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Urinary and Genital Disorders (Children)

Urinary retention

06/28/2000 11:51PM

Question:

i browsed through the previous questions and did not see anything that helped me. I have a 7 year old son who, as of the last week, has been urinating only once or twice a day. He is not dehydrated, and is eating well. No other symptoms. Upon exam from his doctor, he complained of pain when she pressed on his bladder, and over his kidney area.Otherwise, he has not complained. He went for an ultrasound, and his bladder was full. He urinated, and emptied out completely.But, he is still not urinating more than twice a day, usually only once. We are waiting for the culture of the urine test, but meanwhile, was hoping you could tell me what it could possibly be.He has alot of intake, so I don`t understand why not the output? I would appreciate anything you may have on this.Thank you.

Answer:

Some children learn to to just hold their bladders for a long time. This is not healthy as it may lead to problems with infections, etc. if the voiding patterns continue. These children need to undergo "bladder retraining" whereby they go the bathroom at set intervals throughout the day and void at a determined schedule, such as every three hours. This often can be difficult because the child does not have any symptoms and often does not see the need to void more often. Infrequent voiding can also be due to fecal retention. A child who does not void regularly, will nearly always not be emptying the bowels daily and completely. A bowel program including laxatives and regular defecation would be helpful. Rarely these voiding patterns can be due to a neurological problem but this is extremely unlikely in an other wise healthy boy with no symptoms.

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Response by:

Nationwide Children's Hospital Rama Jayanthi, MD
Pediatric Urologist
Section of Pediatric Urology
Nationwide Children's Hospital
The Ohio State University