flat sheet, then topping that with a disposable pad that you can simply toss in the trash when needed.
  5. Use Layers Of Blankets Instead Of A Thick Comforter. These are easier to wash in the event of an accident.
  6. Disposable Absorbent Products. A good fitting disposable absorbent product is key. Find one for nighttime use (they’re more absorbent) and make sure the fit is good – you don’t want anything too tight or too lose, as it will lead to leaks. For a breakdown on what to look for, see our guide on absorbent products here.
  7. Skincare Protection. While this won’t protect your bedding, it will protect your loved one. Proper skincare protection can help keep skin from getting irritated or chapped due to accidents that happen during the night. 

Try these tips for a drier night, and happier morning. 

What tips do you have for a dry night? Share them with us in the comments below!

Patient Perspective: Why I No Longer Mind Wearing Adult Diapers

 Patient Perspective: Why I No Longer Mind Wearing Adult Diapers.

Patient Perspective: Why I No Longer Mind Wearing Adult Diapers.

I’m a 48-year old man, and I wear adult absorbent briefs. Every day, every night. The problem started when I was around 40. I had always had some nighttime bedwetting issues, but they were rare and something I managed for most of my life with waterproof bedding.

But after I turned 40, I noticed I was having more and more frequent episodes at night. I tried wearing absorbent pads, but they still leaked, causing me to have to change my bed sheets almost 4 times a week. Then the problem started happening during the day – I just couldn’t hold it in long enough to make it to the bathroom.

I saw three doctors, and none of them could find a specific diagnosis for me to explain why I was having this problem. I spent at least a year in denial – foregoing protection because I was embarrassed, but running to the bathroom more often than I wanted. I brought extra clothes with me to work and to social functions “just in case”, and soon, started to limit outings as much as I could because I couldn’t face the prospect of having an accident in front of my family and friends.

I finally realized that if I wanted any semblance of a normal life, I needed to use protection. I did my research and tried out several types of absorbent products to find something that worked for me. (Turns out I use absorbent briefs for day and night, although my nighttime briefs are thicker for extra protection.) 

It used to bother me that I had to wear “diapers” but now, I don’t think about it at all. I’d rather know I am protected vs. having an accident in public. If you struggle with bladder leakage, just bite the bullet and find a product that works for you. In the end, you’ll be so relieved to know that “you’re covered”, and most people won’t even know you are wearing extra protection.

Mike W., Pensacola, FL

Want to share your own story? Enter it here! You may remain anonymous and your story may help inspire others dealing with incontinence issues to seek help! 

Dry Night Solution: A Helpful Tool For Adult Bedwetting

 Dry Night Solution - A Helpful Tool For Adult Bedwetting

Over a year ago, NAFC launched the Dry Night Solution Kit, designed to help adult bedwetters find the right products to stay dry throughout the night. The kit has been a success in helping thousands of individuals who struggle with adult bedwetting wake up to a drier morning.

If you struggle with adult bedwetting and haven’t yet tried the Dry Night Solution Kit, here’s your chance!

Our kit offers you the chance to try a variety of products at a very low price so that you can easily see what works best for you. When you order the kit, you will receive the following:

Dry+Night+Solutions+Gift+Kit+v3.jpg
  • 1 Trial Bag of Reassure Overnight Underwear
  • 1 Trial Bag of Reassure Underpads
  • 2 Individual Reassure Booster Pads
  • 2 Individual Reassure Daytime Maximum Underwear
  • 2 Reassure Overnight Samples
  • 2 Reassure Washcloth Travel Packs
  • 2 Individual Tranquility Overnight Underwear
  • $55 in valuable money savings coupons

Not only that, but you’ll also have the chance to talk to a qualified bedwetting consultant for free to get advice about your condition and other products that may work for you. 

To order your kit, simply click the link below, or call 855-266-1112 and mention Promo Code 018000 to receive free shipping.

10 Tips To Control Bedwetting In Children And Adults

 10 Tips To Control Bedwetting In Children And Adults

10 Tips To Control Bedwetting In Children And Adults

Bedwetting is a common issue among young children as well as incontinent adolescents and adults. There are many issues that bedwetting can cause, including embarrassment, discomfort and messes. In addition, bedwetting individuals are at risk of damaging their skin by lying in a wet or soiled bed throughout the night. Bedwetting is therefore an issue that must be dealt with properly, rather than accepting it as fact.

With the proper steps, bedwetting occurrences in both children and adult can become less frequent or even stop altogether.

The following 10 tips offer effective ways to stay dry at night.

