Monday, May 28, 2012

Bed-Wetting: Should Older Children, Adolescents, and Teenagers Be Required to Wear Diapers?

By Colin Sunday, November 23, 2008

Should Parents Require Their Older Child,Teenager,or Adolescent to Wear Diapers to Bed?

 

   I've heard parents say that it's okay if an older child,adolescent,or teenager doesn't want to wear diapers to bed provided they take care of the wet clothes and bedding but I think that sends the wrong message. I think it sends the message that it's okay to be unsanitary. As mentioned previously it's unsanitary and unhealthy(not to mention uncomfortable) to lie all night in wet sheets and clothing. The following analogy might help. If a youngster has a cut you would have them put on a band-aid in order to prevent blood from getting on their clothes and on other stuff in the house in addition for sanitary reasons. Wearing a diaper to bed should be viewed no differently-the diaper is a band-aid for a bladder control problem. Or if the youngster was going to go out in the rain the parents would see to it that they wear a raincoat or use an umbrella to keep the child from getting wet. All of them are waterproof and all of them serve the function of keeping the individual from getting wet.

 

  The bottom line is that people do not like getting wet and take the appropriate precautions to prevent that from happening. Setting aside concerns of being unsanitary and uncomfortable for the moment,even if the child or teen did offer to wash their own sheets and garments it should be mentioned to them that it is much more time consuming and a lot more work to wash a whole bunch of wet sheets,blankets,and pajamas than to wash the wet diapers and plastic pants.

 

  Right now I'd like to touch on the following. Many parents might be wondering if they should require their older child, adolescent, or teen to wear diapers to bed if all methods to cure the bed-wetting have failed and they leak through the pull-ups or “Goodnites”. The consensus seems to be that the child or teen should be involved in the selection of what type of garments to wear to bed. While I agree with this theory in principle,in practice it might not work out all the time. The reasoning behind this theory is that by letting the child or teen be involved in the decision making process they will feel more in control of the situation thereby improving their self-esteem which in turn will make them feel less embarrassed.

 

  Many children,adolescents,and teenagers feel babyish about bed-wetting and a large number of people feel that by forcing them to wear diapers to bed you are taking the decision about how to deal with the bed-wetting out of their hands thereby making them feel even more like a baby. I can certainly understand this point of view but in many situations parents make decisions for their older child or teenager that are in their best interests but they don't like. Wearing glasses and braces are just two things that come to mind. If it were up to the youngster they wouldn't wear glasses and braces at all. Is it such a stretch to apply the same reasoning to the use of diapers to manage bed-wetting? Besides I would think it would be less embarrassing and stressful for the child or teenager to wear diapers to bed than wear glasses or braces-after all since the diapers are worn only at night their friends won't notice them whereas with the glasses or braces they will.

11/30/08 8:50pm

Colin,

 

As always, excellent information in all of your recent SharePosts. Many thanks for all you do to help our community members by sharing your practical tips and real-life experiences.

 

