What’s the Link Between ADHD and Bedwetting?

Question: My son has had frequent accidents, but we could never could figure out why. The UTI tests always came back clear. Can ADHD contribute to bedwetting and accidents?

Bedwetting can be a struggle for many parents, but it can be even more of an issue for parents of children with ADHD.

Why?

There’s a link between accidents and ADHD. In fact, the rate of accidents is almost 3x higher in children with ADHD than in children without ADHD.

What’s the Link Between ADHD and Bedwetting?

About 20% of children have accidents, but that number is 2.7 times higher in children with ADHD, according to research. There are many reasons to explain this connection.

1. Poor Impulse Control: Children with ADHD may simply miss their body’s cues telling them their bladder is full. This can lead to the sudden urge to go, and if a child waits too long, an accident is more likely to happen.
2. Changes in Sleep: Changes to your child’s sleep routines may also keep his/her body from releases antidiuretic hormones. (You can learn more about good sleep tips here.)
3. Increased Stress on Your Child’s Bladder Stress: If your child is constantly in the “go go go” mode, it can put stress on his/her bladder, which can increase the risk of accidents. Also, stimulant ADHD medications can add even more stress on the bladder.
4. Behavioral Differences: Children with ADHD may struggle to read their normal bodily cues and stick with routines.

When Will the Bedwetting End?

Although it’s impossible to answer this question with a definitive answer, the reality is that most children grow out of bedwetting. As children learn to read their bodily cues, bathroom time becomes easier and easier.

Here are a few things you can do to help your child:

• Schedule regular bathroom breaks throughout the day (this encourages your child to check in with his or her bodily cues)
• Encourage your child to use the restroom right before bed
• Avoid drinking large amounts of water or milk right before bed
• Take regular breaks from playtime to use the restroom

When to Seek Medical Care for Bedwetting

Sometimes accidents can be a sign of an underlying medical problem, such as a urinary tract infection. If you have concerns about your child’s bedwetting, it’s a good idea to check in with his or her pediatrician.

Regardless of what’s contributing to your child’s accidents, remember that having an accident can be very frustrating and embarrassing for a child. Support your child and reassure him/her that it’s not their fault. Encourage them, let them know you’re there, and that the bedwetting will get better over time.

All of Your ADHD Needs Under One Roof

Learning as much as you can about the developmental aspects of ADHD makes it easier for you to understand and support your child, whether they are dealing with accidents or another issue. You may also find that  anxiety can contribute to and exacerbate ADHD, which can then make bedwetting worse.

Here at Next Step 4 ADHD, we are a multidisciplinary practice, and our team of experts excels at treating ADHD and anxiety in children. If your child is struggling with ADHD and/or anxiety, we can help. Book your appointment here and get started with your next steps today.