Bathroom problems when first waking up

Anonymous
My daughter is 10, no developmental or health issues that we’re aware of and I’d describe as a typical 10 year old.

Since the summer she’s developed a very occasional, and very odd habit/issue that I just can’t get my head around what’s causing it or how to help.

We were on a camping trip in the summer, and one morning as soon as she woke up she took herself off to the bathroom block and came back shortly afterwards very upset that she’d wet herself. Now this was totally out of character, she’s been potty trained since a toddler with no problems, and never even really struggled with bedwetting, perhaps a handful of accidents in her life. But of course we played it down, reassured her and just chalked it up to one of those things - accidents happen, and perhaps she’d just not wanted to get out of her warm sleeping bag and left it too late.

Since then it’s happened at home maybe half a dozen times, always first thing in the morning when waking and on the way to the bathroom, with absolutely no other related issues - no daytime accidents or urgency and no wetting the bed. Each time she’s seemed embarrassed, but I did still half wonder the same thing, whether she was perhaps awake and not wanting to get up but then leaving it too late. You’d think the embarrassment of walking across a campsite in wet pjamas would be enough to ensure she was more careful, but with no other explanation I assumed it must be that and gently encouraged her to make sure she got straight up and used the bathroom when she woke.

Anyway last weekend it happened when she was sleeping over at a friends house, which seems to disprove that theory as surely there’s no way she’d put herself in that position around a friend! She’s of course absolutely mortified, so much so she didn’t even actually tell me it had happened until I found her wet PJs screwed up in the bottom of her bag. I wasn’t sure whether she’d perhaps wet the bed, as rare as it is it has happened maybe once or occasionally twice a year, but I managed to coax out of her that it was the same type of accident, albeit this time her friends sister had been in the bathroom but had come straight out as soon as she’d knocked and called through the door, too late and finding my daughter very distressed having wet herself at the doorway.

She’s now terrified of sleeping away from home or having friends to stay here, and I just don’t know what to do to help. If it was bedwetting then there’s obviously lots of treatments and resources to try, but this just seems so unusual, I’ve never heard of another child experiencing the same so it’s difficult to know what might help, or to properly reassure her.

Very conscious that with middle school approaching sleepovers will likely become a much bigger deal for the girls, and wet pants would be far more embarrassing potentially leading to bullying, but with it happening just after she wakes up it seems there’s not much she (or I) can do to stop it. It’s almost as if, had she stayed asleep even a few minutes longer, she would have we the bed as the urgency to pee is so great on waking that she can’t hold it for the couple of minutes it takes to get out of bed and to the bathroom, but it’s so random and sporadic - some mornings it can be half an hour before she uses the bathroom, and the vast majority she has no issue, but this handful of times ends in a puddle. And it never does lead to a wet bed, even if I leave her to sleep later, the last accident she has whilst asleep was nearly a year ago, and before that perhaps 2 in the previous year. It’s so odd!

Any help greatly appreciated, I want her to be able to enjoy sleepovers with her friends without the worry and stress of what could go wrong, and I hate seeing her upset.

Anonymous
They make overnight pull-ups underwear for kids her age. Suggest she wear them to bed as a precautionary measure so at least there's no extra mess to clean up. Also talk with her pediatrician to see if there might be a medical reason for her accidents.
Anonymous
Anonymous wrote:They make overnight pull-ups underwear for kids her age. Suggest she wear them to bed as a precautionary measure so at least there's no extra mess to clean up. Also talk with her pediatrician to see if there might be a medical reason for her accidents.


I did briefly have that thought, but it’s so sporadic and occasional - half a dozen times in 5 months - that I want sure if suggesting she wears what is effectively a diaper every night would be more damaging to her confidence, that’s if she’d even go for it. If it was more frequent then I think it’d be an easier sell, or if there was some kind of obvious pattern or trigger so we knew it was more likely and could encourage her to wear a pull up on those nights. I’ll keep thinking on it, and maybe try gently interdicting the idea to see how she feels, although I’m certain there’s no way she’d wear one around her friends for fear of them thinking she wets the bed. Heck it’d almost be easier if Bedwetting was the problem! She’s been out of diapers since potty training at 3, and the only time we ever used pull ups was the odd long journey for maybe a year after that.