Best,

Maria

Anonymous
Guest
12/ 1/08 5:33am

Ihave to strongly disagree with you in general. Kids from the age of about 10 or 11 on up are capable of managing the situation, or at least learning how to manage it. The whole point to letting them make the choide on their own as to whether they want to wear protection, and what to wear, is all part of giving them a sense of independence and maturity. I do think that there are certain rules/guidelines that need to be set up, and followed. If you've read some of the posts on sites like the Goodnites site, there are teens who are forced to wear protection for bedwetting and even worse, parents who insist on putting diapers on them because they have trouble putting them on themselves to where they are effective. Kids do have difficulty "seeing two feet beyond their noses" to understand the consequences of their decisions. They also tend to have a somewhat distorted view of the priorities. Many tend to be more worried about getting caught with some sort of protection on than they are about the consequences of what would happen if they didn't wear the protection in the first place - that their friend(s) would still find out that they had a problem with bedwetting, or incontinence, and would also have the embarrassment of having wet their clothes and or bedding in front of them. I think part of what you have said is true, and that is that the parents do need to be there to set the guidelines, and be there to support and guide their child as their child requests it. Many kids who have started wetting as teens, or had stopped earlier and then started again as teens, are often times embarrassed or afraid to tell their parents. Sometimes that can be because their afraid that their parents will force them to wear some type of protective garment. While to adults it would be common sense to do this, as I said before, teens have a different take on it. I'd like to share an experience that I witnessed quite a few years ago with my neice. I was out one time with my sister's family when I got to see the two kids demonstrate their rock climbing skills. They were both "tweens" at the time and my neice was climbing in an area where there were already anchors in the rock face, but the bottom line is that the locations where the anchors were based on the size and capabilities of a much larger adult (probably male). Well, the point to all of this is that she got stuck at one point, and got real frustrated. Her parents kept her in control of the situation, and kind of guided her by asking questions to get her to consider other options. The bottom line is that she made it to the top essentially on her own. Bear in mind that she always had the option to stop and come down, but she didn't. Now I know it's not bedwetting, but the concept is the same. The kids have to be in control of the bedwetting situation, and they need to take care of the situation what ever decisions they make about whether or not to wear protection, and if they do, what type. What things do need to be absolutes are that mattresses, and if they are sleeping somewhere else, carpets, other furniture, etc. need to be protected. This is not only a potential health issue, but out of courtesy and respect to the others involved, and lastly that they are responsible for properly taking care of the situation. This means not hiding bedding, clothing, or protective garments under the bed or in a closet, but dealing with them as needed. Where the parents come in is in the fact that that because they are older, can often have a more realistic view of the "big picture". They can be there to support the child, and help them work out the best way to deal with the problem. If a child is making what the parent thinks is a bad choice, they can make suggestions and hope that the child takes them up on it. As long as the child is taking care of this in an appropriate manner, and maintaining proper hygeine, you can't compare it to something like a decision over whether or not to have a cast on a broken limb, or something of that caliber. In short, your talking about apples and oranges. A child won't necessarily get sick or have a detrimental consequence of not wearing protection for bedwetting as long as hygiene is maintained. Now there is another thing here and that's the issue of daytime incontinence or control problems. Here, there may be requirements of a school or school district for kids to wear protection if they are having daytime accidents, and this really can be considered a public health issue. For kids to manage this themselves with the support and guidance is so empowering. That's a key part of helping them deal with it and not feel so different.

12/ 1/08 8:58pm

   Hi guest,

 

               You certainly raise some interesting points and I realize what I've said is controversial to many people. Most people it seems are of the opinion that the youngster should decide whether or not to use protection and if so what type.But you mentioned several things that just prove my point: "Kids do have difficulty "seeing two feet beyond their noses" to understand the consequences of their decisions", "They also tend to have a somewhat distorted view of the priorities", and "Where the parents come in is in the fact that because they are older,can often have a more realistic view of the picture."

 

  Many people associate parents requiring their youngsters to wear diapers to bed as punishment.I feel this is primarily due to the image diapers have as being "babyish" What I have stressed in this particular post is communication between parents and older children and teenagers about wearing diapers for bed-wetting.What you said about parents making suggestions when they perceive their youngster to be making a bad choice and hope they act on those suggestions is great in theory but in practice it can have a negative effect.I also don't feel the analogy about wearing a cast and diapers is all that far off the mark.Both of them are used to manage a health problem and while it is true that a child won't get sick from not wearing diapers to bed,I believe that hygiene is not maintained by foregoing diapers.It's not good for a person to lay all night in urine soaked bedding

 

  Setting aside hygienic concerns for  the moment their could be detrimental psychological effects of not wearing protection.There's the feeling of not being in control-diapers at least give a person the sense that their problem is being managed whereas laying all night in cold,soaking wet bedding and pajamas gives a person a feeling of helplessness.

 

  To get back to what you said about hoping the child will make a good decision I feel that most children are so emotional where this issue is concerned(and with good reason-this is a very delicate issue due to the stigma associated with bed-wetting and diapers) that their decisions will be guided more by what they perceive the image of diapers to be and not whether the product in question will offer them the best protection and thereby provide them with a good night's sleep.

