What is the reason for frequent urination of children?

Children always love to pee, and it's nothing to go to the hospital for examination. Is it angry?

The child has been urinating frequently recently, and he is always in a hurry. It is no problem to go to the hospital for laboratory tests. Is it kidney deficiency?

The baby often urinates frequently after going to kindergarten, but not when he goes home. Any inflammation? ......

Every time I pass the urology clinic, I will inevitably meet several parents with similar troubles, and there are innocent and helpless children standing next to them.

What is the reason for frequent urination of children? The function of our human body to store and excrete urine requires the coordination of nerves and muscles and the participation of * * *. If there is a problem in any of these links, there will be various problems in urine storage and urination.

The brain regulates the external urethral sphincter

1, urinary tract infection

If the child urinates frequently, accompanied by urethral pain, or accompanied by urgency, the so-called "dysuria, dysuria, urgency", then the child is probably infected with the urinary system.

What needs to be vigilant is that typical symptoms such as frequent urination, urgency and dysuria are more manifested in older and distinguishable children. Urinary tract infections in infants and young children are sometimes not so typical. Some children simply have a fever, or cry when urinating. Only after urinating can problems be found. Some children have repeated urinary tract infections because of congenital urinary system malformation, and need ultrasound examination to check.

2. Endocrine diseases

Such as diabetes and diabetes insipidus. If our children drink a lot of water and eat a lot, the urine output will increase obviously, and they need to go to the hospital for examination and elimination.

3. Intestinal helminthiasis

The common disease is pinworm disease. Self-infected females crawl through the anus at night, causing anal pruritus, even crawling around the urethra, causing frequent micturition symptoms, which requires timely deworming treatment.

4, spinal nerve diseases, constipation and other factors.

These factors can also lead to frequent urination, usually accompanied by other symptoms, such as urinary incontinence and constipation.

If all the above organic diseases are ruled out after detailed examination, then the real reason for children's frequent urination may be-"nervous frequent urination."

What is neurotic urinary frequency? Neurogenic urinary frequency in children, also known as pseudo urinary tract infection, diurnal urinary frequency syndrome or child-specific diurnal urinary frequency, is more common in children aged 2 ~ 12, especially preschool children, and is mostly concentrated in children aged 4 ~ 5.

The main manifestations of neurogenic urinary frequency in children are:

1, the number of urination increased during the day, but the urine volume did not increase.

Normal children urinate 6-8 times a day (which can be influenced by drinking water and sweating), while children with neurotic urination frequency can increase to 20-30 times a day, or even 40-50 times, reaching more than 10 times per hour, but the amount of urination per time is not much.

Children can get better after distracting themselves from urination during the day.

2. Symptoms disappear after falling asleep.

Most of the clinical symptoms of these children are not accompanied by other clinical manifestations such as dysuria and fever. They have no urinary incontinence and nocturnal enuresis. Their urine volume is normal for one day, and their symptoms disappear after falling asleep.

3. Check that everything is normal.

After laboratory examination, urine routine, urine culture and ultrasound examination of urinary system were all normal.

4. It can relieve itself.

Nervous frequent micturition is generally a benign process, and most children's symptoms can be relieved by themselves, but sometimes the symptoms will recur or last for several years, which seriously interferes with children's daily life, affects children's mental health, and also causes many troubles and mental burdens to parents.

Etiology of neurogenic urinary frequency in children 1, developmental factors

Children's cerebral cortex is underdeveloped, and its inhibitory function on the primary micturition center of spinal cord is poor, so it is easy to be affected by external bad stimuli and appear obstacles.

2. Psychological factors

If our children's mental, social and environmental pressures suddenly increase, such as school transfer, threats, bullying by classmates, quarrels between husband and wife, divorce, death of family members, and new family members (younger brother or sister, parents who are preparing to have a second child) may become inducing factors.

3. Dietary factors

Studies have shown that some children have the habit of drinking oxalic acid-rich drinks or acidic juices (such as orange juice, apple juice, grape juice, etc.). ), and some have hypercalciuria and acid urine.

4. Infection factors

It was found that some children had respiratory streptococcus infection or had gone swimming in public swimming pools before the onset of the disease, and mycoplasma, cytomegalovirus or adenovirus were detected in urine, suggesting that factors such as metabolism and infection may also be related to the onset of specific daytime urinary frequency.

5. Seasonal coefficient

When the weather is cold in winter, the perspiration of human body is obviously reduced, and accordingly, the water discharge from other channels should be increased. Urine excretion is one of them, so it will lead to increased urination.

How to treat children's nervous frequency of urination?

Although it is difficult to determine the cause of neurogenic frequent urination in children, as I said before, it is also a self-limiting disease, which means that if you leave it alone, it will get better after a while.

First of all, as parents, there is no need to be nervous and anxious, let alone put pressure on children! If frequent urination affects children's lives, sometimes intervention is needed.

Common processing methods are as follows:

1, urination training

This requires the participation of parents and children. First of all, parents should keep a diary of urination and make clear the number and amount of urination every day. At the same time, we can use emotional support and behavior correction urination training to encourage children to be more patient, extend the interval of urination as much as possible, and adopt the method of diverting attention or appropriately praising and rewarding.

Eliminate all kinds of bad psychological factors of children, distract children's attention to urination, guide them to play with other children, and make them forget to urinate.

2. Find out the psychological factors that cause diseases.

Analyze and discuss the possible social psychological and mental stress causes such as the pressure of external environment and the influence of bad factors in the family, find out the reasons, and patiently explain and comfort the children.

3. Drug therapy

First of all, I don't recommend medication. If necessary, some drugs, such as propofol hydrochloride or oxybutynin, can be used under the guidance of a doctor, but these drugs can be accompanied by obvious side effects, which may lead to blurred vision and hallucinations.

Therefore, for children with neurotic frequent micturition, emotional support and behavior correction should be adopted first, and drugs can only be used as adjuvant treatment.

Step 4 eat healthily

You can properly control the intake of salt, drink less sugar water and high-calorie drinks, eat less oranges, oranges and other foods that stimulate the bladder, and drink less soup and porridge for dinner.