To the American Academy of Pediatrics: Please Update Your Bedwetting Advice

Search “causes of bedwetting” and you may get the impression that nocturnal enuresis, as the condition is called, is a complex mystery. Under the heading “Causes of bedwetting,” the American Academy of Pediatrics (AAP) offers a list of eight bullet points and states: “Although not all of the causes of bedwetting are fully understood, the following are some that are possible.” In fact, virtually all bedwetting cases have one cause: constipation, fourth on the AAP’s list. Research proves this is the cause in most cases, and the mechanism is well understood. Most of the other “causes” posited by the AAP — such as deep sleep, stress, urine overproduction, and an underdeveloped bladder — are simp

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