What is pediatric neurogenic dysuria?
Pediatric neurogenic enuresis is a common condition in our pediatric clinics. The only clinical manifestation is the frequent urge to urinate when the child is awake. This means that the number of times a child urinates each day increases without a significant increase in the volume of urine. The frequency of urination usually increases before going to bed, during meals, and during class. After the child goes to sleep, the symptoms of frequent urination disappear, and the child usually does not wet the bed. The urine tests at the hospital are all normal. This is a non-infectious urinary frequency.
What is the cause of the problem? What is the age of onset of the disease?
In fact, children with neurogenic enuresis do not have organic lesions. The main reason for frequent urination is both internal and external: the internal cause is that the cerebral cortex of the child is not well developed and the inhibition of the primary urinary center of the spinal cord is poor, so the child is easily affected by external stimuli and urinary dysfunction occurs. The external cause is that the child may have some negative influences in the recent life, which may cause the child to be nervous or have a bad stimulus to the mental state, such as a change in the living environment, such as a lack of psychological preparation for entering the nursery or school, or the sudden separation of parents or the death of relatives. The fear of exams or fear of certain animals and so on. All of these may increase the child’s mental tension and create anxiety, which may lead to dysfunctional inhibition of urination, resulting in frequent urge to urinate and increased frequency of urination.
Neurogenic urinary frequency occurs in preschool children, most often in children between the ages of 3 and 5 years old, when children just have a certain amount of self-awareness and awareness of urination, and are therefore most susceptible to internal and external factors that can lead to neurogenic urinary frequency.
What is the frequency of urination that can be considered as frequent urination? What are the clinical manifestations of the child?
A normal child can urinate 6-8 times a day, while a child with neurogenic frequency can urinate 20-30 times a day, or even 40-50 times a day, or more than 10 times an hour, but the volume of urination each time is not much, sometimes only a few drops, and there are no symptoms of urinary frequency after sleep.
The child has no other abnormalities except for the increase in the number of times he urinates when he is awake. The urine test was also normal.
Why is it often misdiagnosed as a urinary tract infection? What is the difference between the two? How is it diagnosed?
When you find that your child is urinating frequently, the first step is to go to the hospital for an examination: to rule out the effects of disease. This is because neurogenic urinary frequency is a non-infectious urinary frequency and urgency. Pediatric urinary tract infections, on the other hand, are infectious diseases that can also manifest as frequent urination and urgency. A routine urine test at the hospital will clarify the diagnosis.
The urine test for pediatric urinary tract infections can be abnormal, showing cloudy urine dominated by white blood cells, and the child is usually accompanied by other uncomfortable manifestations; such as fever, crying, irritability, etc. The difference can usually be made by an experienced pediatrician. Parents need to be aware of the need to clean the child’s external urinary orifice and then take the middle urine so that the doctor’s judgment will not be affected by test errors due to unqualified urine specimens.
What should I do if my baby has neurogenic enuresis? How is it treated?
When it is determined that the baby has neurogenic frequency of urination, parents and friends do not have to be too nervous. First of all, they should analyze the child’s recent life situation, find out the things that cause the child’s nervousness and anxiety, give the child a serious explanation and comfort him so that he can have a correct understanding of what he is afraid of worrying about and return to his previous relaxed and happy state of mind as soon as possible. In this way, frequent urination will be naturally corrected. And when the child wants to urinate, encourage him to hold back a little harder and prolong the time between urination, and praise him if there is progress, so that gradually the interval between urination will be extended to normal. For children who have just entered the kindergarten, we must also obtain the cooperation of the kindergarten and school teachers, understand and reassure the child, relax in class, and participate in more relaxing games to focus the child’s attention on games or other activities. Some drugs such as 654-2, glutamate, etc., help regulate the nerves to make the bladder force urinary muscle relaxation, sphincter muscle contraction, increase the amount of urine storage in the bladder, reduce the number of urination, if necessary, can be applied under the guidance of a doctor. In addition, you can try 15 grams of corn husk, water decoction, with the right amount of sugar to drink as tea. Most children around three years old can generally be relieved after emotional regulation, and medication is not recommended.
What should I pay attention to in taking care of such a baby at home? How to do a good home care?
Be more patient with such a pair of children at home, care for the child’s clothing, food, housing and transportation, tell the child that there is nothing wrong with his body, there is no need to be anxious, do not be afraid. Encourage him to say the things that cause nervousness and anxiety, care about the problems he raises, give serious explanations and comfort. In this way, frequent urination will be corrected naturally with the release of mental stress. Never scold and reprimand, as this will make the child more nervous and the frequency of urination will continue without improvement. In home care, you need to pay attention to the fact that when you find your child wetting his or her pants, you should promptly clean the child’s outer urinary opening and change into clean clothes and pants so that the urine does not soak the child’s delicate little bottom for a long time and cause buttock eczema.
How old will my baby be before this symptom disappears? Will it take a long time?
When your child’s fears and worries are relieved and he or she is able to return to his or her previous relaxed state of mind, the frequent urination will naturally be corrected. The length of recovery time varies depending on the severity of the child’s nervousness and the effectiveness of parental reassurance, and can be anywhere from two to four weeks.
Can it be prevented?
Prevention lies in avoiding the child’s excessive nervousness and eliminating the child’s negative psychological factors, so that neurogenic urinary frequency will not occur.
I wish my baby good health and cuteness!