The Public Health Nursing Team can support you in relation to toilet training your child or in assessing and managing daytime and bedtime wetting (enuresis). This may involve referral on to a specialist service.

Guidance and helpful information

Here are some things to think about that might help with keeping your child dry during the day/at night:

Daytime wetting

  1. Is your child drinking enough? Children should try to drink six to eight glasses of water-based drinks per day (one glass is approximately 250ml) – this is important even though you are worried about them not being dry
  2. Could your child be constipated? It’s always best to exclude this first. See our information on constipation
  3. Does he/she get so engrossed in their activities that they are then too late to? Your could try prompting your child at regular intervals to go to the toilet (ideally every 90 minutes)
  4. Is he/she rushing in and out of the toilet? Your child may need incentives to stay in the bathroom a bit longer, such as a book or a game
  5. Is he/she comfortable/safe sitting on the toilet – does he/she need a child’s toilet seat and a stool/step

Bed wetting (Nocturnal Enuresis)

  1. Is your child drinking enough during the day? Children should try to drink six to eight glasses of water-based drinks per day (one glass is approximately 250ml) – this is important even though you are worried about them not being dry
  2. Could your child be constipated? It’s always best to exclude this first. See our information on constipation
  3. Avoid blackcurrant, caffeinated and fizzy drinks as these can irritate the bladder
  4. Try and make sure your child’s last drink is about an hour/an hour and half before bed
  5. Make sure they go to the toilet before bedtime – but we don ‘t recommend you wake children in the night and get them up to go
  6. Is your child still wearing pull-ups at night? You could try a few nights without to encourage them

View videos by our team on how to manage wetting:

The Importance of Fluid Intake

Bladder Control and Potential Problems

Bowel Control and Potential Problems

Please also take a look at the website link to the right for advice and helpful suggestions about how to manage wetting.

How we can help

Your Public Health Nursing Team can support children and young people in the assessment and management of daytime and night time wetting.

We may also work with Early Years and Education settings to support your child’s access to drinks and the toilet during their time there.

What happens next?

If your child has a problem with wetting, you should initially speak to your School Nurse or Health Visitor to assess if they can assist your child with their symptoms. This will involve an assessment appointment and support with ensuring good toileting routines and fluid intake.

If your child needs more specialised assistance then the School Nurse or Health Visitor can refer your child to the Specialist Paediatric Continence Service. Alternatively, your child’s GP or consultant may also refer your child.

You may wish to view Occupational Therapy-based advice on improving toileting ability if your child has additional needs.