By Rebecca Ampah
The Vice President of the Paediatric Society of Ghana and consultant at Korle Bu Teaching Hospital, Dr. Hilda Mantebea Boye, has dispelled a common misconception: “Laziness is not a cause of bedwetting.” Her message was directed not only at worried parents but also at children who often internalise shame.
In an interview on the GTV Breakfast Show, Dr. Boye explained that bedwetting, or nocturnal enuresis, is simply part of the normal developmental journey children go through. While children typically achieve bladder control between ages two and four, around 15 to 20 percent of five-year-olds still experience nighttime accidents, and many continue beyond age six. It is at that point, she noted, that it can be classified as bedwetting.
She also noted that some children experience daytime urinary leakage as well, underscoring the condition’s complexity and prevalence.
Addressing the causes of bedwetting, Dr. Boye highlighted a range of factors unrelated to laziness. Genetics play a substantial role; children with a family history are more likely to experience bedwetting, though only about 15 percent have such a background.
According to her, there are physical or biological causes of bedwetting, such as a naturally small bladder, constipation that puts pressure on the urinary system, infections, or even issues related to sleep. Emotional challenges, such as stress from divorce or bullying, can also be contributing factors.
Urging parents to seek medical evaluation, Dr. Boye advised that pediatricians can help rule out serious medical conditions and guide families toward effective strategies. In the absence of an underlying health issue, she offered reassurance, noting that many children eventually outgrow the phase.
She also recommended lifestyle adjustments such as reducing fluid intake before bedtime, avoiding caffeinated drinks, and using bedwetting alarms that wake children when moisture is detected.
She concluded by reassuring both parents and children: “You are not alone. The likelihood that the child will outgrow it is high. And to you, the child — you will be fine.” Dr. Boye encouraged parents to seek medical advice rather than resort to blame or punishment.
