My 5 year old has been out of night pull ups since his 4th birthday. He was doing well, with no accidents, after a month or so, and for the following year we took him to the toilet before we went to bed and that worked quite well. We stopped doing this about 3 months ago, when we realised taking him ourselves wasn't stopping him getting up by himself (he usually gets up once a night and takes himself), and it wasn't stopping the early morning problem.
Hi L.T., given that your son was dry at night for almost a year it would be worth taking him to the doctor first just to rule out any underlying medical cause. It is not unusual for children to start wetting the bed again after starting school. There are a number of simple explanations for this. Firstly, children’s drinking patterns often change when they start school. There is a tendency for children to drink very little throughout the day then consume the majority of their daily intake in the afternoon and evening. This places additional pressure on the bladder at night, increasing the risk of children wetting the bed. Encourage him to drink regularly throughout the day and avoid drinks and foods high in sugar and caffeine as these are known to stimulate the kidneys into producing more urine than usual. The first year of school can be particularly exhausting for children, so it may be that he needs to go to bed a little earlier or reduce the number of activities he has after-school to avoid becoming overtired. When children are overtired they find it particularly difficult to wake-up in time in response to a full-bladder. Stress can also be a contributing factor, and starting school can be a stressful experience for many young children. If this is a contributing factor you may find the bedwetting rectifies itself once he becomes more familiar and comfortable with the demands of school.
Regards,
Dr Cathrine
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