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Parental guidance: Bed wetting at 10-years-old

I have a grandson who will be 10 in March. He still wears Pull-ups and wets them almost every night. This bothers me because it will affect his social life if his classmates find out. My son has taken my grandson to the doctor, and they can't find a problem. What do you suggest?

First, assess whether this upsets your grandson, says Alison Schonwald, co-author of "The Pocket Idiot's Guide to Potty Training Problems" and a Boston pediatrician. He has to be motivated for any strategy to work.

Sometimes, all it takes is restricting fluids two hours before bed and using visual imaging of being dry in the morning. But in more complicated cases, the body can be trained using a bed-wetting alarm, available on the Internet, Schonwald says. Once attached to regular underwear, a moisture sensor causes the alarm to sound at any wetness. This triggers the child to wake up and empty the bladder. He changes his underwear, replaces the alarm and returns to bed.

Parents are involved in setting up the alarm and explaining it. They might have to help wake him the first week, but after that, he should do this independently. Continued use of the alarm is recommended for a month after the child is waking up dry, Schonwald says. She also recommends the book "Waking Up Dry" by Howard Bennett.

Medication can cause the body to produce less urine at night, but that option needs to be explored with the pediatrician, Schonwald says.

Send your Parental Guidance questions to beth.whitehouse@newsday.com or follow her on Twitter @bethwhitehouse1.

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