I’d put off making a ped appointment as it never seemed to be a serious enough issue, and I presumed it’d just right itself or she’d grow out of it if it was just laziness or a bad habit, but th me sleepover incident suggests not so I think you’re right, I’ll get one scheduled, thanks.
Anonymous

Discuss w her doctor.
Anonymous
Is she possibly constipated?
Anonymous
Since it’s so occasional I would tell her to make sure she goes to the bathroom right before bed and maybe limit liquids after a certain time on sleepover nights. Doesn’t sound medical to me; just sounds like occasionally her bladder is overfull and her body is misjudging how quickly she can get to the bathroom.
Anonymous
Don’t do sleepovers
Anonymous
It sounds like me in perimenopause. Could it be a combination of hormone changes and constipation? The second I think about going to the bathroom - key in the front door lock - I can't control it. If I'm out and about without access to a bathroom it's not a problem.
Anonymous
Urine culture.
Anonymous
Anonymous wrote:
Anonymous wrote:They make overnight pull-ups underwear for kids her age. Suggest she wear them to bed as a precautionary measure so at least there's no extra mess to clean up. Also talk with her pediatrician to see if there might be a medical reason for her accidents.


I did briefly have that thought, but it’s so sporadic and occasional - half a dozen times in 5 months - that I want sure if suggesting she wears what is effectively a diaper every night would be more damaging to her confidence, that’s if she’d even go for it. If it was more frequent then I think it’d be an easier sell, or if there was some kind of obvious pattern or trigger so we knew it was more likely and could encourage her to wear a pull up on those nights. I’ll keep thinking on it, and maybe try gently interdicting the idea to see how she feels, although I’m certain there’s no way she’d wear one around her friends for fear of them thinking she wets the bed. Heck it’d almost be easier if Bedwetting was the problem! She’s been out of diapers since potty training at 3, and the only time we ever used pull ups was the odd long journey for maybe a year after that.

I’d put off making a ped appointment as it never seemed to be a serious enough issue, and I presumed it’d just right itself or she’d grow out of it if it was just laziness or a bad habit, but th me sleepover incident suggests not so I think you’re right, I’ll get one scheduled, thanks.



Try an experiment. Have her wear a pull-up to bed and give her as much water as she can drink right before she goes to bed. Try it for a week or so. See if she stays dry throughout the night even if she drinks a lot before bedtime. Also the stigma for kids wearing pull-ups at night for this generation isn’t the same as it used to be. So many kids use these products that it’s no big deal. She can put it on independently and throw it away in the morning. Good luck to you.
Anonymous
Has she recently had a bad cough? I was sick a few years ago with what was probably adenovirus and I coughed so much for weeks that I messed up my pelvic floor and got stress incontinence. If that could be part of it for your daughter, pelvic floor pt could help.
Anonymous
She needs to be seen. You have spent a lot of time pathologizing her behavior when there is, as you now know, probably a medical cause. It’s time to stop doing that.
Anonymous
There’s likely nothing “wrong” with her in the medical sense- since it is infrequent. It sounds psychological. Do you wake up before her in the morning? I’d make a point to wake her up an hour or two before her her normal wake up, use the bathroom, then she can go back to sleep. Do you notice a pattern of it happening on weekends vs weekdays?
Anonymous
I would guess constipation. When we're constipated we can't feel how badly we need to pee. It might be worth a doctor's visit, but at the very least talk to her about how often she's pooping and discuss what "normal" poop looks like. One of my kids had an issue like this (at age 7) totally out of the blue. She potty trained herself at 2, so it was really weird. I asked her about how she was pooping, and she thought little rabbit balls were normal. Once we got that sorted, she never had another problem
Anonymous
UTI likely
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