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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.

Comments

8 Responses

  1. Why is it that I first see that I’m urinating in my dream at the right place only to see that it’s actually on my bed, does it mean my brain isn’t active as to when to wake up

  2. My mum has ongoing enuresis as a side effect of medications (which she needs).
    We have adopted a range of strategies in response but sometimes she wakes up in a wet bed.
    Are there risks from lying in a wet bed for some time? Could it cause UTIs or other medical problems? I am having trouble finding information. Thanks

  3. Thank you for this most informative article. It helps to know we are not alone.

  4. Yes – and that estimate is likely low! Many people are embarrassed to report their condition so experts think that number is likely much higher.

  5. It definitely could be contributing. Sugary drinks (really sugar in general – even the artificial kind) are known to be bladder irritants. Try omitting them for a few days and see if you notice a difference.

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Medicaid is the nation’s public health insurance program designed for individuals and families who may be low-income, elderly, or disabled. The Medicaid program covers more than 1 in 5 Americans, including many with complex and costly needs for care. With over 74 million Americans relying on Medicaid, it is the largest single source of health coverage in the U.S. The program ensures that qualifying individuals can access medically necessary products, including incontinence supplies, urological supplies, and other medical necessities, as well as healthcare and long-term care services.

Urinary incontinence is a prevalent condition that impacts over 25 million people in the U.S., including more than half of all seniors. Managing incontinence can be challenging, especially for those on a limited income, as the cost of incontinence briefs, underpads, and other bladder control supplies can quickly add up.

Fortunately, for many individuals on Medicaid, coverage is available for the medical supplies needed to effectively manage incontinence, provided there is a qualifying medical diagnosis. This coverage ensures that individuals receive the necessary products to maintain their health and quality of life.

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Comfort Meets Confidence: Washable Incontinence Underwear Designed for Men

When it comes to bladder leaks, most men are familiar with disposable pads or guards. They’re the go-to solution—widely available, easy to use, and instantly replaceable. But what if there were a better option?

What many don’t realize is that washable incontinence underwear has come a long way. Thanks to innovations in fabric technology and thoughtful design, today’s washable options offer dependable protection in a form that looks and feels like regular underwear—without the drawbacks of disposables.