1. Monitor fluid intake

Although it is important to stay hydrated throughout the day to avoid dehydration, which can irritate the bladder, try to limit fluid intake during the last few hours before bed. This will help ensure that the bladder isn’t working too hard during the night, which can lead to bedwetting.

2. Cut back on caffeine.

Caffeine has been found to increase urine production rate, and it is therefore recommended to decrease intake of caffeinated products including coffee, tea, carbonated drinks, energy drinks and cocoa, especially close to bedtime.

3. Use the bathroom before bed

Before going to bed, empty your bladder fully to help avoid nighttime accidents.

4. Ensure easy access to the bathroom

For many bedwetting individuals, it may be a simple issue of getting to the bathroom in time. This problem is especially likely when dealing with young children, disabled or mature adults, as well as mentally impaired individuals.

The following are several tips to provide safer and easier access to toileting at night:

  • Clear the path between the bed and bathroom to avoid tripping or falling
  • Use night lights to help your loved one easily locate the bathroom
  • Install a raised toilet seat to make it easier for adults with mobility issues to use the bathroom independently
  • Provide a bedside commode, urinal or bedpan to give immediate access to bedridden adults or those with limited mobility

5. Monitor bowel movements

Constipation can get in the way of effective bladder voiding, so monitor bowel movements to ensure that your loved one is not suffering unnecessarily. If constipation or irregularity is suspected, speak to your doctor about the best way to relieve this issue and thus help avoid nighttime overflows.

6. Use a bedwetting alarm

Bedwetting alarms are an effective way of training incontinent children as well as adults who have primary enuresis (bedwetting since childhood).

Do not use bedwetting alarms for adults who wet their beds at night due to any of the following issues:

  •  Secondary enuresis caused by a disease or condition
  • Degenerative diseases
  • Inability to sense when the bladder is full
  • Physical difficulties getting to the bathroom

Bedwetting alarms sound on detection of urine during the night, which can successfully train adults and children to associate the sensation of a full bladder with getting up to use the bathroom. This method has been proven very effective if used consistently for several weeks.

7. Wearable protection

Until your loved one is trained or cured of their bedwetting issues, you can help keep their skin and their beds comfortably dry throughout the night with wearable protection such as incontinence pads, youth or adult diapers and absorbent underwear, also known as pull-ups. Disposable incontinence products – especially those designed for overnight use – can contain a high amount of liquid and are easily disposed of when soiled.

8. Bedding protection

When wearable protection isn’t sufficient for keeping the linen dry during the night, bed pads can go a long way to protect the part of the bed most likely to get wet or soiled. Purchase cost-efficient and environment-friendly reusable underpads or conveniently disposable bed chucks that offer reliable absorbency and waterproof backing to minimize clean-up after an accident.

9. Mattress protection

Mattress covers and mattress pads won’t keep the bedding dry, but it will protect your mattresses from liquid damage and is an important step to consider if your loved one has bedwetting issues. These products are waterproof and usually easy to wash, and offer reliable protection that will allow for longer mattress life. Keep in mind that although thicker mattress pads do provide better comfort for the user, the thickness also means that washing and drying these pads will take longer.

10. Speak to your doctor

Although bedwetting may be uncomfortable or even embarrassing to discuss, it is important to consult your doctor about your issue. This is crucial because a medical professional can help discover the underlying cause of bedwetting issues, which will make treatment easier and more effective.

Bedwetting can be difficult and frustrating for any caregiver, but it is important to remember the feelings of the incontinent individual as well. Always avoid teasing, blaming and punishing loved ones who suffer from bedwetting issues. Not only will this approach be ineffective, since the problem is out of the child or adult’s control; this may actually make the problem worse. Instead, focus on encouraging and supporting your loved one through this difficult time, and with the help of the above tips, you will be well on the way to dry, stress-free nights becoming the new normal.

About The Author: Hanna Landman lives in New Jersey with her husband and child. She works for AvaCare Medical, an online medical supply store servicing seniors and the homebound across the US. She specializes in adult incontinence solutions and writes for their blog on all topics related to incontinence, caregiving, senior living and more.

Bedwetting In Teens - Possible Causes And What To Do About It

 Bedwetting In Teens - Possible Causes And What To Do About It.

Bedwetting In Teens - Possible Causes And What To Do About It.

Do you have a teen who is still wetting the bed? You’re not alone. Many teens struggle with nocturnal enuresis, a fancy term for nighttime bedwetting. And while it can be frustrating and emotionally draining for both you, and your teen, most of the time, they will grow out of it.

