Search Our Site

Meet Our Team

About Heather Jeffcoat, DPT | Los Angeles Pelvic Floor Doctor

Heather Jeffcoat, DPT - los angeles pelvic floor doctor
Read more ...

About Laureen McVicker, PT, CLT

Laureen McVicker, PT, CLT
Read more ...

About Kasia Gondek, PT, DPT, CSCS

Read more ...

About Debbie Dy, PT, DPT

Debbie Dy, PT, DPT
Read more ...

About Sarina Karwande PT, DPT, CAFS

Read more ...

About Stephany Tritt, PT, DPT

Stephany Tritt, PT, DPT

About Trinity

About Trinity
Read more ...

About Iris

Femina PT staff
Read more ...

About Christina Yen

Christina Yen
Read more ...

About Ejiro Agege

Ejiro Agege
Read more ...

About Judielle

rehabilitation assistant Judielle
Read more ...

About Hannah

rehabilitation assistant Hannah
Read more ...

About Mary P. Shriver, CMT

Read more ...

About Christina Lindeman

Christina Lindeman
Read more ...

About Mary Beth Kedzior, CMP

Mary Beth Kedzior, CMP
Read more ...
childhood bedwetting and genetics
Star InactiveStar InactiveStar InactiveStar InactiveStar Inactive

Learn All About Childhood Bedwetting and Genetics

The average age of potty training can begin between 18mos to 3yrs and this depends on many factors of readiness including: physiological readiness, cognitive readiness, verbal readiness and motor readiness. In this article, we will assess potty-training readiness, as well as look at the underlying causes of child bedwetting and some behavioral modifications we can use to address these causes.

Is your child ready to begin potty training?

In simple terms:

  • Is your child uncomfortable when wet? Alerts you with words, signs, or gestures that their diaper is wet or dirty and they want to be changed right away?
  • Are they crossing their legs/ or holding themselves when they have to go?
  • Can they take their pants on/off?
  • Do they show interest in using the potty or show interest when you go to the bathroom and flush the toilet?

The research suggests, developmentally, bladder control (ability to hold an urge) does not occur until 4 years of age but because the signs of readiness can occur earlier between 2-3 yrs parents usually can start potty training at that time. ​During the process of potty training, bedwetting is common.

But what happens when your child has mastered dry days but continues to bedwetting at night?

Turns out there are some clear reasons why persistent bedwetting can occur.

  1. Childhood Bedwetting and Genetics: Research shows that if one parent wet the bed as a child there is a 40% likelihood for your child bedwetting; this statistic increases to 77% if both parents wet at night (1).
  2. Decreased antidiuretic hormone (ADH)
    1. This is a chemical produced in the brain that tells the kidneys to produce less urine at night. If the body is not producing enough of this hormone then more urine is produced and the child either wakes up many times during the night or wets the bed.
    2. Upper airway obstruction
      1. 43.5% of children with snoring or obstructive sleep apnea became dry after an adenotonsillectomy (Murillo B. Netto, 2021)
  3. Constipation
    1. Management of constipation can help decrease pressure onto the bladder due to an over stretched rectum
  4. Bladder-Diet irritants
    1. Limiting sugary drinks, soda, and acidic foods
  5. Neuropsychiatric disorders- ADHD
  6. Toilet training difficulties

If bedwetting continues past the age of 6 it is recommended to seek help. In the meantime here are some suggestions from pelvic health experts

  1. Behavior Modification to address Bedwetting

    1. Daytime voiding should happen 5-6x per day and should be timed from when your child wakes, every 2 hrs
    2. Constipation management: try adding in fiber rich foods, perform the ILU massage on your child's belly 2x a day and get your child using a footstool so they are in the right popping position. (Check out this video owner, Heather Jeffcoat, DPT did on her instagram for a demonstration.)
    3. Dietary:
      1. Decrease fluid intake before bed

For more support and education on how to improve your child's bedwetting contact our office to schedule an appointment with our therapist, Sarina Karwande who specializes in pediatric pelvic health conditions. Having your child individually assessed will save time and improve outcomes for your child and family.


