Bedwetting Challenge Checklist Form

Bedwetting can be an embarrassing and frustrating condition…

Take action in three simple steps

Step 1: Feel confident that you can talk about it
Knowing the type of bedwetting you or your child may have can help you to start a conversation with your doctor.

Step 2: Complete the checklist
This will assist you in assessing whether bedwetting only occurs at night or whether other daytime symptoms are present. This information can help your doctor to determine the cause of the problem more readily.

Step 3: Take a copy of the checklist to your doctor
Ask for an assessment to determine the cause of bedwetting.
The treatment approach will depend on the type and cause of bedwetting.

Tick the boxes which are relevant to you or your child, print this page and take it to your doctor

	Wetting occurs more than 4-6 times per month and it isn't improving
	Family history of bedwetting (parents, uncles, aunts, siblings or grandparents)
	Parent and/or child is motivated to become dry
	Wetting occurs only at night
	Wetting occurs during the day as well as at night
	Wetting occurs soon after falling asleep
	Consistently large wet patches or heavy pull ups which overflow (leak)

	Deep sleeper - difficulty rousing from sleep
	Waking up during the night to go to the toilet
	Urgency to urinate
	History of urinary tract infections (including infections in the kidneys and/or bladder)
	Constipation issues (past or present)
	Wetting is interfering with social and/or school activities
	Wetting issue is impacting on family life

www.treatbedwetting.com.au