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What to do for my 12-year-old son who is still bedwetting and refuses medication?
Pediatrics
Question #52710
63 days ago
688

What to do for my 12-year-old son who is still bedwetting and refuses medication? - #52710

Client_ffcc98
$3.51

Hello Dr My son is 12 and still bed wetting. Refuses to take medication both local n hospital prescribed. Sees nothing wrong with that too. Always keep saying he'll stop..

How long has your son been experiencing bedwetting?:

- More than 2 years

How often does he wet the bed?:

- Several times a week

Has he shown any signs of distress or embarrassment about bedwetting?:

- Somewhat, but he tries to hide it

Are there any specific triggers you’ve noticed that coincide with bedwetting?:

- No clear triggers

How is his overall health and development?:

- Normal and healthy

What is his daily fluid intake like?:

- Moderate

Has he attempted any strategies to manage or stop bedwetting?:

- Yes, he tries to wake up at night
Writing an explanation of your symptoms through Ayurveda...
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Doctors' responses

Hi! I’m an assistant to the Ask Ayurveda doctors. I’ve carefully reviewed your question.

I will explain your son’s symptoms through the Ayurvedic perspective so you understand what is happening in his body as a whole.

Bedwetting, or enuresis, in Ayurveda is often related to an imbalance in the Vata dosha, which governs movement and elimination processes. This imbalance may lead to irregular bladder control during the night. Additionally, Kapha dosha can play a role if there is excess fluid retention or sluggishness in the system.

The refusal to take medication and the attitude towards bedwetting can also be viewed through a holistic lens, where the mind-body connection is crucial. Emotional factors, routine, and stress can influence Vata and Kapha balance, impacting your son’s condition.

Ayurveda sees this issue as a systemic imbalance rather than an isolated problem. It is essential to consider his daily routine, diet, and emotional state to restore balance and improve bladder control.

To give doctors a precise and effective treatment plan, your answers to the questions below are essential. Without this information, the recommendations will be more general and less accurate.

Please answer each question as clearly as possible.

1. How long has your son been experiencing bedwetting? Please choose from: Less than 6 months, 6 months to 1 year, 1-2 years, or More than 2 years.

2. How often does he wet the bed? Is it every night, several times a week, once a week, or rarely?

3. Has he shown any signs of distress or embarrassment about bedwetting? Does he feel embarrassed, somewhat tries to hide it, seems indifferent, or are you not sure?

4. Are there any specific triggers you’ve noticed that coincide with bedwetting? Such as stress at school, changes in routine, dietary factors, or no clear triggers?

5. How is his overall health and development? Would you say it is normal and healthy, has minor issues but nothing serious, has had recurrent health problems, or are you not sure?

6. What is his daily fluid intake like? Is it very low, moderate, high, or are you not sure?

7. Has he attempted any strategies to manage or stop bedwetting? Does he try to wake up at night, hasn’t tried anything, uses a bedwetting alarm, or are you not sure?

Your detailed responses will help in formulating a more tailored approach to address his condition effectively.


0 replies

●Is your child wetting the bed at night? This nightly worry can now be alleviated with a traditional Ayurvedic remedy that has been passed down for generations. Bedwetting isn’t just a habit; it’s a sign of bladder dysfunction. Ayurveda considers it an imbalance of the Vata and Kapha doshas, ​​which impairs urinary control. ●Remedy - Horse Gram Water Crush horse gram lentils into a powder. Soak 4 teaspoons of this powder in half a glass of water overnight. The next morning, strain it and give it to your child on an empty stomach. You’ll see a difference within 7 to 10 days. ●Effects of Horse Gram • Strengthens the contractions of the bladder muscles. Balancing Vata and Kapha. • Gradually improves urinary control. ●Chandasava-It is an antibacterial medicine and acts against bacteria to clear up the urinary tract infectionIt is a UTI medicine and also helps to improve digestion power and enhance the functions of the stomach and the intestines. 2 Teaspoon before meals 2 times a day. ●


0 replies

Take Neo 1tab 2times after food Brahmi vati 1tab 2times after food Saraswatarishta 10ml bd after food Avoid oily spicy food meat