There are several reasons a teenager may be struggling with staying dry at night:

  • They have a small bladder.
  • They are deep sleepers.
  • They are constipated.
  • There is a family history of bedwetting.
  • They produce too much urine overnight
  • They are experiencing a stressful situation or a big change (new school, change in family dynamic, trouble with friends, etc.)

All of these things may contribute to a teens bedwetting problem.  So, what can you do to help them?  The first course of action is to contact a physician as soon as you can to help set up a treatment plan.  Be supportive of your teen and try not to make a big deal out of it – it’s very likely that your teen is already extremely embarrassed about wetting the bed. Talk with them about it, and show them how to clean themselves, and their bedding when they have an accident. You don’t want to encourage them to hide their problem, but constantly having to ask you for help may make them feel even more embarrassed. 

Below are options to consider if your teenager is still wetting the bed.

Try a bedwetting alarm.

These alarms detect moisture and can alert a teen if they are starting to have an accident. Over time, this can help condition them to wake up and use the bathroom when they need to go.

Bladder retraining.

Just like other muscles in the body, the bladder can be trained to empty at specific times. Learn more about how to retrain your bladder here. 

Medications.

There are several medications that can help with bedwetting in teens and adults. Talk to your doctor to see if this may be a good option for your teen.

Limit fluids before bedtime.

Try to avoid drinking too much about an hour before bedtime, and always be sure to empty your bladder prior to going to bed.

Try the NAFC Dry Night Solution Kit.

Sometimes, the right protection can make all the difference. NAFC's Bedwetting kit allows you to try out several products at a very low price, making it a great way to find out what works for you. Learn more here.

Patient Perspective - Teen Bedwetting

 Patient Perspective - Teen Bedwetting

Patient Perspective - Teen Bedwetting

I’m sharing this story as an adult, but it is really about my childhood. I suffered from bedwetting when I was young and it lasted until I was almost a teenager.  I was lucky enough to have very supportive parents, but that didn’t stop the shame I felt every time it happened. It never felt like a big deal until I was around 7. Then I started getting invited to sleep overs, which were always very stressful for me. I was constantly scared of wetting the bed at someone else’s house and of my friends learning my secret. I started to turn down invitations simply because of my fear, and the problem began to effect me emotionally. Luckily, my bedwetting slowed down a lot after I was around 9, but I still had an occasional accident through age 12.

I’m not sure what I would have done I hadn’t had such wonderful parents to help me through it. They never made me feel bad about it, and always were as discreet as possible when helping me clean up after an accident. Their support took a lot of the pressure off of me, which I think would have only added to my problem back then. I now have a 3-year old myself, and, knowing that they could possibly experience prolonged bedwetting (after all – it is hereditary) shows me how stressful it can be for a parent. If you are a parent of a young child reading this, please take this one thing away:  Support your child, even if their problem has caused you countless sleepless nights, extra loads of laundry, and profound frustrations. I can tell you first-hand that it likely pales in comparison to the shame they’ve felt themselves. And the support and understanding you can give to them during this time will do wonders for their self-esteem and sense of wellbeing. They will remember it forever – I know I have.

Terry B., Salt Lake City, Utah

Need a solution for nighttime bedwetting? Try NAFC's Bedwetting Kit, available here.

Could Alcohol Consumption Be Contributing To Your Incontinence Or Bedwetting Problem?

Alcohol and incontinence 

Eric was 43 when he first woke up wet. He had no idea what had happened to him, but after a couple of minutes he realized:  he had wet the bed. He was shocked – this had never happened to him before and he had no idea why it was happening now.

The bedwetting continued a couple of times a month for a few months until he finally knew something had to be done.  He noticed that he seemed to only wet the bed after he had had a few drinks with his buddies during their regular poker night. “I don’t usually drink much, but I like to have a few beers with the guys during our regular hang out.  I decided to try switching to water for the next couple of poker nights just to see what would happen.” Sure enough, once he omitted the alcohol, things improved dramatically.

Eric’s situation is not uncommon. Over 35 million American adults suffer from incontinence, and nearly 5 million have a bedwetting problem. And, while alcohol cannot be attributed to all of these cases, it is definitely something to try omitting for a while if you do suffer from incontinence. Sometimes, simple lifestyle changes can make a huge difference.

