What is neurogenic dysuria?

  Neurogenic dysuria refers to non-infectious urinary frequency and urgency, and is a separate disease in pediatrics, with the age of the child generally ranging from 2 to 11 years old, mostly occurring in preschool children: its onset is characterized by frequent urination, once every 2 to 10 minutes, and the child is unable to hold back for a moment once he or she has to urinate, and younger children often wet their pants for this reason, which can lead to secondary urinary tract infections or pubic eczema. Most children with neurogenic urinary frequency are unintentionally discovered by their parents, and when they go to certain primary care units, they are often misdiagnosed as urinary tract infections and treated with antibiotics, but with little success.  On the one hand, the development of the cerebral cortex of children is not yet complete, and the inhibition function of the primary urinary center of the spinal cord is poor, so it is easy to be influenced by external adverse stimuli and become impaired, and on the other hand, there are some factors in the child’s life that cause mental tension and cause adverse stimuli to the mental state. For example, the change of living environment, the child’s lack of psychological preparation for the first daycare, school entry, being raised by others in foster care, the sudden separation of parents, the death of relatives, as well as the fear of exams or fear of certain animals. All these may make the child nervous and anxious, so that the function of inhibition of urination occurs and becomes impaired, as a result of which the frequency of urination increases.  Neurogenic dysuria occurs in preschool children, especially in 4-5 year olds. It is characterized by an increase in the number of urinations per day without an increase in urine volume and a normal routine urine examination. The frequency of urination increases to 20-30 times a day, or even more than a dozen times an hour, but the volume of urination is very small each time, sometimes only a few drops, and there is no frequency after sleep, which is mainly aggravated before going to bed, during meals or classes. Diagnosis can be made based on these characteristics, along with related tests.  Differential diagnosis of neurogenic urinary frequency: 1. frequent urination and increased urine volume, taking diuretics or antihypertensive drugs containing diuretic ingredients, or drinking coffee, strong tea or large amounts of beer , the effect of drugs, caffeine, theophylline and other diuretic ingredients 2. frequent urination and high urine volume, accompanied by excessive drinking and eating, unexplained fatigue and wasting, common Diabetes mellitus .  4.Frequent urination with urgency, painful urination, and a feeling of incomplete urination after urination. Common cystitis or prostatitis, other urinary tract diseases 5, frequent urination with urgency, painful urination, and hematuria (or pus urine), urinary tract infection (or purulent infection), renal tuberculosis, bladder tumors, bladder stones, etc. 6, frequent urination, and the number of urination than usual more than 3-4 times urogenital disorders.  7, not accompanied by other symptoms of frequent urination , if there is no physiological reasons, bladder disease should be suspected, female pregnancy can be caused by uterine pressure, should also suspect the possibility of other gynecological diseases.  When a child now has frequent urination, the first thing to do is to go to the hospital for an examination: to rule out the effects of physical disease. When it is determined that the frequency is neurological, parents do not have to be too nervous, they should be patient with the child, tell him that there is nothing wrong with the body, there is no need to be anxious, do not be afraid, the symptoms of frequent urination will soon get better to eliminate the concerns of the affected child, encourage him to say the things that cause nervousness and anxiety, care about the problems he raises, give him serious explanations, comfort, so that he has a correct understanding of the problem of fear and worry, as soon as possible to return to the previous relaxed and happy state of mind. This will help him to have a correct understanding of his fears and worries and to return to his previous relaxed and happy state of mind. In this way, the frequency of urination will be naturally corrected. Usually, when the child wants to urinate, encourage him to hold back a little and prolong the time between urination, and praise him if there is progress, so that the interval between urination can be gradually extended to normal. Be patient with your child’s corrective education, never scold and reprimand, as this makes the child more emotionally tense. For children entering kindergarten or school, you should also obtain the cooperation of kindergarten and school teachers, understand and reassure your child more, relax in class, and participate in more relaxing games to focus your child’s attention on games or other activities. Some drugs such as atropine, scopolamine, 654 a 2. glutamate, etc., help regulate the nerves to make the bladder force urinary muscle relaxation, sphincter 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, add the right amount of sugar to drink as tea. Or use raw papaya sliced and soaked in wine for 1 week, about 9 grams each time, decocted in water, 1 dose per day, for 5-7 doses. You can also use 15-25 grams of Chinese medicine, add 500-1000 ml of water and decoct to 25O-500 ml, then fumigate and wash the anterior pubic area for about 30 minutes each time, 2-3 times a day, which is effective for pediatric dysuria.