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Potty Training (cont.)

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When will my child stop wetting the bed at night?

As noted above, nighttime toilet training is a step along the continuum of toilet training. Studies have repeatedly shown that restriction of fluids in the evening, repeated child waking by the parents and avoidance of certain foods (other than caffeine) will not accelerate this timeline.

There are children who have not achieved nighttime dryness by 7 years of age. For these individuals, there are several programs/devices that are often helpful. Please read MedicineNet's bedwetting (enuresis) article.

My potty-trained child has regressed. What should I do?

Regression of toilet training skills are commonly encountered and generally are not a cause for alarm. Childhood illness and emotional stress (such as the birth of a new sibling, new day-care facility, a new home, or the mother returning to the work force) may all disrupt the toilet-training process. For the child who suddenly is refusing bowel movements (BMs), parents need to consider whether the child experienced a painful BM or became scared (such as from flushing to toilet while the child was still seated on the commode). Under these circumstances, the child may logically infer that avoiding the bowel movement process will guarantee avoidance of repeating such an experience. If parents notice establishment of such a pattern, they should discuss the issue with their child's pediatrician. Similarly, if the child experiences repeated daytime wetting or nighttime wetting after having been dry for more than six months, this should be brought to the pediatrician's attention. Such events are more likely associated with medical issues and not a "stage."


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