 

  If anything the child is acting more like an adult by wearing diapers to bed because they are taking responsibility to manage the situation.I would stress to them that many adults wet the bed and even though it might not be that pleasant,they wear diapers to bed also.It seems like we're trying to make kids into adults  at a younger age and while it is good to give them more responsibility as they get older so as not to infantalize them,my opinion is that kids at that age don't have the experience and expertise in this area that adults do.If I had a child who wet the bed and he or she wanted to wear a product that I knew was not effective I would get them to wear something that offered them a better night's sleep.I wouldn't be cruel about it-I would gently explain why I am having them wear a specific type of diaper and would implement a reward system to encourage them to wear the diapers to bed.

 

   I do see your point of view and I would be interested to see what others have to say regarding my ideas. It is good to discuss these things to gain a better perspective on the situation.Thanks for your comments.I think I'm going to write a share post that addresses this issue in more depth.

 

                                       Colin

 

 

Anonymous
Anonymous
12/ 2/08 7:08am

Well, what you have said this time sounds a bit more like we are at least somewhat in agreement. This is though, where the education comes in for the child and sometimes the only way for them to learn is the hard way. If it is in their own bed and that bed is not being shared with someone else, then there should be no reason why they should be forced to wear protection, other than any issues of an odor problem. There was another young man who posted here who has no problem with wearing protection as he needs to do so 24/7 for bowel and bladder problems. Yeah, he said he got some hecklinig etc. but there were many more kids who supported him. Not only that but he was a football player as well. I still think that kids shouldn't be forced to wear protection in their own home unless they are sleeping somewhere other than their own bed. Yes, parents should guide them and even encourage them to wear protection, but the bottom line is that as long as the kid can take care of it themselves, they should be doing it and with that have the right to make the choice for themselves. I've read other stories elswhere that tell of kids who were reluctant to wear protection because they didn't want to get caught wearing it. When they finally did decide to wear protection, things got much better when they realized how much easier it was to deal with only a wet garment than all the bedding etc.. The other benefit they realized was that if they didn't have time for a shower, they didn't need to take one in the morning, that they could clean up with a washcloth. Now with that said, there's no reason why a parent can't insist on them trying on protection at least on a trial basis, and it's usually then that the child begins to understand the benefits. The analogy between the cast on a broken limb and wearing protection is a valid one as not treating a broken limb can have serious consequences including pain and the possibility of permanent damage, whereas not wearing protection to bed in their own bed, is likely only to cause discomfort. You talk about the psychological aspect of wetting their beds. You say: "Setting aside hygienic concerns for the moment their could be detrimental psychological effects of not wearing protection.There's the feeling of not being in control-diapers at least give a person the sense that their problem is being managed whereas laying all night in cold,soaking wet bedding and pajamas gives a person a feeling of helplessness." The sense of not being in control, as you put it, has to do more with the wetting itself whether or not they have protection on. Remember that your urine is sterile unless you have some sort of infection in your urinary tract, bladder, or kidneys. The whole point to this is that kids in the tween and teen ages need to start learning to make decisions for themselves and have to learn to follow through with what ever that decision brings about. Sometimes even adults will only learn the hard way. This is where the support and encouragement from the parents comes into play. This is where they need to help their child understand the choices and what the consequences may be of those choices. The bottom line here is that for the most part, especially with teens, if you put your foot down on something like this, they may just fight you more, and may rebel. By supporting them, guiding them and letting them make decisions like this, you are actually empowering them which can do a great deal for their self esteem. You are correct in that kids won't always make a good choice partly because their view of things is distorted, and this is where education, and compromise come into play such as having them use the protection on a trial basis.

Anonymous
anonymous2
6/26/09 4:44am

Its quite easy to tell that you have a diaper fetish my friend. No other rational person would come up with the arguments you make.Wink

1/26/09 4:51pm

My Mom's attitude (some years ago) was that since my wetting was causing disruption to my brother when I changed my wet sheets in the middle of the night, and that the smell of urine was pretty strong and lingering, that I would have to go back to diapers. Pin-on cloth and plastic pants. She showed me how to pin them on, and said that if I didn't she would. I got some teasing from my brother, but not that much because he realized he was better off. I started to sleep better, but it was (and is) still pretty embarrassing.

