(HealthDay News) — Some 5 million children in the United States wet the bed, the American Academy of Pediatrics says.

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Although most kids are potty trained by age 4, bedwetting may still be a problem for about 20 percent of 5-year-olds, 10 percent of 7-year-olds and 5 percent of 10-year-olds, the group says.

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Most cases seem to be among kids who are deep sleepers and don’t wake up to the signs of a full bladder. Less frequently, bed wetting is a sign of a medical problem.

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The academy suggests how to manage bedwetting:

  • Do not tell your child that it is his or her fault.
  • Be honest with your child about what is going on. Remind the child that most children outgrow bedwetting.
  • Be sensitive to your child’s feelings. If you don’t make a big issue out of bedwetting, chances are your child won’t either.
  • Protect the bed with a plastic cover under the sheets.
  • Let your child help change wet sheets.
  • Do not allow anyone in the home to tease the child for wetting the bed.
  • Remind the child to use the toilet before bed and to avoid drinking too much before bedtime.
  • Offer support instead of punishment when the child wets the bed. Reward the child when he wakes dry.

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