What are the reasons for a three-year-old boy to have hematuria for a year and a half?

Patient's question:

My child is three years old. A year ago, a check revealed blood in his urine. He is very lively. It doesn't hurt or itch. There are no other 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 or white blood cells? 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 cause symptoms like frequent urination and enuresis. Medication should be administered based on the specific condition, and spicy or irritating foods should be avoided. Encourage your child to drink more water.

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