Anonymous
still not dry
2/19/09 7:02pm

I was a child of the courts, my foster parents used diapers and plastic pants on me from the age 9 till 15,when i was younger my aunt and uncle would tye rubberdands aroun my penis for long periods of time, this caused my bladder and prostate from doing there job.diapers and plastic pants were used as punishment for wetting at night, to this day i have bladder problems, i till wear diapers i would rather have been treated more like teenager then a baby because it dint stop ther bottles,pacifiers,wearing to school for shame

Anonymous
kinney
9/29/09 12:12pm

where did they get the daipers to fit you at the age of 15

Anonymous
JEFFERY
5/19/09 12:14pm

SOMETIMES IT IS JUST NESSARY UNFORTONATELY , SOME PEOPLE CAN BE MORE A NIGHT PROBLEM AND SOME A 24/7 PROBLEM, I AM THE 24/7 PROBLEM , I SNEEZE I WET, I COUGH I WILL WET , I DRINK ALOT OF LIQUID TO TRY AND KEEP ME FROM COUGHING , I START LEAKING, SOMEONE TELLS ME A JOKE OOPS I JUST WET MYSELF OH WELL , I JUST GOT A WEAK BLADDER SO I WEAR DIAPERS 24/7 AND I DEAL WITH IT, AND MY GIRLFRIEND UNDERSTANDS AND THAT IS A VERY IMPORTANT TO ME

10/ 2/09 4:20pm

Since bedwetters are generally deep sleepers I recommend using a bed alarm. That worked for me growing up. I found

this link with some posted here: http://www.vitalitymedical.com/vitalitymed

ical.storefront/4ac527cd0044e9e7271dd8b190 2c06eb/Search/Display

 

3/17/10 4:59pm
I read your article and felt inclined to respond. I work with the Enuresis Treatment Center, which deals only with bedwetting cases, and I know they can help. They have treated thousands of children, teenagers, and adult bedwetters. Bedwetting, or Enuresis, is actually a problem caused by abnormally deep sleep, which doesn't allow for the bedwetter's brain and bladder to connect so they can effectively respond to each other. We enourage parents to discontinue the use of diapers since they only keep the bed dry, not the child, as well as prolong the child’s suffering from the bedwetting and sleep disorder. There is a false belief that older children will get discourage by wearing Pull Ups or Good Nights and be able to wake up and go to the bathroom. Our experience with tens of thousands of bedwetting cases indicates this has never occurred. If a bedwetter could wake up, they would. In 99% of all bedwetting cases, the root cause is sleeping so deeply. It is an inherited deep-sleep disorder that results in bedwetting as well as a non-restorative, unhealthy sleep. This compromised sleep can also result in daytime symptoms; difficulty awakening, fatigue, memory difficulty, irritability, difficulty concentrating. There is No guaranteed that someone will outgrow bedwetting, in fact after the age of seven, it is less likely. 1 in 50 teenagers, as well as 3.2 million reported cases of adults still wet the bed. More importantly, if a child were to outgrow this problem, they are then left with a sleep disorder, along with possible challenging symptoms that can no longer be treated. Meanwhile, the psychological impact of bedwetting can be devastating. Studies indicate that deep sleepers rarely hear smoke detectors and can sleep through fire/burglar alarms. Alarms alone are ineffective as the key component for ending bedwetting. Children/Teenagers report great confusion and frustration when using an alarm, because they cannot hear it in time, or at all, to make any impact on the bedwetting. A majority of the time they simply experience another failed attempt to end their bedwetting.The core of the problem is an inadequate arousal of the brain, a sleep disorder that needs to be changed to permanently end the bedwetting. For 35 years, the Enuresis Treatment Center has been ending bedwetting for children, teenagers, and adults who thought there was no hope. Our research and experience has validated that bedwetting is the result of a genetically-linked sleep disorder that can be treated without drugs or invasive surgery. I would encourage your readers to visit their website and take advantage of their extensive knowledge. www.nobedwetting.com Sincerely, Lyle Danuloff, Ph.D.
Anonymous
guest
11/ 3/10 9:34am

Using Diapers in older children to me only exacibates the situation in my experience of child rearing and having had 3 children of my own and my own experience of bedwetting as a childif for medical problems that the child will never acheive contintinence then the wearing of diapers is appropriate there are two chains of thought on this one which I support that diapers only prolong the wetting and the other is that it helps them sleep in a dry bed !but this stops the child realising it has wet as the diaper absorbes the urine and they continue sleeping!as the message has not got through that they have wet ! without the diaper when a child wets and is in a wet bed they ususally will wake up ! and then gets use to waking up and thius the message is getting through Ah I have to wake up!.

obviously you have to protect the bed by putting a plastic sheet over the mattress and yes it is more labour intensive when you have to change and wash sheets but it is quicker than having a diaper on and also you may have the problem of them liking wearing a diaper and it turn out to be a fetish to diapers and plastic pants in later life.

