In most cases, bedwetting (enuresis) is not accompanied by other symptoms. Children may wet their beds every night, or only on some nights. The number of dry nights tends to increase as the child gets older. Sometimes, enuresis is accompanied by vivid dreams – even of getting up to use the bathroom. Many parents report that children with enuresis are deep sleepers and can be quite difficult to awaken.

When enuresis is caused by an illness or other physical problem, it is usually accompanied by other signs and symptoms. In some cases, there may be blood on underpants or nightclothes. A loss of bladder control during the day as well as the night in a child who has been toilet trained is also a sign of a physical problem. Other signs and symptoms that may indicate an underlying condition include:

• Changes in the frequency of urination or amount of urine during the day. The child may urinate more or less often and may expel more or less urine when urinating.
  
  
• Discomfort or pain during urination. The child may have to strain while urinating and urination may hurt or burn.
  
  
• An unusual urine stream. The urine stream may be very small or narrow. It may angle too much in one direction. There may be constant dribbling or dribbling after urination.
  
  
• Unusual urine. The urine may be cloudy or discolored. It may even have a pink coloration.