Waking up at night and staying dry

A common mistake by both parents and professionals is the assumption that in order to be dry, the child must learn to wake up at night to go to the bathroom. Indeed: when the child wakes up at night and goes to the bathroom, it is considered to be a great accomplishment. However, it is not considered a compulsory requirement to become dry.

In order to be dry, the child has to learn to recognize the signal from the filled bladder to the subconscious reflex system in the brain and to respond accordingly – either to wake up and to go to the bathroom or to hold while asleep, by contracting the sphincter muscle.

Another common misconception has to do with the treatment using a bedwetting alarm. According to this common mistake, the purpose of the alarm is to teach the child to wake up at night to go to the bathroom. This is not true, as the purpose of treatment with an alarm is to condition the reflex system, which is subconscious.

❓Is the child waking to the alarm considered a compulsory condition for success?
The answer is no. The child learns subconsciously to connect between involuntary micturition to the unpleasant alarm response, and the act of waking up and walking to the toilet.

❓What happens when the child does not respond to the alarm?
That’s where the parents come in: they are instructed to do tailor-made exercises and activities with the child. These exercises are important for the learning process, and for the success of the treatment as a whole.

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