Patient's question:
Symptom Description: Last night, the child suddenly felt frequent urination, incomplete urination, and unable to sleep. I don't know what the cause is. She is a 6-year-old girl who recently started learning to swim. Is there a connection? Thank you.Past Treatment and Effect: No treatment has been conducted.
Help Needed: I want to know the cause and what to do.
Doctor's answer:
Hello, friend, according to your description, in medicine, it is believed that babies have a high metabolism and drink a lot of water daily, combined with a small bladder capacity, which often leads to an increased frequency of urination in clinical practice. The main reasons are:① Urinary tract inflammation: such as frequent urination, urgency, and dysuria, or accompanied by fever, should be considered a urinary tract infection, such as cystitis or pyelonephritis. Under microscopic examination of urine, pus cells or a large number of white blood cells can be found. In severe cases, systemic infection and toxic symptoms may occur, requiring antibiotic treatment.
② Dietary polyuria: if frequent urination is accompanied by a large volume of urine each time, without other symptoms, it is first important to consider whether the child is drinking too much water, especially in children who are fond of sugary drinks.
③ Special diseases: if frequent urination is accompanied by a large volume of urine, along with symptoms of thirst, increased drinking, and weight loss, attention should be paid to urine tests. If sugar is detected in the urine, diabetes should be considered. If the urine is sugar-free but has a low specific gravity, diabetes insipidus should be suspected.
④ Urethral and seasonal factors: if frequent urination occurs but the volume of each urination is small, without pain during urination or other symptoms, local factors should be first considered, such as inflammation of the urethral opening, phimosis, or pinworm irritation of the genital area. Additionally, seasonal factors; polyuria in winter is a normal phenomenon.
⑤ Neurogenic urinary frequency: in young children, underdeveloped bladder detrusor muscle