0 replies

Bedwetting at age 12, known in Ayurveda as Shayyamutra, is often a source of deep frustration for both the child and the parents. Since your son is resistant to medication, it is helpful to frame these Ayurvedic remedies not as “medicine” but as “strength-givers” or “tonics” that help his body wake up when his bladder is full. ​The Ayurvedic Perspective ​In Ayurveda, bedwetting is primarily viewed as a disturbance in Vata Dosha, specifically the Apana Vayu which governs the downward flow of urine and stool. ​Vata and Kapha Imbalance: An excess of Kapha can cause a “heavy sleep” (Tamasa Nidra), making it difficult for the child to wake up to the bladder’s signal. Meanwhile, an unstable Vata causes the bladder muscles to contract prematurely. ​Mano-vaha Srotas (Mind Channels): Psychological factors like stress, anxiety, or even a lack of “self-confidence” can affect the stability of the nervous system’s control over the bladder. ​Krimhara (Deworming): Ayurveda often links persistent bedwetting to intestinal worms (Krimis), which can irritate the pelvic region and trigger involuntary urination at night. ​Suggested Management from Kerala Ayurveda ​These formulations are generally palatable and can be integrated into his daily routine without the “medical” feel. ​1. Saraswatarishtam This is a famous brain tonic that improves nerve coordination. It helps in sharpening the communication between the bladder and the brain, ensuring the “full bladder” signal is strong enough to wake him up. ​Dose: 15 ml mixed with an equal amount of lukewarm water, taken twice daily after meals. ​2. Chandraprabha Vati This is the gold standard for urinary tract health in Ayurveda. It strengthens the bladder muscles (Basti-shuddhi) and regulates the flow of Apana Vayu. If he refuses tablets, these can be crushed and mixed into a teaspoon of honey. ​Dose: 1 tablet twice daily. It is best taken with warm water or milk after food. ​3. Dasamoolarishtam Since bedwetting is a Vata-dominant condition, this fermented liquid helps ground the nervous system and provides strength to the pelvic floor. ​Dose: 10 ml mixed with 10 ml of water, taken once daily at bedtime. ​4. Vidaryadi Lehyam (A Tasty Alternative) If he refuses tablets and liquids, this is a jam-like herbal paste. It is a “Balya” (strengthening) tonic that nourishes the reproductive and urinary systems. ​Dose: 1 teaspoon (about 5–10g) followed by a cup of warm milk twice a day. ​Non-Medicinal Strategies (The “Gentle” Approach) ​Since he is hesitant about medicine, focusing on these Ayurvedic lifestyle shifts can make a significant difference: ​The “Krimi” Check: Given your medical background, consider a mild deworming protocol first. In Ayurveda, Vidangarishtam is used for this. Sometimes, clearing worms stops bedwetting within a week. ​Evening Fluid Management: Limit water, milk, or juicy fruits after 7:00 PM. Ensure he voids his bladder right before his head hits the pillow. ​Massages (Snehan): Applying warm Dhanwantharam Thailam to the lower abdomen and the soles of his feet before sleep can help calm the Vata that triggers the bladder. ​The Nutmeg Remedy: A pinch of Nutmeg (Jatiphal) powder in warm milk at night acts as a mild sedative for the bladder and helps stabilize the nervous system.


0 replies

Hello, dear parent, Thank you for sharing this in such detail — I can understand your concern. At 12 years of age with bedwetting happening several times a week for more than 2 years, this condition is called primary nocturnal enuresis, and yes — it is treatable. What I understand from your history: Child is otherwise healthy and developing normally ✅ Bedwetting is frequent (several times/week) He is not fully accepting the problem, but still tries to hide it → this suggests internal embarrassment No clear triggers → likely a functional + behavioral + deep sleep issue, not a serious disease Important insight (very crucial) Your child saying “I will stop on my own” is actually common at this age. 👉 This is a defense mechanism, not stubbornness. He may: Feel embarrassed Want to avoid medication or feeling “different” Believe it will resolve naturally So forcing medicines may backfire. Best Treatment Approach (without forcing medication) 1. Build Awareness — not pressure Have a calm conversation: Explain that this is a common medical condition Many children face it, and it’s not his fault 👉 Goal: Make him a partner in treatment, not a resistant patient 2. Behavioral Plan (Most effective in such cases) Urinate twice before sleep (double voiding) Set a fixed waking time at night (parent-assisted initially) Reduce fluids 1.5–2 hrs before bed (no strict restriction) Avoid caffeine (tea, cola, chocolate at night) 3. Bedwetting Alarm (Game changer) This is often more effective than medicines in resistant children. 👉 Works by training brain-bladder connection 👉 Takes 4–8 weeks but gives long-term results 4. Treat hidden causes Even if not obvious, check: Constipation (very common hidden cause) Urine test (to rule out infection) If he resists “medicines,” you can try: Warm milk with a pinch of nutmeg (jaiphal) at night Light til oil massage on lower abdomen before sleep These are subtle and often more acceptable to children. also Internal medicines: Saraswatarishta – 10 ml with equal water, twice daily after food → Helps in nervous system control Brahmi Vati – 1 tablet at night → Improves brain-bladder coordination Ashwagandha churna – 1–2 gm with milk at night → Useful if stress, deep sleep imbalance present Chandraprabha Vati – 1 tablet twice daily → Supports urinary system tone


0 replies

Don’t worry Your son needed counselling. Minimize fluid intake after 8pm. Tab Neo 1-0-1 Vidangarishta 10 ml twice a day after meal with lukewarm water. Follow up after 2 weeks.


0 replies

Hi If he refuses to take medicine then you have only one option left to give him medicine blindly in food Take Tab neo 1 tab daily mix in food and give to him He will get results Thankyou


0 replies

Bedwetting at this age is usually due to immature bladder control and deep sleep. It is common and can be corrected with routine. Since he is refusing medicines, focus on habits first. Do this: Stop fluids 1.5–2 hours before sleep Make him pass urine just before going to bed Wake him once at night (after 2–3 hours of sleep) to pass urine Avoid: Cold drinks, chocolate, excess milk at night Encourage daytime routine: Make him pass urine every 2–3 hours (bladder training) Keep sleep time fixed (10 PM) Lifestyle: Do not scold or shame him Motivate and explain calmly Use reward system for dry nights Natural support: 1 tsp honey at night before sleep Soaked black raisins (4–5) in the evening Medicines (if he agrees later): Chandraprabha vati 1 tablet twice daily after food Brahmi vati 1 tablet at night Most children improve gradually with routine and confidence building. If it continues, evaluation for bladder function may be needed. For personalised guidance and child-friendly approach, you can consult me.


