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A SOURCE FOR EFFECTIVE STRATEGIES AND SOLUTIONS FOR SCHOOLS MOST COMMON AND UNCOMMON CHALLENGES. Bedwetting is an issue that comes up in elementary school from time to time. Here are some resources to help support this situation for your students. The good news is that for many children the problem will resolve itself over time, or can be fixed through fairly simple Bedwetting (also called nocturnal enuresis) is very common. As the following graph shows, almost a third of four-year-olds wet the bed. By the time they are 6, only one in 10 children wet the bed, and one in 20 by age 10. Bedwetting can sometimes continue into adolescence. > Nighttime bedwetting. This type of bedwetting is a common sleep > a problem in children ages 6–12, occurring only during NREM sleep. > Primary enuresis (the child has never been persistently dry at > night) > is as*ociated with a family history of the problem, developmental > lag, > or lower bladder capacity, and is unlikely to signal a serious > problem. Secondary enuresis (a recurrence of bedwetting after a year > or more of bladder control) is more likely to be as*ociated with > emotional distress. Interventions include the use of reinforcement > responsibility training (such as keeping a dry night chart), bladder > control training, conditioning (e.g., bedwetting alarms), and > sometimes medication. In the case of secondary enuresis, it might be > most helpful to determine any source of emotional stress and address > it directly. (For example, if a child starts wetting the bed at > night > following parents’ separation or divorce, providing counseling to > address loss issues might help alleviate bedwetting.) > You may wish to see a doctor about your child’s bedwetting if: >  > If your child has been dry at night for six months then begins to > wet their bed again, it is important to see a doctor for evaluation.