Alcohol on it’s own doesn’t cause incontinence, but for those who are prone to bladder leaks, it can be a trigger.  Alcohol is a diuretic, which means that in increases the production of urine and can also cause a person to need to use the restroom more often. Not only that, alcohol irritates the bladder, which can make overactive bladder symptoms worse. It’s worth it to try eliminating alcohol if you have incontinence. (Especially if you tend to drink to excess.)

Alcohol isn’t the only thing you should watch out for if you struggle with bladder leakage. 

The following foods and drinks can also irritate the bladder

  • Caffeinated beverages like coffee and tea
  • Chocolate (it contains caffeine too!)
  • Carbonated drinks
  • Spicy foods
  • Citrus foods
  • Acidic foods, such as tomatoes
  • Cranberry juice
  • Sugar – including artificial sweeteners
  • Certain medications

If you are experiencing incontinence, try eliminating some of these foods from your diet to see if it makes a difference. It may help you to keep a bladder diary during this experiment to record how what you eat affects your bladder leaks. And if you experience bedwetting, definitely try skipping that nightly glass of wine. As Eric discovered, sometimes making simple lifestyle changes can make a huge difference.  “I’m dry again! I miss having a drink with the guys, but it’s something I can live without if it means I don’t wet the bed.”

Want a handy cheat sheet of foods to avoid if you have incontinence? Print out our free download of foods that may trigger incontinence and hang it on your fridge for easy reference!

Click Here To Print Your Guide

Incontinence and Autism - A Treatment Guide

Incontinence and Autism
Incontinence and Autism

Incontinence is a condition that affects over 35 million Americans of all ages.  Dealing with incontinence can be difficult at any age, but helping a child with a disability, like autism, learn to manage incontinence can be especially challenging. 

As a child, learning to use the bathroom is a normal part of development. And even in children who don’t have a physical, mental or emotional disability, the rate at which they develop this skill varies greatly.  However, for some children with autism, other factors can play a part in how they learn to use the toilet.  Autism is a spectrum disorder brought on by a dysfunction of the central nervous system. It is usually diagnosed in the first three years of life. Children with autism experience impairment of common social skills (making eye contact, interacting with other people or reading social cues), communication difficulties (delayed language development or complete lack of speech), and behavioral challenges (sterotyped and repetitive body movements, extreme attachment to routines, unusually intense or focused interests, and sensory sensitivities to environments including sounds, light, smells and textures.

When looking at these characteristics of autism, it’s easy to understand how some children with autism may have challenges when potty training or learning to remain continent.

Using The 5 Ps.

 Incontinence may come in many forms, but there are some common ways to approach the situation. We call them ‘The 5 Ps,’ and they can help make treatment more tolerable for caregivers and contribute to a real opportunity for improvement:

Patience  

We all know that patience is a virtue, but when it comes to incontinence, it’s often a virtue that’s hard to find. Try not to place blame for setbacks. Instead, provide positive encouragement and do your best to maintain a good sense of humor – it’ll pay off in so many ways.

Persistence

Progress may be slow, but don’t give up. Having a positive outlook and setting sensible goals can reduce frustration for everyone.

Planning  

Incontinence is all about surprises, and they’re usually not pleasant ones! Take the time to schedule activities – even simple ones that you do around the house – and make sure to stick to that schedule. Communications planning is just as important – make sure that teachers, caregivers and anyone else who shares responsibility for the child knows what they need to know about the child’s situation and is able to take appropriate action if needed.

Practice

You never know what will work until you’ve tried it – and in most cases, that means trying and trying again. Test out different treatments, ask healthcare professionals for recommendations and see for yourself if there are certain products or programs that work for you.

Progress Is Possible

It may not always feel like you’re getting somewhere, but there are thousands and thousands of families who can tell you firsthand that the effort you make today really can turn into results down the road. It may not always be realistic to expect a cure, but there are things you can do – tactics, treatments and products – that can make your loved one much more comfortable and your life much easier.

It’s important to note that many children with autism have no problems with incontinence, and for those that do the severity of their condition can vary greatly. In addition, many children continue to develop over time and can improve their condition with the proper help and instruction from a caregiver. 

For more help on addressing incontinence in children with disabilities, download our brochure, Incontinence Support For Children With Disabilities.

Adult Bedwetting: Stories And Tips From Real People

 Adult Bedwetting: Stories And Tips From Real People

Adult bedwetting. It’s a rarely talked about condition, but is one that affects many people.  In fact, NAFC receives more visits to the adult bedwetting pages than any other page on our site.  People struggle with this condition for all sorts of reasons – spinal cord injuries, neurological diseases, and even stress can cause bedwetting.  And sometimes there can be seemingly no cause at all, which makes it all the more frustrating to address. Most people who wet the bed are desperate for a solution.  They find it deeply embarrassing, and it greatly affects their quality of life, as they are constantly dealing with keeping things clean and worried about how it will affect current or future relationships.

