Patient's question:
I don't know what's going on these last two days. My son has been urinating 10 times a day, and I don't know if there's any problem. It's been two days. About the previous treatment and its effectiveness: There hasn't been any treatment yet. What kind of assistance do you want: I just want to ask what's going on. What could be the reason...Doctor's answer:
The issue of frequent urination in children, parents should first consider how the child may have the first two of the above conditions, especially epilepsy, cerebral anesthesia, and other central nervous system inflammation. If it is a urinary tract infection, then there needs to be consideration of whether there are issues such as phimosis, balanitis, overactive bladder, urinary reflux, or stones. If the child's all examinations are normal and indeed exhibits psychological urinary frequency characteristics, then the doctor can cautiously diagnose them as "psychogenic urinary frequency."Guidance: The treatment of psychogenic urinary frequency in children should first be psychological therapy. Therefore, the first step should be to understand the cause, and then proceed with behavioral treatment, which is also known as "urinary retention training." Parents may feel puzzled, as holding urine is not good, why would they teach their child to do "urinary retention training"? In fact, "holding urine" and "urinary frequency" should be determined by urine volume. Only when the bladder is filled to a certain extent (400 milliliters or more) can it be considered holding urine. For 200 to 300 milliliters, it is merely the normal storage process of the bladder and is also necessary for effective bladder contraction. Because the bladder needs to be filled to a considerable extent (200 milliliters or more) for urination to be forceful. Otherwise, if the urine volume is too small (the bladder is not sufficiently filled), it may lead to weak, feeble urination and a feeling of residual urine, which in turn triggers the next urinary frequency, creating a vicious cycle. Therefore, "urinary retention training" aims to suppress the urge to urinate by "holding urine" to increase the bladder's storage capacity, but it should not exceed the bladder's capacity of 400 milliliters. Of course, "400 milliliters" cannot be measured directly, so parents should observe how much urine the child urinates each time and the speed at which the urine flows out to determine to what extent the child should hold urine.