Hygeine is also important in the morning getting the child washed or bathed as stale urine smells and the kids do pick up on this when a child does not bath and then smells. I know through experience my mother didnt promt me to bath in the mornings and only had a bath twice a week mind you this was in the late 60's and showers were still very dear to purchase and put in.so I unfortunately went to school smelling of urine . however when I married and my son had a problem with bed wetting we made sure that he showered every morning great no remarks.Lol if you did go the diaper route I agree that you should not force a child it should be with encouragement and informed information on the subject.

not that I advocate that route but everyone has their own views.

 

Anonymous
been there
10/22/10 4:02pm

Bedwetting runs in my family. My dad was a bedwetter into his teens, as was I, and both of my children (a boy & a girl). Now, my daughter is dealing with her 8 year old daughter wetting the bed. From my personal experience, the disposable diapers just do not work, for any bedwetter who sleeps on his/her side, as there is NO absorbent material in the sides. Disposables leak out of the sides. Thus, the old fashioned cloth diapers are the best solution (with plastic pants over it). Cloth diapers are more comfortable than disposables. If the bedroon is hot (no air conditioning during hot weather), some companies sell waterproof pants made of a gore - tex or nylon material, which is cool and breathable (plastic pants can build up heat inside of them, resulting in sweating). "Dura - tex" is the brand which I use (as a grandparent, I am once again dealing with bedwetting, having a damaged bladder nerve). I also have regular plastic (cheaper than the gore - tex) pants to use over my diaper during cooler weather.

10/23/10 3:52am

For me disposables work fine. I have no idea if I wet sleepning on my side or not. At the other hand I am not a heawey wetter.

 

I cant stand cloth diapers and plastic pants, they are hot, unconforfortable, wet and itching.

 

I am in diapers at night and at daytime when not at home and I am mostly on the run, at work, traveling, hotels, friends.... and in these situations cloth is far to much complicated.

 

There are booster pads to be used in a disposable and I asume it will work even for heavy wetting.  

10/28/10 1:00pm

I wear diapers day and night and my bed is allways soppy every morning.What helps me the most is my cloth diapers and rubber pants.

10/23/10 4:09am

I think it shall, 100%, be the teenagers choise and when the teenager chose not he/she shall do the washings. Also there shall be diapers at home so the teen has a real choise all the time, even at daytime. Parents do not need to adress the question.

 

For me it was the other way around. When a teen I was not aloud to wear diapers and I really wanted it to keep myself dry. My moteher said "teens do not use diapers". However, when about 15 I did buy them myself and as she was an alcoholic she did not found out.

10/28/10 12:52pm

yes i agree with you because if they still wet and mess in their pants they arent potty trained just like me, i was never potty trained and i wear diapers day and night. No problem for me. It only will take you a few minutes to change their diaper when it gets full.

10/28/10 3:48pm

I dont think it is as easy as for you, for all teens.

What I said was, it should be up to the teen how to handle it.

9/10/11 10:55pm

Having had to wear them every night for 19 years or so not wearing them was never an option for me, I have no mental problems because I wore them, I am a bedwetter and just accept I have to wear them like any other clothes.

Anonymous
Felicity Blankets
10/ 1/11 12:46am

Visit Felicityblankets.org to view our line of beautiful waterproof & washable blankets and wheelchair pads!  Our blankets eliminate the stresses involved with potty training, bedwetting, incontinence and everyday spills!    If an accident should occur the items underneath stay clean and dry!  Simply place into the washing machine and tumble dry on low to medium.

Ask a Question

Get answers from our experts and community members.

Btn_ask_question_med
View all questions (1039) >
By Colin— Last Modified: 10/01/11, First Published: 11/23/08