The good news is there are ways to manage it.  We asked people who live with adult bedwetting to share their best tips and stories with us. And now, we’re sharing them with you.  If you’re longing to wake up dry in the morning, keep reading!

Don’t be afraid to talk to your doctor! 

“Don’t believe everything you read on the Internet. I have been wearing continence products for over a decade now – disposable underwear during the day, and fitted briefs at night. I’ve never had a Dr., RN, or Tech gasp in terror that one of their patients is wearing an incontinence garment, I’ve never had them ask to change me, mock me, or announce my issues to a crowded room.  Doctors are professionals, and they see incontinent people all the time. If you are having incontinence issues, you definitely need to see a Doctor, but don’t be nervous about it. If incontinence was that uncommon, they wouldn’t have aisles dedicated to it in every big box store across the US.”

If your doctor isn’t addressing your needs, find a new one!

“My first Urologist really wanted to focus on medication. I was all for that if it would make my problem go away, but it didn't and it had undesirable side effects. When the medication didn't work the Urologist referred me to a physical therapist and a psychologist, convinced my continence issues were the result of depression. They weren't, and that was when I opted to go with another Urologist. Not every Cop that pulls you over is going to give you a ticket, and not every Doctor is going to focus on what works for you. My second Doctor was focused on how it affected me and how to manage it, and it proved to be a more fruitful relationship. I also think RNs are great to talk to. The Dr. is supposed to be the expert, but in my experience Nurses tend to focus on reality and moving forward. Doctors tend to only focus on cures, even if that isn't a realistic goal.”

Don’t be afraid of adult absorbent products and find one that fits correctly!

“I initially went to what I now see as comical lengths to avoid dealing with my continence issues. I first tried the male guards, which are not designed for nighttime incontinence. When those proved futile I tried buying Goodnites (not designed for a grown man and very ill-fitting), figuring if the store clerk saw me buying bedwetting products designed for juveniles, she would assume that they were for a younger sibling. In retrospect, the clerk at a pharmacy or a grocery store is indifferent to what you buy. I think that is a big thing people initially get hung up on, and they needn’t. I typically buy continence supplies online these days, but no one cares what you are buying as long as you have the cash to pay for it. What is important is buying an incontinence product that works for you and you will use. At night I wear a fitted brief, which is an adult diaper. Initially it was very upsetting, but it gets better with time. Wearing a diaper keeps me dry, my bed dry, my girlfriend dry, and I get a good night’s sleep.  It took me a while to get over the hump of accepting that this was what I had to wear to bed, but eventually I got over it. Now it is just a thing I do at night, no different than brushing my teeth and flossing.”

“The best thing to do is accept that you have the condition and take steps to manage it. Look into products like mattress protectors, bed pads or even diapers. I'm 29 and know how frustrating it is. But I've accepted that diapers are my best option for me. Trust me, taking off a wet diaper in the morning is WAY better than having to change and launder sheets and clothes.” 

Don’t be scared to open up about your condition with your loved ones.

“Everyone is different, but I think that if you are in a relationship with someone and you have an illness or injury, that isn’t going to change things. I was straightforward with my girlfriend and we moved on together. We are still intimate. We still sleep together. We just keep my nighttime attire exclusive of our love life. “

Your attitude can make a huge difference!

“I used to "suffer" with bed wetting but once I became resigned to it, protected myself from its effects with good thick diapers, and changed my attitude about it, the suffering left. For many of us and maybe even you this is simply a condition in life to deal with. Let the suffering go and just accept it as a reality for yourself. You will be much happier and content.”

“I developed continence problems as the result of an unexpected side effect of surgery when I was 14 years old. I'm 74 now. So I've been dealing with these issues for 60 years. I've never been reliably dry at night since then. I was in diapers 24/7 for a couple of years after the surgery, but I managed to develop enough daytime control to go without a diaper except at night by the time I went to university. However, my incontinence increased again when I was in my forties; and I've been in diapers 24/7 since then. Incontinence is just a part of my life, and diapers are the kind of underpants that I wear. I do not "suffer"! I just manage my incontinence as a nuisance that isn't much worse than needing to wear glasses or going bald and not nearly as bad as my arthritis.”

