Jul 21, 2026
Bed-wetting is usually something we tend to think of as a childhood issue, and it's true—up to a quarter of kids deal with nighttime accidents, called nocturnal enuresis.1
But did you know that bed-wetting isn't just a kid thing? Research shows that 1 to 2 percent of adults also experience it.1
If you find yourself occasionally wetting the bed as an adult, don't stress too much. Accidents happen. However, if it becomes a regular thing, it's definitely worth chatting with your doctor about it.
Let's dive into what might be causing bed-wetting in adults and how you can manage it.
What Is Nighttime Bedwetting?
Bedwetting, or nocturnal enuresis, is when someone accidentally urinates while asleep, even after they've usually developed bladder control.2
It can be quite distressing, and like we’ve mentioned, it isn't just something kids experience, some teenagers and adults deal with it too.2
Nocturnal enuresis happens at night while you're asleep, while diurnal enuresis happens during the day.2
Various factors can cause nighttime bedwetting, like a small functional bladder capacity, deep sleep patterns, hormonal issues that affect urine production, and even genetics.2
While it may be easy to confuse nocturnal enuresis and nocturia, they are not the same condition, and our article on adult bedwetting and nocturia explains what makes them different from each other.
Building a Bedtime Routine for Bladder Control
Winding down for the night should feel restful, not stressful or something you dread. And managing nighttime bedwetting in adults starts with a simple routine.
Let's look at some worthy additions to your routine that could help with nocturnal enuresis.
Manage Fluid Intake in the Evening
Reducing when and how much you drink might help with nighttime bedwetting in adults.1
It’s all about finding your balance of fluid intake that works for you.
You could try drinking most of your daily fluids in the morning to stay hydrated.1 Then, in the afternoon and evening, you could slow things down a bit.4
But don’t forget to drink enough water throughout the day; restricting your intake could irritate your bladder and cause leaks.4
A good goal to have is 6 to 8 glasses of water spread throughout the day.4
Avoid Bladder Irritants Before Bed
What you eat and drink in the evening could play a bigger role in nighttime incontinence than you might think.1
Caffeine and alcohol are both bladder irritants.5 They have a diuretic effect that causes your body to make more pee.5
Alcohol, especially, is worth paying particular attention to at night.6 It may affect how your body releases the hormone, ADH, which controls how you hold pee while you’re asleep.
This means that if you’ve had alcohol, you may not wake up when your body signals that it's time to go.6
Caffeine itself shows up in more places than just your morning coffee.7 Teas, cola, energy drinks, and even chocolate could contain it too.7
Chocolate has about a quarter as much caffeine as a cup of coffee, but for some it may still be enough to irritate the bladder.8
When you can, try shifting caffeinated drinks or alcohol to earlier in the day (or try not to have these at all) to help you get a restful night.1
Empty Your Bladder Before Sleep (Double Voiding)
Before you get into bed, use the bathroom. Then wait a few minutes and try again. This is called double voiding, and it helps ensure the bladder is as empty as possible before sleep.
You can learn more about double voiding and other lifestyle tips to look after your bladder.
While there are no recent studies linking double voiding to help with nighttime incontinence, this is a technique that you could try to help prevent leaks.
If you’re unsure, speak to your doctor who can best advise you.
Set a Bathroom Schedule
It might also be helpful to set a bathroom break alarm at night, so you could get up at a set time to use the toilet before an accident occurs.1
While it may not fix everything, it could be a useful tool when dealing with incontinence while sleeping.1
Behavioral and Lifestyle Strategies That Help
Outside of a healthy bedtime routine, there are everyday habits and small behavioral changes that may help with incontinence at night in adults.
Let's look at some.
Bladder Training
Bladder training with your continence nurse or doctor could help you retrain your bladder to hold more pee at night.2 It involves waiting a bit longer before you pee when the urge hits.2
But the effects are not immediate; it could take several weeks for results to show.9
Pelvic Floor Exercises
An overactive bladder may cause nocturnal urinary incontinence.1 That’s why pelvic floor exercises, AKA Kegels, could be helpful.10 They help strengthen your muscles that help you hold pee.10
To do a basic pelvic floor contraction, squeeze the muscles you would use to stop the flow of pee, hold for 3 to 5 seconds, then release.11 Aim for 10 to 15 repetitions, three times a day.