  1. Bedwetting: Causes & Treatment - Urology Care Foundation. (n.d.). Bedwetting: Causes & Treatment - Urology Care Foundation.
  2. Ribeiro, A., Bastos, J. M., Netto, de Figueiredo, A. A., Cândido, T. C., Guércio, W. B., & Zica, B. O. (2022). Enuresis and upper airway obstruction: BNP and ADH hormones behavior before and after airway surgery. International braz j urol : official journal of the Brazilian Society of Urology, 48(6), 937–943.
  3. Eggert P, Kühn B. Antidiuretic hormone regulation in patients with primary nocturnal enuresis. Arch Dis Child. 1995 Dec;73(6):508-11. doi: 10.1136/adc.73.6.508. PMID: 8546506; PMCID: PMC1511443.

Products We Love

LaVie Mom Warming Lactation Massage Pads
LaVie Warming Lactation Massager at Femina Physical Therapy
Good Clean Love
Good Clean Love

Backed by more than 100 years of expertise

We pride ourselves on leading the industry with the most innovative and scientifically advanced Bio-Match® product formulations for vaginal care. Our Scientific Advisory Board supports our mission to be a trusted and approved brand for the many medical communities we serve.

Experience our wonderful products for yourself:

  • Almost Naked® Organic Personal Lubricant - Our certified organic, water-based lubricant is pH-balanced while helping you enhance your love life naturally. Made with aloe vera and infused with lemon and vanilla for a light flavor, our organic formula provides long-lasting glide without irritating chemicals or sticky cleanup.
  • BioNourish™ Ultra Moisturizing Vaginal Gel with Hyaluronic Acid - Nearly one in five women ages 18 to 50 experience vaginal dryness. It's not just a symptom of menopause. Dryness, and associated discomfort or unnatural odor, has a wide variety of causes and ranges from occasional mild symptoms to chronic irritation and atrophy.
  • Restore® Moisturizing Vaginal Gel - This pH-balanced and moisturizing gel may help eliminate feminine odor and relieves vaginal dryness and discomfort. Restore® promotes the maintenance of healthy vaginal flora by mimicking the body’s natural pH levels, salt balance and lactic acid produced by proven, beneficial lactobacilli.
  • BioNude™ Ultra Sensitive Personal Lubricant - Some bodies are naturally more sensitive than others, which is why we offer BioNude™ Ultra Sensitive Personal Lubricant. This water-based personal lubricant is made with hydroxyethylcellulose, a plant-based material shown to be hypoallergenic.

Use the code FEMINA at checkout to receive 20% off the entire Good Clean Love product line!

LaVie Mom Lactation Massager
LaVie Lactation Massager at Femina Physical Therapy

**This information is for educational purposes only and is not intended to replace the advice of your doctor.

Sherman Oaks

13425 Ventura Blvd.
Suite 200
Sherman Oaks, CA 91423

(818) 877-6910

The Sherman Oaks office is adjacent to Studio City and serves the Bel Air, Brentwood, West LA, Mulholland, Beverly Hills, Encino, Calabasas and San Fernando Valley area.

Map to Fusion Wellness PT Sherman Oaks Location


Monday 7:30-6:00
Tuesday 7:00-6:00
Wednesday 7:00-6:00
Thursday 8:00-6:00
Friday 7:00-6:00

Glendale/Montrose and Pasadena Areas

3702 Park Place
California 91020

(818) 864-6732

>The Montrose area of Glendale is located minutes from Pasadena, Burbank, Silver Lake, Atwater Village, Los Feliz, Echo Park, and Eagle Rock.

Map to Fusion Wellness PT Montrose Location


Monday  7:00-6:00
Tuesday 7:00-4:00
Wednesday 7:00-6:00
Thursday 7:00-4:00
Friday CALL

Beverly Hills

9012 Burton Way
Beverly Hills, CA 90211

(310) 871-9554

Now Accepting Appointments, Opens July 6!

The Beverly Hills office is convenient to Mid-Wilshire, West Hollywood, Hollywood, Beverlywood, Korea Town, Downtown LA, Culver City, Century City, Santa Monica and Malibu.

Map to Fusion Wellness PT Sherman Oaks Location


Monday 12:00-5:00
Tuesday CALL
Wednesday CALL
Thursday 7:00-6:00
Friday CALL
Saturday CALL
Sunday CALL

Join Our Mailing List

NOTE: The captcha is NOT case sensitive
I agree with the Terms and Conditions and the Privacy policy