August
12
19:53
Paediatrics

Frequent urination in children: causes, treatment

the child has urinary frequency (pollakiuria), and, of course, this causes concern to parents if a child did not get sick, and if ill, what it is and how to treat it?As a rule, frequent urge to the toilet "in the small" is associated with kidney and bladder.However, this is not all the causes of changes in the rhythm of urination in children.

Content

  • 1 Physiological thamuria
  • 2 kidney disease, bladder and urethra
    • 2.1 neurogenic bladder giperreflektornomu type
  • 3 Pathology Endocrine
  • 4 Pathology of the central nervous system
  • 5 Compression bladder outside
  • 6 Neuroses and psychosomatic disorders
  • 7 diagnosis (determine the causes of pollakiuria)
  • 8 Treatment

to startunderstand, what is the frequency of urination is normal.In children, this figure is closely related to age:

more frequent trips to the bathroom - an occasion to reflect on the health of the child.

In some cases, the causes of frequent urination can be quite harmless and not associated with the diseas

e, then indicate the presence of physiological pollakiuria.Physiological pollakiuria caused by the following factors:

Physiological thamuria absolutely not dangerous and do not need to treat it: the rhythm of urination returns to normal immediately after the removal of a proper factor.But it is often difficult to understand is whether the frequent urination physiological condition or a symptom of the disease.

signs indicating the presence of diseases:

Diseases and pathological conditions where noted frequent urination:

Cystitis - bladder infection - the most common cause of pollakiuria.Acute cystitis is easy to suspicion of a combination with pollakiuria painful urination and pain in the abdomen.The general feeling is rarely violated.

When urethritis (inflammation of the urethra), urine, too, is speeded up, and is accompanied by severe sharp pains, burning during urination all.

Frequent urination in children For pyelonephritis (inflammation pyelocaliceal system and connective tissue structures of one or both kidneys) pollakiuria characteristic to a lesser extent but nevertheless noted, especially when combined with cystitis.However, pyelonephritis will suffer overall health, pronounced symptoms of intoxication: the child weak, pale, he refuses to eat, he was concerned about abdominal pain, nausea and vomiting, fever.

Other, less common causes of pollakiuria associated with damage to the kidneys and bladder, may be noted:

Neurogenic giperreflektorny bladder - a violation of the basic functions of the bladder (collection, "possession" of urine and timely emptying) usually develops as a result of delaysmaturation of the nerve centers that regulate the bladder.Neurogenic dysfunction of the type shown giperreflektornomu isolated (with no signs of inflammation of the urinary tract, and pain when urinating) constant pollakiuria, which may be increased in stressful situations, against colds.Also pollakiuria often marked bedwetting and incontinence.

Frequent urination - a symptom characteristic of the two completely different diseases with similar name: diabetes mellitus and diabetes insipidus.

cause of diabetes is the disruption of the normal process of glucose uptake, which is not fed to the cells and accumulates in the blood.The main symptoms of diabetes in the early stages (before it was detected in the analysis of blood glucose levels rise) are thirst, increased appetite, weight loss and thus, isolation of large amounts of urine, and as a consequence - pollakiuria.In addition, children have a tendency to inflammation and purulent skin lesions (boils, folliculitis) and eye (conjunctivitis, blepharitis), itchy skin.

diabetes insipidus develops in violation of the hypothalamus or pituitary gland that produce including hormone vasopressin.Vasopressin is responsible for water reabsorption in the filtration of blood through the kidneys.With its lack produced a lot of urine.Diabetes insipidus is very rare, but can occur in childhood.The main symptoms of diabetes insipidus - thirst, polyuria (large amounts of urine) and related thamuria.

voiding occurs under the influence of impulses coming from the brain through the spinal cord to nerve endings in the bladder.If the chain is broken pulses, bladder emptying occurs spontaneously as the filling - there are frequent urination in small portions and incontinence.This is possible in trauma, tumors of the brain and spinal cord, with inflammatory and degenerative diseases of the spinal cord.

By reducing the volume of the bladder there is a need for more frequent emptying - developing thamuria.In addition to malformations, to reduce the volume of the bladder can cause compression from the outside in case of tumors in the pelvis, pregnancy in adolescent girls.

noted above that the stress and excitement of the child provoke physiological pollakiuria.Similarly thamuria develops in the case of children of neurosis, neurasthenia, and various psychosomatic conditions (vascular dystonia, etc.).In contrast to the physiological pollakiuria the stress - a temporary phenomenon observed during the 2-4, a maximum of 10 hours thamuria against the backdrop of neuroses and psychosomatic constant, although it may not be so pronounced.And, of course, the child found other symptoms - increased anxiety, mood swings, tearfulness or aggression, phobias, etc.

If pollakiuria physiological causes have been excluded, in addition to the doctor's survey and examination of the child is required to appoint urinalysis, allowing you to install the most typical causes of frequent urination - cystitis or pyelonephritis.

a general analysis of urine may also be suspected of other diseases of the kidneys (glomerulonephritis, urolithiasis), and diabetes mellitus.

Depending on the results of urinalysis doctor prescribes the following lab tests, as well as advice from one of the experts (by prescription):

Typically, these studies allow sufficiently accurate diagnosis in the future to clarify the nature and severity ofthe disease may require other diagnostic procedures (CT and MRI, excretory urography, etc.).

As you can see, the causes of pathological pollakiuria can be extremely serious and require qualified treatment.Of these diseases, perhaps only cystitis and urethritis of the child can be treated on an outpatient basis, ie at home under the supervision of a doctor from the clinic.All other causes (pyelonephritis, newly diagnosed diabetes, etc.) imply a treatment in a hospital where there is the possibility of a full examination of the child, and around the clock monitoring of his condition.

clear that the treatment will be carried out in strict accordance with diagnosed as pathological pollakiuria impossible to stop without affecting the underlying disease.The choice of specific drugs is carried out by a doctor, and the spectrum used for pollakiuria drugs and therapeutic measures is very broad:

But the most important thing you need to know the parents: frequent urination - not a harmless condition , cause it can be serious and dangerous disease.If thamuria saved the child more than a day or occurs frequently, accompanied by other morbid symptoms - do not attempt to diagnose and prescribe treatment!Consult your doctor, as the delay in a number of cases is fraught with rapid deterioration.