You might notice changes within a few weeks or more of consistent practice.11
It might be tricky at first, and if you need any help, a pelvic floor physiotherapist could help you find the right muscles.
Managing Stress
Stress and anxiety may make nighttime accidents more likely.12 When stress levels rise, it activates your body’s flight or fight system, which could affect your normal bladder function.13
Finding ways to manage stress could make a difference. Simple things like deep breathing, talking through what's on your mind with someone you trust, or working with a mental health professional may help take the edge off.14
Protective Products for Nighttime Bedwetting
While you work on lifestyle changes, having the right nighttime incontinence protection in place may make nights feel a lot less stressful.
Let's look at some overnight incontinence products for adults you could try.
Bedwetting Underwear for Adults
To help manage nighttime leaks, you could wear overnight incontinence underwear, or adult pull-ups to help you sleep through the night.
They absorb leaks and keep your skin dry and comfortable. Unlike daytime pads, overnight products have higher absorbency and are made for longer wear.
When shopping around, look out for:
- Protection against wetness, odor, and leakage
- A close, discreet fit
- Soft breathable materials that won't irritate your skin
- A design that stays in place through the night
Not sure where to start? The TENA product finder quiz could help match you to the right level of protection for your needs.
Absorbent Pads and Bed Protection
Bed pads are another option worth considering. They are discreet, practical, and easy to use alongside other leak protection.
For extra peace of mind, you could layer waterproof mattress protectors and absorbent bed pads with nighttime underwear.
They protect your mattress and bedding, cut down on laundry, and make nighttime changes a lot less disruptive.
When choosing products, look for moisture-wicking materials. They may help keep skin dry and reduce the risk of irritation.
Our range covers both personal and bed protection, so whatever combination works for you, there's an option to match.
How TENA Products Provide Triple Protection
TENA's overnight products guard against three things at once; bladder leaks, wetness, and odor.
They absorb pee quickly and lock it away, pull moisture from your skin to keep you dry, and neutralize odor so you won't notice it.
Meaning you could sleep through the night feeling comfortable and confident.
TENA also offers skin-care creams, cleansing wipes, and products for caregivers; so everyone has what they need for a restful night.
Protecting Your Bed and Simplifying Nighttime Routines
Bedwetting affects more than just sleep. The wet sheets, the broken sleep, and the extra laundry could be tiring.
But there are practical ways to help you protect your space and lessen the pressure. Let's look at some ways to help you feel comfortable.
Waterproof Mattress Protectors
As we’ve mentioned, a waterproof mattress protector may be a good option. It sits between your mattress and any leaks, keeping things clean and saving you the stress of a soaked mattress.
When choosing one, look for a soft, breathable top layer and a fully waterproof backing. But remember to wash it regularly at a high temperature to keep things fresh and hygienic.
Bed Alarms for Nighttime Awareness
A bedwetting alarm could be a useful tool if you are a heavy sleeper or find it hard to wake up when your bladder is full.2
It works by detecting moisture the moment it occurs and triggering a sound or vibration to wake you up.2
Over time, your body learns to associate the sensation of a full bladder with waking, helping you sleep through the night without an accident.2
While, it is useful, it could take several months of consistent use before you might notice a real difference.2
Easy-to-Change Bedding Layers
One handy trick is to layer two sets of waterproof protectors and fitted sheets on your bed.
If an accident happens during the night, you just remove the top layer, and the bed underneath is already protected and ready to go.
When to See a Doctor About Nighttime Bedwetting
If you notice nighttime bladder leaks regularly as an adult, especially if it's sudden, it might mean you have an underlying condition such as diabetes, a neurological condition, or a urinary tract infection.1
It's worth seeing your doctor if you notice:
- It’s affecting your sleep, mood, or day-to-day life and relationships
- Daytime leaks, urgency, or other urinary symptoms1
- Pain, burning, or discomfort when peeing16
- Accidents after starting a new medication1
Your doctor could help identify the underlying cause, recommend the right treatment, and support you along the way.
