What is the reason for a three-year-old boy having hematuria for a year and a half?

Patient's question:

My child is three years old. A year ago, a check revealed blood in the urine. He is very lively. No pain, no itching, no abnormalities. But this year, after four checks, there is still blood. The doctor prescribed some antibody injections and medication, but it still persists. What could be the reason? Is it important? How should it be checked?

Doctor's answer:

What changes, besides hematuria, were observed in your urine test? Such as proteinuria. What about the changes in leukocytes? There is a type of nocturnal hematuria that is somewhat similar to your symptoms. First, have your child's external genitalia examined at the hospital to check for developmental issues, such as phimosis or tight foreskin. These problems may lead to the accumulation of smegma under the foreskin, which can then cause symptoms like frequent urination or enuresis. Medication should be administered based on the specific condition. Avoid spicy and irritating foods. Encourage your child to drink more water.

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