“If your bedwetting is treatable, see the necessary doctors and get it treated. However, if it's chronic and not going to go away, acceptance and management with good diapers are the keys. "Suffering" is optional. I recommend just getting on with your life. Incontinence in general and bedwetting in particular are nuisances that need not ruin your life unless you let them. So don't let them do so.”

Find a support group!

“One of the best things that happened to me happened as a result of the NAFC forum. There was an incontinence panel put together, where individuals were part of a focus group and discussed how incontinence affected their life. I appreciate forums like this because you can discuss issues with other people facing them, but in the real world I always keep my private life private. That focus group meant a lot to me because I had a chance to talk with other people (even just on the phone) that had the same problem and the same concerns. I realized then that everyone worries about people noticing. Everyone worries about odor and stigma. And everyone (at least in the group) wears some sort of protection. That was actually a big weight of my chest being able to talk to people about it that were outside my extended family and the medical field, and if the opportunity presents itself again I highly encourage people to participate. The first 10 minutes are a little awkward, but after that people open up and you realize you aren't alone.” 

Need more support with bedwetting?  Check out our new Dry Night Solution Kit, which offers education and custom products designed to fit your specific needs. 

Ask The Expert: Protective Underwear or Adult Absorbent Briefs - What's The Difference?

 What's The Difference Between Protective Underwear And Absorbent Briefs?

Each month, we ask our expert panel to answer one of our reader's questions. To learn more about the NAFC Expert Panel, and how to submit your own question, see below.

Question: What is the difference between protective underwear (pull-ups) and adult absorbent briefs?

Answer: In the world of absorbent products, it can be hard to find something that works with your needs.  Most adults who wet the bed use some type of protection, usually protective underwear, or an adult absorbent brief.  

Protective underwear are designed to mimic real underwear, and, unlike absorbent briefs, do not have any tape or velcro siding. Many who prefer this pull-on option like it because of it’s convenience - pull ups are easy to put on or remove, and give users a sense of freedom from the typical brief style.  

Absorbent briefs are similar to protective underwear, but have side tabs that can be adjusted for comfort and fit.  Although they may not be as convenient, many prefer this option since they are able to adjust the side tabs, therefore creating a more custom, snug fit which can prevent leaks.  

Choosing the option that is right for you or your loved one may involve some trial and error, and will depend on your circumstances. Do you wake up often at night to use the restroom? Protective underwear may work best for you due to the ease of pulling them on and off. Do you care for someone who is more bedridden and needs more assistance with getting in and out of bed or changing clothes?  Briefs may be preferred since the tabs make it easier to find a good fit and can be easier for caretakers to change.  

Of course, finding a product that will keep you dry is the biggest goal, and relies heavily on fit (it shouldn’t be too big or too small), absorbency (look for products that are specific to night-time use), and function.  Don’t be afraid to try lots of options until you find something that fits well and is comfortable.  

Causes Of Adult Bedwetting And How To Manage It

 Causes Of Adult Bedwetting And How To Manage It

Causes Of Adult Bedwetting And How To Manage It

A Guest Blog By Christine Pruneau BSN, RAC-CT

Enuresis, or bed-wetting, is commonly associated with children but night time incontinence also affects adults, both young and old. While this can be an embarrassing condition, it is one that can be treated. In many cases, adult bedwetting can be a symptom of another condition, so the first step is determining the root cause. From there, finding ways to manage nighttime leaks can help make you more comfortable as you undergo appropriate treatment.

There are many potential causes of bed-wetting in adults, both young and old:

Causes in younger adults:

  • Diabetes – new or undiagnosed
  • Medication side effects
  • Sleep apnea, or not awakening to the sensation of a full bladder
  • Manufacturing large amount of urine at night
  • Underdeveloped bladder
  • Urinary tract infection or kidney/bladder stones
  • Chronic constipation
  • Weak pelvic floor muscles (mostly females)
  • Neurological disorder or injury

In older adults, causes might also include:

  • Bladder cancer or tumor
  • Prostate cancer or enlargement
  • Overactive bladder
  • Weak pelvic floor muscles
  • Dementia

If you are experiencing adult bedwetting, you should speak with a doctor, who will usually start by performing a complete physical examination that includes lab analysis of urine and blood.  A referral to a specialist might be needed where additional tests would be ordered such as an abdominal ultrasound, neurological exam and other urological procedures.

Treatment of bedwetting in adults centers on the root cause.  Many times the incontinence is reversible once the underlying cause is identified.  Determining the origin is often the biggest challenge but definitely worth pursuing.  Until there is a diagnosis and treatment regimen, it is important to keep yourself dry and comfortable during the night.  

