Bed Wetting

Rehabilitation and treatment of the perineum in children suffering from bedwetting (or nocturnal enuresis).

Home visits available within London or at our Belgravia practice


An important part of growing up for children is learning to go to the toilet by yourself. In fact, schools will often only accept children who are potty trained and no longer wearing diapers.
Children are usually potty trained at 2 years old and should no longer be wetting the bed. Unfortunately learning to control their bladder is a very complex process even more so than learning to walk.

Medicating your child is not the best solution.
Rehabilitation with a specialist physiotherapist is indeed more efficient. At Baby Physio, our paediatric physiotherapits are trained and experienced with nocturnal enuresis and incontinence in children. They offer a treatment plan combining playful exercises and gentle techniques, which will be efficient for your child. The treatment plan is also tailored to your child’s personality.

Your child can be treated within the comfort of your home or at our Belgravia practice.

Bedwetting is difficult to discuss for both child and parent but it is important to talk to a specialist. It is as much a neuro motor issue as it is a psychological one which can be treated perfectly well with a rehabilation adapted to your child’s needs.

What is nocturnal enuresis or bedwetting?

Nocturnal enuresis is more commonly called bedwetting.
Causes can be:

  • A sleep too deep
  • Micturition reflex is not yet developed
  • Psychological and emotional
  • Deformation of the urinary tract

Nocturnal enuresis can happen at night but also during the day if linked to urinary problems. This is called day wetting and happens when your child cannot hold it and subsequently wet their pants.

Other issues related to enuresis can occur in children and adults:

  • Bowell or faecal incontinence
  • Constipation which is the absence of bowel mouvements for at least 3 days

These rectal issues can be caused by the following:

  • Diet
  • Psychological problems
  • Weak perineum muscles
  • Weak abdominals

The above issues also have an impact on the nocturnal enuresis in children. Rehabilitation will therefore be a global treatment.

How to treat bedwetting?

If constipation and faecal incontinence are present, those will be treated first.

Treatment will be a combination of the following:

  • Behavioral reeducation: analysis of the drinking/ peeing relation, correction of bad habits and possible fear of peeing, praise when progress are made
  • Non invasive manual reeducation of the uretral
  • Reeducation with biofeedback to teach the child how to feel contraction and relaxation of the sphincter
  • Reeducation with electrical stimulation if in presence of an overactive bladder
  • Abdo- MG reeducation for a better abdominal efficiency in cases where the child has a habit of obstructing this area

Both assessment and reeducation will always take place with a parent present in order to lessen anxiety levels for the child.

As an important part of growth, any progress in this area will always be praised but it is essential that parents and child are actively involved for a positive outcome.

We are covered by most health insurances and are Bupa recognised and axa ppp recognised

For domiciliary physiotherapy call : 0207 125 0262

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