Hi Tania, if you haven’t done so already I would recommend that you make an appointment to see your GP. While it is not unusual for children your daughters age to be still wetting at night, given both the frequency and amount she wets, it is important to rule out any underlying physical cause. You can try and reduce her urine output by limiting the amount of caffeine-, sugar, or citrus-based drinks she has as these are known to stimulate the kidneys. When it comes to fluid intake, children under 5 years should be drinking approximately one litre per day, this needs to be consumed at regular 2-hourly intervals throughout the day. Avoid restricting fluids in the evening as this can lead to dehydration and constipation. It is unusual that she wets more when wearing her DryNites, nighttime wetting typically occurs when children are asleep so they have very little control over what is happening. If you do take her to the toilet during the night make sure she is awake. Lifting children to the toilet while they are still asleep does not help train the bladder nor does it teach children to learn to wake on their own. Lifting at night means children do not get the chance to get used to the signals that the bladder sends to the brain telling them to wake-up and empty their bladder nor does the bladder have the opportunity to stretch and develop.

Regards,
Dr Cathrine

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