There are several options for managing bedwetting: 

Absorbent products. 

Adult protective underwear works wonders in protecting skin, bedding and clothing from urine when the need is moderate. For the best performance of these products, make sure they are the correct size and worn comfortably snug. Protective underwear or briefs are comfortable to wear and are available at drug stores, medical equipment providers and online retailers. In addition, protective bedding, such as waterproof pads and mattress covers can help make cleanup easy in the event there is overnight leakage.

Kegel exercises. 

Pelvic floor strengthening has proven to help adults of all ages with urge incontinence and bedwetting.  A stronger pelvic floor could reduce the number of bedwetting episodes and allow a person to get to the bathroom in time to void.  A physical therapist trained in incontinence care can be very helpful with these exercises.

Here are some other ideas, but patients should speak to their doctor before trying:

Set an alarm to awaken during the night to toilet.  

If the patient is wet before the time of the alarm, set the alarm to an earlier time until finding the ideal hour of the night to toilet.

Watch fluid intake. 

Limiting after-dinner fluids will likely reduce urine production at night.  But PLEASE NOTE: if someone is very physically active into the evening hours, or could become dehydrated for any reason, this would not be recommended.

Prescription Drugs. 

Medications to control incontinence is directed at treating the underlying cause.  In cases where there is urge incontinence, some medications may help to relax the detrusor muscle contractions of the bladder.  This type of incontinence is more common in older adults, but can certainly effect younger and middle-age adults as well.  For those suffering from a lack of vasopressin (a chemical that keeps the body from eliminating too much fluid), Desmopressin is a drug that replaces vasopressin in the body.  This is often associated with diabetes insipidus, brain tumor or head injury.  Careful assessment by a specialist would be in order in this case.

Night time incontinence may differ with younger and older adults but can be treated and managed in most cases. Perseverance and motivation on the part of both patients and providers are key to managing nighttime incontinence.  Know that adult bedwetting is not your fault, and, while it should not be considered normal, it does occur in many people. The good news is that adult bedwetting is something that can be managed with the right tools, and speaking with a physician can help you find the underlying cause and proper treatment.

Christine Pruneau RN, BSN, RAC-CT has 25 years of experience in clinical education for a long term care and home health. She is a frequent speaker on the subject of continence management and has a special interest in restorative health in both adults and children.  Christine is the Clinical Director for Home Care Division at First Quality Healthcare.

Think Bedwetting Is A Children's Issue? Think Again. Bedwetting In Adults Is More Common Than You Realize.

 Bedwetting In adults is very prevalent

We’ve been talking about adult bedwetting this month, a condition that affects over 5,000,000 people in the United States.  For those who don’t deal with this situation nightly, it may seem not seem to be a big deal, but for the millions that pray every night to wake up dry, it can be a source of constant worry, frustration, and embarrassment.  

NAFC recently conducted an online survey in an effort to better understand the types of things adults who struggle with bedwetting go through. In just one month, we received a total of over 600 responses from both patients and caregivers detailing the specifics of their bedwetting, what they do to manage it, and the extent to which the condition affects them.  

What we heard was very surprising.

The age range of those experiencing bedwetting varied greatly, but surprisingly, the majority of respondents were neither very young or old – falling within the ages of 18-44.   And while 1/3 had only been suffering for a few months, over half of our respondents had been dealing with bedwetting for 2 years or more.  

And yet, even though many struggle with this condition for years, over 60% had never talked to their doctor about the problem, and 71% have not been diagnosed with an incontinence condition.

However, the lack of diagnosis does not mean that this condition does not bother them.  Most people who visited NAFC.org came because bedwetting was affecting their quality of life, and their personal relationships.  They are frustrated, and are looking for treatments to their bedwetting.  And, when asked what the biggest challenge is, “Embarrassment” topped the list, which explains why many likely do not seek treatment from a professional.  In fact, embarrassment is such a big factor with adult bedwetting, that it prevents not only lifestyle – like visiting or hanging out with friends, and productivity at work - but in several cases, it even prevents people from  making major life decisions, like getting married, because they are too afraid of someone else finding out about their condition.

For Caregivers, keeping things clean and getting their loved one to talk about their bedwetting problem was the biggest challenge.  Many people who wet the bed do not want to address the issue – again, because they are embarrassed, and are afraid of how their loved one will view them.

Armed with these results, we at NAFC have committed ourselves to providing greater help to those struggling with bedwetting.  This month, in combination with HDIS, we launched the NAFC Dry Night Solution Kit, designed specifically for adults who wet the bed.  

