Patient's question:
Medical Description: Tonight, 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 due to the baby's high metabolism, they consume a large amount of water daily, and combined with a small bladder capacity, the clinical phenomenon of frequent urination is common. The main reasons are:① Urethral inflammation: such as urinary frequency, urgency, and dysuria, or accompanied by fever, should be considered for 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 urinary frequency occurs with large amounts of urine each time, without other symptoms, it is first necessary to consider whether the child is drinking too much water, especially in children who prefer sugary drinks.
③ Special diseases: if urinary frequency is accompanied by large amounts of urine, along with symptoms of excessive thirst and weight loss, attention should be paid to urine testing. 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 urinary frequency occurs but the amount of urine each time is small, without a painful expression during urination or other symptoms, local factors should be considered first, such as urethral inflammation, phimosis, or pinworm irritation to the genital area. Additionally, seasonal factors; frequent urination in winter is a normal phenomenon.
⑤ Neurogenic urinary frequency: in young children, underdeveloped bladder detrusor muscle