How to deal with frequent urination and urgency in a 6-year-old for 4 years?

Patient's question:

Drinking water always leads to frequent urination, about 3-4 times every half hour. When I feel the urge to urinate, I have both urination and defecation. This has been the case since I was a child. It might have been due to drinking too much when I was young.
Past treatment history and effectiveness: I have never received systematic treatment. What kind of assistance I need: Hello, is this normal...

Doctor's answer:

1. Urethral and Seasonal Factors: If there is frequent urination but each time the urine volume is not significant, and there is no expression of pain during urination or other symptoms, it is first necessary to consider local factors, such as urethral inflammation, excessive foreskin, or pinworms affecting the genital area. Additionally, seasonal factors; polyuria in winter is a normal phenomenon.
2. Dietary Polyuria: If there is frequent urination with a large volume of urine each time, and no other symptoms are present, it is important to pay attention to excessive water intake, especially in children who dislike sweet drinks, who are more prone to this condition.
3. Neurogenic Polyuria: In young children, underdeveloped bladder detrusor muscles and immature nervous systems can lead to daytime (intermittent polyuria), which can reach 20–30 times, but nighttime urination is normal. This condition tends to recur and shows normal urine test results, as it is not caused by inflammation.
4. Urinary Tract Inflammation: If there is frequent urination, urgency, dysuria, or a burning sensation, it may indicate a urinary tract infection, such as cystitis or pyelonephritis. Under microscopic examination of the urine, pus cells or a large number of white blood cells may be observed. In severe cases, systemic infection and toxic symptoms may accompany.
It is recommended to take the child to a formal hospital for a urinalysis to determine if the condition is caused by a urinary tract infection. If so, prompt treatment is necessary. Wishing you a speedy recovery.

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