Patients who sign up for the kit will receive an email with access to educational brochures about bedwetting, as well as a dedicated number they can call to reach a qualified representative, and discuss the types of problems they are having.  The representative will ask several detailed questions (how much leakage, how often, how many times per night/per week, etc.) and will assemble a custom kit designed specifically for the patient.  And, because getting the right fit for a product is so important, the rep is also trained to provide fit recommendations to ensure that the products that they send out will work well for the individual.  

“We are delighted to offer this bedwetting kit as a resource for those touched by this condition,” says Steven Gregg, Executive Director of NAFC.  “Too many people suffer from adult bedwetting and we believe this kit will help them find the tools they need to manage and treat the condition.  We hope that the ease of getting a kit will further reduce the shame and embarrassment that comes along with this condition.”

To speak with a professional representative, and to order your kit, sign up here.  

Announcing NAFC's New Dry Night Solution Kit: A Treatment Option For Adult Bedwetters

We are thrilled to announce a new offering from NAFC, in partnership with HDIS, for the many adults who struggle with bedwetting.

Over 5,000,000 American adults of all ages experience bedwetting.  This problem can be isolating and embarrassing, and can lead to many frustrated mornings.  Many people with this condition keep it a secret, and struggle with finding the right products or solutions to help them. Fortunately, there’s no reason why anyone should have to wake up wet.  

The new NAFC Dry Night Solution Kit provides education and customized products to fit your specific needs.  When you sign up to get your kit, you’ll get immediate access to educational brochures chock full of great info on what causes bedwetting and what you can do about it.  You’ll also receive a number to call, where you’ll have the chance to speak with a qualified professional who will assemble a custom kit full of products that will help you wake up dry.  

Kits are available for a limited time.  To learn more about the kit, and to order yours, click here.  You’ll then receive an email with access to digital bedwetting brochures, and a phone number and promotion code to use to get your Dry Night Solution Kit.  

Order your kit today!  

All I Want For Christmas Is A Dry Bed

 My Story: Living With Bedwetting

My name is Sandy, and I wet the bed.  Not every night, but at least twice a week.  Sometimes, the effect is minimal – just a small leak in my underwear as I’m racing to make it to the restroom.  Other times though, well, let’s just say I’ve started sleeping on a waterproof pad at night.

Bedwetting as an adult is one of the most embarrassing things I have gone through.  I didn’t always suffer from this problem, but a weakened pelvic floor seems to be my “gift” after birthing 2 kids.  My husband is very supportive, but I can tell that it bothers him, too.  The constant laundering of bedclothes, waking up occasionally to wetness – it takes its toll emotionally, physically, and financially.  Not only do we both lose sleep on these nights, we have spent a small fortune trying to manage the condition.  Waterproof pads, disposable adult diapers and absorbent products, bedwetting alarms – we’ve tried them all and while they all have their varying degrees of success, it doesn’t really cure the problem.  I still wet the bed.

And yet, even as bedwetting has cost me sleep, money, and my dignity, I have waited years to see a doctor.  I guess I’ve just always felt it was embarrassing enough to share it with my husband, let alone someone I don’t really know very well.  So I lived in a silent hell for the past few years, often trying to hide it from my husband as much as I am able to, and praying each night that it will be a dry one. 

But I’m through with wishing and hoping.  I finally summoned the courage to make an appointment with a urologist to talk about this problem, and guess what…..HE WAS NOT PHASED IN THE LEAST!  He told me that he sees patients like me all the time and there are actually many options available to bedwetters, depending on the cause of their condition.  Telling him was a huge weight off my shoulders too – finally sharing this with someone else and having them understand, plus hearing that there are others like me was a big relief.  And, for once I have hope that there may be something that I can do to get my condition under control, which is truly empowering.

While he outlined many types of treatments I could try, I’m starting with physical therapy to hopefully regain some of the muscle control that I have lost over the years from childbirth.  And if that doesn’t work, there are medications, and even surgery that may help.  I feel so much more confident now that I have taken action and am on a path to fix my problem.  And while I am definitely not there yet, I am hopeful that the new year will bring what I want most – a dry bed.

Millions of Americans live with adult bedwetting.  It is an embarrassing and sometimes debilitating condition for many.  But there are treatment options available.  Talk to a specialist to learn more about what you can do to treat this issue and get your life back.  Need help finding a specialist near you?  Visit the NAFC Specialist Locator to find one in your area.