Have you been told your child is sure to outgrow bedwetting or daytime accidents? That bedwetting is caused by an underdeveloped bladder, deep sleep, or stress? That pee or poop accidents are behavioral — a sign your child is seeking attention or acting out?
None of that is true!
But these myths cause a lot of suffering, because they lead families down the wrong treatment path. Strict diets, midnight wake-ups, chiropractic, reward charts, bedwetting drugs, probiotics, water restriction before bed, extreme amounts of Miralax — families spend years on wild goose chases, hoping to find the solution to their child’s accidents. By the time these families land in my clinic, most are feeling distressed and discouraged.
The kids are teased at school, afraid to go on sleepovers, down on themselves. The parents are tired of waiting for that magical day when their child will outgrow accidents or when that bedwetting medication will work. A day that never seems to come.
The reality is, some children do not outgrow bedwetting and accidents. And the most common remedies don’t get to the root of the problem, so they work temporarily, if at all. But here’s the good news: Enuresis (wetting) and encopresis (poop accidents) can be resolved permanently — if you understand their cause and treat these conditions properly.
In the 4th edition of The M.O.P. Book: Anthology Edition, now available in paperback on amazon (in color or black and white) or as an instant download via BedwettingAndAccidents.com, I introduce you to the only reliable method of resolving these conditions: M.O.P., short for the Modified O’Regan Protocol. M.O.P. will be a game-changer for your family.
I didn’t invent this method. I wish I were that smart! I merely adapted it from the research of Dr. Sean O’Regan, an Irish kidney specialist who was on a mission to solve his own son’s bedwetting back in the 1980s.
M.O.P. is not a miracle cure. It’s not going to resolve your child’s condition next week or next month. You are almost certain to experience setbacks along the way, and you’ll need to prepare yourself for a fair amount of trial and error. If your child has both daytime and nighttime accidents, you may be implementing some version of M.O.P. for many, many months. Prepare for a long haul.
The Modified O’Regan Protocol has numerous variations, but at its core, it is a regimen involving daily enemas and laxatives, and research proves that it works. Wait, did I just say daily enemas? Yes, I did!
M.O.P. does indeed call for your child to be flushed out, via a tube inserted in the rectum, every day. I realize that “enema” is not a word any parent wants to hear. But I assure you this regimen is safe, and for most kids, it quickly becomes routine. Many children feel so much better on M.O.P. that they actually ask for their daily enema. I’m not making that up!
M.O.P. is based on five important facts:
Fact #1: Enuresis and encopresis are caused by chronic constipation. That’s right. In virtually all cases, daytime and nighttime accidents are caused by a rectum stuffed with poop — not deep sleep, hormonal imbalance, an underdeveloped bladder, stress, or behavior issues. Enlarged by the pile-up of stool, the rectum has lost tone and sensation and is pressing against and aggravating the bladder nerves.
Fact #2: Bedwetting and accidents are NOT normal. Yes, accidents are very common, but that is not the same thing as normal, no matter what your doctor may have told you. Bedwetting should be treated starting at age 4. Potty-trained kids of any age, even as young as 2, should be treated for daytime accidents.
Fact #3: You cannot assume a child will outgrow bedwetting and accidents. Left untreated, a child bedwetting at age 9 has about a 70% chance of bedwetting at 19.1 The earlier you treat these issues, the better. Among bedwetting tweens and teens, one-third also have daytime accidents.
Fact #4: You must treat bedwetting aggressively. Doctors may tell you M.O.P. is “too extreme.” I would argue that yes, M.O.P. is extreme — extremely effective. Nothing else comes close, and waiting around for other remedies to work doesn’t serve kids well.
Fact #5: Bedwetting and accidents are never a child’s fault. Enuresis and encopresis are, straight up, medical conditions — issues that children absolutely can’t control and should never be shamed or blamed for. It is critical for parents and children to understand this. Our children’s book, Bedwetting And Accidents Are Not Your Fault, is required reading for you and your child!
Despite what you may have heard, bedwetting, daytime pee accidents, and encopresis are neither mysterious nor separate conditions. All have the same cause — chronic constipation — and a very clear solution: M.O.P. The Anthology will guide you through the entire M.O.P. process, from mentally preparing and purchasing supplies to rebounding from setbacks and preventing relapse.
If you own a previous version of the Anthology, you may wonder what’s new in the 4th Edition. Lots!
As I often tell my patients, I take the term medical practice literally. To get better at
treating patients, you have to keep an open mind, reflect on what is and isn’t working,
and try new approaches. When I learn something useful, I’m eager to share it.
The new edition includes several refinements to M.O.P. based on my research and feedback from families, especially parents in our private Facebook support groups. These amazing groups, essentially a M.O.P. laboratory, include parents dealing with particularly challenging cases.
These folks are willing to push the envelope. Because they report results in real time, I’m alerted to patterns that would take me years to notice in my clinic, where patients don’t return for months.
I also gained valuable insight from the coronavirus pandemic. With schools closed, parents were able to amp up treatments in ways that weren’t otherwise possible. The results were instructive. The changes to this edition are too numerous to list, but here are the highlights:
• The M.O.P.x protocol. This new variation is primarily for kids who have conquered daytime accidents on M.O.P.+ but can’t get over the hump with bedwetting.
• Expanded guidance on Double M.O.P. This option, used with great success during the pandemic lockdowns, involves overnight olive-oil or mineral-oil enemas, in addition to daily stimulant enemas.
• Updated guidance on Ex-Lax or senna. Stimulant laxatives have been a boon for many families, and I have gained more insight on how and when to use them in conjunction with M.O.P.
• Updated information on bedwetting medications. Most bedwetting drugs are no more effective than a placebo, and none get to the root of the problem (constipation), yet they are prescribed constantly. When I prescribe medication, it's only in conjunction with M.O.P. In the new edition, I discuss the various options, including newer medications that have fewer side-effects than their older counterparts.
• A pep talk for teens. I have many teen patients and I really feel for these kids. This Anthology includes the introduction to M.O.P. for Teens and Tweens. The complete guide, written for older middle-school and high-school students, is available on our website.
You can download the Table of Contents of the new edition from the Anthology page of our website.
OK, let’s get your child started on the path to dryness!