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  4. My 4 year old son can go to the toilet on his own throughout the day with no problem but at night time he needs a nappy, How do i toilet train him at night when he cant wake up to go, or he gets too grumpy? Thanks
Avatar sanja...
My 4 year old son can go to the toilet on his own throughout the day with no problem but at night time he needs a nappy, How do i toilet train him at night when he cant wake up to go, or he gets too grumpy? Thanks

Toilet Training 4 year old boy at NIght ??

Jane ...
Answer: To not be toilet trained at night at 4 years is very normal. There's a strong link between nocturnal enuresis in a child and when their parents were dry at night. Boys tend to be slower than girls and often boys are still wetting at night when they go into prep and grade 1. Wetting at night occurs during a very deep sleep phase, some kids take a while to produce sufficient quantities of anti-diuretic hormone and/or have what is known as a "soft" signal to their brain which wakes them when their bladder is full. This is never about the child being naughty which is why praise and reward mechanisms are never useful. He's too young for an alarm system or a bell and pad, this is not recommended until the child is seven years or older. For now, sit him on the toilet just before he goes to bed, you may want to do this again during the night, just for convenience sakes and keep using nappies for the practicalities of reducing washing. By far the majority of kids are dry at night by the time they start school. In the absence of other developmental concerns, this is usually pretty normal. Cheers Jane
Answered: 16 Sep 2012