What to Expect at a Doctor Appointment
At your doctor's office, you could expect them to ask about your urinary symptoms, your medical history, any medications you are taking, and how often accidents are happening.17
They may also request some tests like a urinalysis (a urine test) to rule out an infection or other underlying conditions like an overactive bladder.17
If they suspect an overactive bladder, they may ask you to keep a bladder diary in the days leading up to your next appointment.18
It may feel uncomfortable to talk to your doctor about nighttime leaks, but being honest gives them the full picture they need for the treatment you deserve.
FAQ
Can Adults really Stop Bedwetting at Night?
Yes, you might be able to reduce or stop bedwetting with first-line approaches like fluid management, bladder training, pelvic floor exercises, and protective products.1,2,10
While these options could have an impact, working with your doctor to identify the underlying cause is a good place to start.
What is the Best Bedwetting Underwear for Adults?
The best bedwetting underwear for adults combines high absorbency, a close comfortable fit, and skin-friendly materials.
When shopping, look for overnight-specific products that protect against leaks, wetness, and odor. TENA's product finder quiz can help match you to the right option.
How Do I Protect My Mattress from Nighttime Bedwetting?
An overnight underwear and waterproof mattress protector under your fitted sheet could help protect your mattress from nighttime accidents.
For extra convenience, layer two sets of protectors and sheets. So, if an accident happens, you could just peel off the top layer and you're good to go back to bed.
Should I Stop Drinking Water at Night to Prevent Bedwetting?
No, you don't need to stop drinking fluids entirely.1 Staying hydrated keeps your pee less concentrated, reducing bladder irritation.3
Instead, drink most of your fluids earlier in the day and taper off in the evening.1
Caffeine and alcohol are also worth avoiding at night too, as both could irritate your bladder and increase how much you pee.5
What Drinks make Bedwetting Worse at Night?
Caffeine, found in teas, cola drinks, and some medications, along with alcohol, could increase how much you pee and irritate the bladder.5,6
Alcohol could also affect the hormone that slows how your body makes and stores pee while you sleep.7
That’s why cutting back on both in the afternoon, and evening could make a real difference.
Is Bedwetting in Adults a Sign of a Serious Medical Problem?
Sometimes adult bedwetting could mean it's time to pay your doctor a visit especially if it starts suddenly, comes with pain or burning when you pee, or happens alongside daytime leaks.1,15,16
These signs could point to an underlying cause worth looking into to help you get a restful night’s sleep.
Can Pelvic Floor Exercises Help with Nighttime Bedwetting?
Yes, strengthening your pelvic floor muscles could improve bladder control especially if an overactive bladder is behind your nighttime leaks.1,10
During pelvic floor exercises, AKA Kegels, you squeeze the muscles you would use to stop the flow of pee, hold, and release consistently over several weeks.11
If you find them tricky, a pelvic floor physiotherapist could help make sure you are doing them correctly.
How Many Times a Week is Bedwetting Considered a Problem in Adults?
Adult bedwetting is worth looking into if it happens at least once a week, or even once a month.17
Occasional one-off accidents could be annoying but might not need medical attention.
Consider seeing your doctor if it's affecting your sleep or quality of life.17
What Causes Sudden Bedwetting in Adults Who Never had it Before?
If you notice bedwetting suddenly, it's worth talking to your doctor about it.1
It could point to an underlying cause like a UTI, diabetes, sleep apnea, or a new medication, and a simple test can help rule these out.1
Is there a difference between bedwetting and nocturnal enuresis?
Nocturnal enuresis is just the medical term for bedwetting; involuntary peeing when you're fast asleep.2
Your doctors may use the clinical term, but they are talking about the same thing.2
Can stress cause nighttime bedwetting in adults?
