Patient's question:
Patient Age: Eleven years oldCondition Description: Hello doctor! My child is eleven years old and is a boy. Every time after urinating, he strains hard to hold back, sometimes even feeling nauseous. He always feels like he can't empty his bladder completely and urinates again after a short time, but there is no urine. This has been going on for over a year. Could you please tell me what might be the cause?
Medical History and Treatment Effects: He has been examined at our hospital, and the doctor said it is due to dirt inside the foreskin irritating him. The doctor recommended cleaning at home every three days, but after a while, it had no effect. Additionally, a post-urination ultrasound was performed, and there was no urine in the bladder after urinating.
Help Needed: Please have the experts diagnose what might have caused this. Thank you.
Doctor's answer:
When babies have bowel movements, they often use up all their strength, and their little faces turn red from straining. This is mainly because the excretory functions of the baby's colon and anal sphincter are not yet fully developed. Even when breastfeeding, even if the stool is very liquid, it requires a lot of effort. As the physiological functions of the baby's intestines and anal sphincter continue to mature, bowel movements will become smoother. Around the time the baby is about 6 months old, even with the addition of solid foods, the baby will no longer strain as much when passing formed stools. Additionally, babies often release a large amount of gas while having bowel movements, which is why their faces are usually red from straining.