Patient's question:
Daughter is 5 years old, she often urinates 1-2 times at night. If she drinks water before bed, the number of urination increases. I don't know how to solve it?After examination, it was said that she has congenital coccygeal fracture. What should I do?
First follow-up question: The child has been diagnosed with congenital sacral dysgenesis. It is not yet determined whether there are floating or hooked spinous processes. Should we first get a definitive diagnosis? Please ask, can it be cured without surgery?
Doctor's answer:
Hello, there could be several reasons:1. Besides frequent urination, is there polydipsia? Is the total urine output high? We need to rule out diabetes insipidus.
2. Are there accompanying symptoms like dysuria, difficulty urinating, or changes in urine color? Is there excessive foaming? We need to rule out inflammation and non-inflammatory irritation.
3. Compared to daytime, has the frequency of enuresis (bedwetting) at night improved significantly? If so, we should consider psychogenic urinary frequency.
Finally, I recommend you first visit a pediatric department. The simplest test is a urinalysis to get a preliminary assessment.