Is Bedwetting More Common in Winter?

is bedwetting more common in winter

Bedwetting, or nocturnal enuresis, is a common challenge in childhood, affecting millions of children globally. As the seasons change, some parents notice a spike in bedwetting during the colder months. This observation prompts the question: Is bedwetting more prevalent in winter?

Research and clinical observation [1][2] suggest that the cold can exacerbate bladder issues, making bedwetting more frequent during winter months. In this article, we’ll explore the potential reasons behind this seasonal variation and offer practical advice to help parents manage this condition effectively during the colder season.

Possible Causes of Increased Winter Bedwetting

Physiological Factors

  • Increased Urine Production: The colder weather can lead to physiological changes where the body tries to regulate its temperature, potentially causing the kidneys to produce more urine. This increase can challenge a child’s ability to stay dry throughout the night.
  • Decreased Bladder Capacity: Additionally, the lower temperatures might cause the bladder to contract, reducing its urine storage capacity, which can lead to more frequent urges to urinate.

Behavioral Factors

  • Reduced Fluid Intake: While it’s suggested that children might reduce their fluid intake in the evening to minimize nighttime bathroom trips, especially in cold weather, it’s important to balance this with the risk of more concentrated urine which may trigger a stronger urge to urinate. In my experience, limiting evening drinks can be effective in helping to prevent bedwetting incidents. The importance of staying well hydrated during the day is really important.  Each child’s needs can vary, and finding the right balance is key to ensuring a good night’s sleep without accidents.
  • Trouble Getting Out of Bed: In colder temperatures, the discomfort of leaving a cozy and warm bed can make children hesitant to get up for a nighttime bathroom trip. This reluctance may increase the risk of bedwetting as they delay responding to the urge to urinate.
  • Pajamas: Taking down a one-piece pajama in the middle of the night when it is cold isn’t fun.  The inconvenience of managing one-piece pajamas during the night can discourage children from using the toilet. This combined with cold conditions together may complicate nighttime bathroom visits and contribute to higher incidents of bedwetting.

Reassurance and Tips for Parents

Bedwetting can be a stressful experience for both children and parents, but it’s important to remember that it is common and not your child’s fault. To help manage and possibly reduce bedwetting during winter, consider the following strategies:

  • Encourage daytime fluid intake to ensure your child is well-hydrated but doesn’t need to drink too much in the evening.
  • Warm the bedroom slightly or provide warm nightclothes to make getting out of bed less daunting.
  • Have a night light in the hallway and/ or in the toilet, so that it isn’t a daunting walk to the toilet in the dark.
  • Make sure their pajamas are easy to manage to go to the toilet and they don’t have to half undress to go.
  • Establish a consistent bedtime routine that includes trips to the bathroom before bed.
  • Use waterproof mattress pads to protect the bed and reduce cleanup stress.

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When to Seek Medical Advice

If you notice that the bedwetting is frequent or comes with other symptoms like pain or urgency, it’s wise to consult a healthcare provider. These signs can indicate other underlying conditions that may need medical attention.

Navigating Winter Bedwetting with Confidence

Bedwetting might happen more often in the winter, which can be a tough time for many families. Knowing why this happens and using the right approaches can really help parents support their kids through it. While bedwetting usually doesn’t last forever and can be handled, being ready and knowledgeable can help make the winter easier for everyone.

We invite parents to share their experiences and strategies for managing bedwetting in winter. Your insights could provide great support to other families navigating similar challenges. If you have any questions or need further guidance, feel free to reach out to Ginny at Stay Dry at Night for personalised advice and support. Together, we can tackle bedwetting with empathy and understanding, ensuring peaceful nights ahead.


1. Benenden Hospital. (2021). Are bladder problems worse in the cold?

2. Shiroyanagi, Y., Kim, W., Suzuki, H., & Yamazaki, Y. (2014). Winter is associated with failure in the alarm treatment of nocturnal enuresis. Journal of Pediatric Urology, 10(2), 246-249.

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