I’d definitely take him to the pediatrician and ask about the bed wetting and his weight. That being said, both of these things can be pretty normal. One of my sons wet the bed until around that age (and it just stopped one day) and the pediatrician was never concerned. 2 of my 3 kids were very skinny (and pretty much still are as teens) regardless of diet, and the ped was never concerned. Obviously a chaotic lifestyle could be affecting both of these things as well, but who knows. But definitely take him in and get an exam.
For his room, let him choose the bedding and some decor that he likes, if you can. Probably no need to paint, though you can if you want to.