Yes, stress and anxiety could make nighttime bedwetting worse.12 When stress levels rise, it could disrupt normal bladder function.13 Finding ways to unwind, whether that's breathing exercises, or talking to someone may help.14
Reference
1. Healthline. ‘Causes of Bed-Wetting in Adults and How to Treat It’. 2018. Accessed 9 July 2024. Available from: https://www.healthline.com/health/adult-bed-wetting
2. Cleveland Clinic. ‘Bedwetting’. 2023. Accessed 9 July 2024. Available from: https://my.clevelandclinic.org/health/diseases/15075-bedwetting
3. WebMD Editorial Contributors. What’s the Treatment for Urinary Incontinence in Men? [Internet]. WebMD. 2025. Available from: https://www.webmd.com/urinary-incontinence-oab/treatment-urinary-incontinence-men
4. NHS. Water, Drinks and Your Health [Internet]. nhs.uk. 2023. Available from: https://www.nhs.uk/live-well/eat-well/food-guidelines-and-food-labels/water-drinks-nutrition/
5. Cafasso J. What Causes Bedwetting? [Internet]. Healthline. Healthline Media; 2019 [cited 2026 Jun 5]. Available from: https://www.healthline.com/health/bedwetting#takeaway
6. Haye V. Why does alcohol make you pee? [Internet]. www.medicalnewstoday.com. 2023. Available from: https://www.medicalnewstoday.com/articles/why-does-alcohol-make-you-pee
7. WebMD. Caffeine: Uses, Side Effects, Interactions, Dosage, and Warning [Internet]. Webmd.com. WebMD; Available from: https://www.webmd.com/vitamins/ai/ingredientmono-979/caffeine
8. Wallace R. 11 Foods to Avoid if You Have Overactive Bladder (OAB) [Internet]. Healthline. 2025. Available from: https://www.healthline.com/health/11-foods-to-avoid-if-you-have-oab
9. Rees M. What to know about bladder training for overactive bladder, and how to do it [Internet]. Medicalnewstoday.com. Medical News Today; 2022. Available from: https://www.medicalnewstoday.com/articles/bladder-training#definition
10. Cafasso J. Pelvic Floor Physical Therapy for Overactive Bladder [Internet]. Healthline. Healthline Media; 2021 [cited 2026 Jun 5]. Available from: https://www.healthline.com/health/overactive-bladder/pelvic-floor-physical-therapy-overactive-bladder#benefits
11. Mayo Clinic. Kegel exercises: A how-to guide for women [Internet]. Mayo Clinic. 2024. Available from: https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/kegel-exercises/art-20045283
12. Sissons B. What to know about bedwetting [Internet]. Medicalnewstoday.com. Medical News Today; 2024 [cited 2026 Jun 5]. Available from: https://www.medicalnewstoday.com/articles/bedwetting#treatment-and-prevention
13. Gao Y, Rodríguez LV. The Effect of Chronic Psychological Stress on Lower Urinary Tract Function: An Animal Model Perspective. Frontiers in Physiology. 2022 Mar 21;13.
14. Felman A. Stress: Why does it happen and how can we manage it? [Internet]. Medical News Today. 2023. Available from: https://www.medicalnewstoday.com/articles/145855
15. Overactive bladder - Symptoms and causes [Internet]. Mayo Clinic. 2026. Available from: https://www.mayoclinic.org/diseases-conditions/overactive-bladder/symptoms-causes/syc-20355715
16. Urinary tract infection (UTI) - symptoms and causes [Internet]. Mayo Clinic. 2022. Available from: https://www.mayoclinic.org/diseases-conditions/urinary-tract-infection/symptoms-causes/syc-20353447
17. Akhavizadegan H, Locke JA, Stothers L, Kavanagh A. A comprehensive review of adult enuresis. Canadian Urological Association Journal. 2018 Dec 3;13(8).
18.Healthline Editorial Team. Overactive Bladder Diagnosis [Internet]. Healthline. Healthline Media; 2025 [cited 2026 Jun 6]. Available from: https://www.healthline.com/health/overactive-bladder-diagnosis#bladder-diary