0 replies

Medication Tab. Neo 2 tabs wice a day before food Syp. Saraswatarishta 3 tsp twice a day after food As you mentioned he is taking efforts to waking up at night you should appricate his efforts. Once he starts receiving apprication and occasional rewards he will still continue to add more efforts and eventually his issue will be solved. Make him have dinner by 7-8 pm. Avoid liquid foods for dinner. No tea/ coffee after 5 pm. No water an hour before sleeping. Going to washroom just before sleeping. ALso very important check his HbA1C leves and if required a GTT test. Something that you are considering as bedwetting may be a sign of raised sugar and juvenile diabetes.


0 replies

Hello, Bedwetting at age 12 is quite common, especially when it has been ongoing for years and the child is otherwise healthy. In Ayurveda, this is understood as an imbalance primarily involving Vata dosha (especially apana vata) along with weak bladder control. Your son’s case (long duration, several Times a week , mild emotional avoidance, normal health fits into a chronic functional pattern , not a disease- so management focuses on strengthening control, not just stopping symptoms Ayurvedic view -Vata imbalance-> poor nerve control of bladder -Weak bladder tone -Deep seat pattern-> brain doesn’t signal waking -Sometimes mild kapha dominance (heavy sleep) Ayurvedic management plan 1) Daily routine (most important) consistency matters more than medicine Evening discipline (crucial) -stop fluids 2 hours before sleep -ensure urination twice before sleep (once early, once just before sleeping) Avoid -cold drinks -milk at night especially cold milk -heavy, oily, or sugary dinner Diet -warm, light, meals at night -whole grains= wheat, rice lightly spiced -moong dal easy to digest -dry fruits in small quantity almonds, walnuts -spices that strengthen bladder= cumin, ajwain, black pepper Avoid -cold foods ice cream, refrigerated items -excess sugar -packaged/ junk food -excess dairy at night Simple home remedies 1) Roasted ajwain + jaggery= 1/2 tsp ajwain powder + small piece of jaggery give after dinner =helps strengthen bladder control 2) Black sesame seeds = 1 tsp at bedtime =improves urianry control and warmth 3) Honey + cinnamon =1 tsp honey + pinch of cinnamon =before sleep Medicines usually not require External therapies -Oil massage= daily warm sesame oil massage on lower abdomen and lower back =this calms vata and improves nerve signaling -Gentle heat therapy= warm compress on lower abdomen before bed, helps bladder control Behavioural training= very important Your son’s attitude (“I’ll stop”) shows denial + coping, not lazziness What to do -avoid scolding or shame this worsens the condition -use a reward system, not punishment -encourage responsibility= let him help clean/manage discreetly -wake him once at night (temporary support, not permanent solution) Yoga and simple practices Daily even 10 minutes will help a lot -vajrasana after dinner 1 min -Ashwini mudra= control relax anal muscles (improves bladder control) -deep breathing before sleep Time line and expectations -Improvement usually starts in 4-6 weeks -Significant control in 2-3 months -complete resolution may take 3-6 months Consistency is key This is not abnormal at his age, just delayed control Focus on routine +gentle discipline + support Do follow Hoope this might be helpful Thank you


0 replies

The condition which you describe about your son is pointing towards the imbalance of vata Kapha dosha and some involvement of intestinal worms We will focus on strengthening the bladder muscle and Calming The Nervous System 1) Chandraprabha Vati-1 tablet morning and evening after food with warm water 2)Saraswatarishtam-15 ml + 15 ml water twice daily after food 3) Brahmi Ghritham-1 tsp empty stomach on early morning with warm water 4) Krimiguna Vatika- 1 tablet once at bed time for 3 Nights Limit water Milk or juice intake after 6 or 7 p.m. ensure the child is well hydrated during morning and afternoon Avoid curd ice cream cold drink and heavy sweet at dinner Give one teaspoon black sism a seat with jaggery in the evening or one small Til laddu in the evening Bring the day encourage the child to try and hold urine for few minute longer after he feels to go to toilet Ask your child to go to toilet at start of before going to bed and again write before getting to sleep Since he already tries to wake up use an alarm or physically wake him 23 hours after he fall asleep to use washroom Gently massage the lower abdomen in clockwise direction and also the pelvic area With warm sesame oil before his evening bath


0 replies

Start with Shilajit satva 1 drop in a cup of milk . Sarasvati syrup put 2tsp in a glass of cool milk and give once daily. In this way your child will not know he is taking medicine and your problem too can come under control. Restrict liquid after 7 pm . Night when he wakes up let him go straight to bathroom to pass urine.


0 replies

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