Patient's question:
Not very frequent, didn't attract my attention, it has been frequenting for a week. The past treatment and effectiveness: Went to 2 hospitals, one said it was caused by excessive foreskin, the other said it was caused by excessive shock during defecation, medication to the present...Doctor's answer:
Here is the English translation of the provided text, with line breaks preserved as instructed:If there is frequent urination but each time the urine volume is not significant, without any pain expression during urination or other symptoms, local factors should be considered first, such as inflammation of the urethral meatus, phimosis, or nematode irritation of the genital area. Additionally, seasonal factors; nocturia is normal in winter.
2. Dietary polyuria: If there is frequent urination with large urine volume each time, without other symptoms, it is important to pay attention to excessive water intake, especially in children who dislike sweet drinks.
3. Neurogenic polyuria: In young children with underdeveloped bladder detrusor muscles and immature nerves, daytime dribbling polyuria can occur, up to 20–30 times, but nighttime urination is normal, with a tendency to recur. Urinalysis is normal, and this condition is not caused by inflammation.
4. Urinary tract inflammation: If there is frequent urination, urgency, dysuria, or accompanied by burning sensation, urinary tract infection should be considered, such as cystitis or pyelonephritis. Microscopic urinalysis may reveal pus cells or a large number of white blood cells. In severe cases, systemic infection and toxic symptoms may occur.
5. Special diseases: If there is frequent urination with large urine volume, accompanied by thirst, excessive drinking, increased appetite, and weight loss, it is important to check the urine. If sugar is detected in the urine, diabetes should be considered. If the urine is sugar-free but has low specific gravity, diabetes insipidus should be suspected.
Encourage more daytime fluid intake to produce larger urine volumes. Teach them to shake a few times after urination to empty residual urine completely. Many children rush to pull up their pants after urinating, leaving residual urine in their pants, which naturally leads to wetness. Medication to reduce bladder capacity can be prescribed by a doctor.
The above suggestions are for the question "Why does a child frequently urinate?" and hope to assist you. Wishing you good health!