Bedwetting (enuresis) is not typically a concern for children under the age of 5 years. In most of these cases, the child will eventually outgrow wetting the bed. However, if the child continues to wet the bed after reaching school age, or if the enuresis causes the child significant distress, parents may be encouraged to take the child to a pediatrician for an evaluation.

The diagnosis of enuresis generally begins with a physical examination and a thorough medical history. The physician will usually ask about any bedwetting patterns in the child’s family history. The frequency and times of urination during the day and anything unusual about the child’s urination or urine will be discussed. The physician may also ask about how the child acts during the day (e.g., stressed, tired) and what the child typically eats or drinks before bedtime. If a problem is suspected, the physician will probably order a urinalysis. This requires a sample of the child’s urine to check for any signs of illness. In some cases, x-rays of the child’s kidneys or bladder may be used to determine if there is a more serious problem.