Ask The Expert: What Causes Bedwetting In Adults? (And How Can I Make It Stop?)

What Causes Bedwetting In Adults?

Question:

I’m a 40 year old man and have struggled with bedwetting on and off for several years.  It’s very embarrassing and I feel ashamed and alone. What causes bedwetting in adults, and how do I make it stop?

Expert Answer: 

Believe it or not, this is a common question we hear from adults. Bedwetting isn’t just limited to kids, and may be caused by a number of things, such as certain medications you’re taking, other medical conditions, or issues with your bladder. The good news is there are many ways to manage it.

Causes of Adult Bedwetting

There are many things that may be contributing to adult bedwetting.

Medications.

Certain medications can cause you to experience adult bedwetting. Hypnotics, some insomnia medications and certain drugs designed to treat mental or mood disorders may have the side effect of bedwetting. Talk to your doctor about what you’re taking to see if it may be contributing to nighttime wetting.

Genetics.

Believe it or not, you may be able to blame your family for your bedwetting woes.  Studies have found that when one parent has had a history of wetting the bed as a child, their son or daughter had a 40% chance of having it as well.  This likely carries into adulthood too.

Hormones

Some hormone imbalances can cause bedwetting. ADH is an anti-duretic hormone that typically signals the kidneys to produce less urine. If your levels of ADH are off, or your kidneys are not responding to the ADH signals, you may produce too much urine during your sleep, which could result in wetting the bed. 

Other Medical Conditions.

There are many other medical conditions that can contribute to adult bedwetting, such as UTIs, problems with the prostate, sleep apnea, or even diabetes. It’s very important to speak with your doctor about adult bedwetting in order to rule out any of these causes.

Stress and anxiety.

Ongoing stress or anxiety about a situation you are going through may trigger adult bedwetting, which may last long after your stressful problem is over.

Nocturia.

Nocturia is defined as needing to go to the bathroom more than once per night.  This is typically caused by the kidneys producing too much urine, and can lead to bedwetting if you’re unable to wake up at night to use the bathroom.

Overactive Bladder.

With overactive bladder, the bladder muscles become spastic causing the sudden need to go to the bathroom, and often. 70-80% of adult bedwetting patients have been found to have overactive bladder. 

Small Bladder.

Some people are simply not able to hold the amount of urine that they produce at night. This often results in bedwetting. 

How To Stop Adult Bedwetting

There are many ways to treat adult bedwetting. You’ll want to make an appointment with your doctor to determine the cause of your bedwetting, and to find a treatment that will work best with your lifestyle. 

 Protection.

It pretty much goes without saying that if you’re experiencing bedwetting you’ll want to get some protection. But did you know that not all adult absorbents are equal? You can look for products that are extra absorbent or specify nighttime use. Fit is also a very important part of preventing leaks so don’t be hesitant to try out a few products until you find one that’s comfortable and works. Lastly, for extra protection, try a waterproof mattress pad. It may seem like a hassle, but you’ll thank yourself later if you do end up leaking.

Bladder retraining.

The bladder is a muscle, and just like any muscle, it can be trained over time.  Bladder retraining may help you condition yourself to go longer in between bathroom breaks and you can even try using an alarm to wake you up at certain times of the night to use the toilet.  Over time, you may be able to reduce the number of times you have to get up.

Limit fluids before bed.

Don’t let yourself get dehydrated, but try cutting liquids off an hour or so before bedtime. This is especially true for things like alcohol or caffeine, which can irritate the bladder.

Try a bed-wetting alarm.

There are lots of different types of bed-wetting alarms on the market. These work by waking you when the alarm detects the slightest bit of wetness so that you can make it to the bathroom and avoid an accident. 

Medications

There are some medications that can help treat bladder leaks and may help with bedwetting. Click here to learn more about medications that can be used for adult bedwetting.

Surgical treatment options.

If all else fails, surgery may be an option for treating adult bedwetting. Sacral nerve stimulation, clam cystoplasty and detrusor myctomy are all surgical procedures that may treat adult bedwetting.  Be sure to talk with your doctor about the benefits and risks associated with each one.

We know that as an adult, bedwetting can be a very sensitive topic and can cause deep embarrassment.  But know that you’re not alone – millions suffer from adult bedwetting and there are treatments that can help. 

Talking to others may help calm some of the emotional aspects of adult bedwetting. Join the NAFC message boards to hear stories from others, share your own, or ask for advice.  Our message boards are anonymous and provide a great source of community for those living with incontinence and adult bedwetting.

Do you have any tips that have helped you manage adult bedwetting?  Share them in the comments below!

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!

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! 

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!