Can neurogenic urinary frequency be treated? What causes frequent urination?

Careful parents will observe that both children and adults often have symptoms of frequent and urgent urination. Physiological frequent and urgent urination is because the body excretes too much water quickly due to drinking too much water. It is normal to have frequent and urgent urination due to frequent exercise. Such people can excrete a large amount of urine at one time, so there is no need to worry too much. Neurogenic frequent urination is due to urinary tract infection, bacterial inflammation, and neuroinflammation problems in patients, which makes it easy for them to wet the bed while sleeping, have short urination, small urine volume, and frequent going to the toilet. These diseases of all ages are related to different reasons, and it is important to find appropriate treatment methods.

What is neurogenic urinary frequency in children?

Neurogenic urinary frequency in children is a common disease in our pediatric outpatient clinic. The only clinical manifestation is the frequent urge to urinate when the child is awake. That is, the child's daily urination frequency increases, but the urine volume does not increase significantly. Generally, frequent urination will be significantly aggravated before going to bed, during meals, and during classes. The symptoms of frequent urination disappear after the child falls asleep, and he usually does not wet the bed. I went to the hospital for a routine urine test and everything was normal. This is non-infectious frequent urination.

What is the cause? What is the initial age of onset?

In fact, children with neurogenic urinary frequency do not have any organic lesions. There are two main reasons for frequent urination: internal and external. The internal reason is that the cerebral cortex of children is not yet fully developed, and the inhibitory function of the primary urination center of the spinal cord is poor, which makes it easy to be affected by adverse external stimuli and have urination dysfunction. External factors may be that the child has some negative influences in his or her recent life, which have caused the child to be nervous or have had adverse stimulation to his or her mental state, such as changes in living environment, lack of psychological preparation like just entering kindergarten or school, or the sudden separation of parents or the death of relatives. As well as fear of exams or fear of certain animals, etc. These may increase the child's mental tension, cause anxiety, and impair the function of inhibiting urination. As a result, the child will show frequent urge to urinate and increase the frequency of urination.

Neurogenic urinary frequency is common in preschool children, and is most common in children aged 3-5 years old. At this age, children have just developed a certain degree of self-awareness and urination awareness, so they are most susceptible to internal and external factors and cause neurogenic urinary frequency.

At what frequency of urination is it considered frequent urination? What are the clinical manifestations of the children?

A normal child may urinate 6-8 times a day, while a child with neurogenic frequent urination may urinate 20-30 times a day, or even 40-50 times a day, or more than 10 times an hour. However, the amount of urine excreted each time is not much, sometimes only a few drops, and the frequent urination symptoms will disappear after falling asleep.

The child had no other abnormalities except increased frequency of urination when awake. Urinalysis was also normal.

Why is it often misdiagnosed as a urinary tract infection? What is the difference between the two? How is it diagnosed?

If you find that your child has frequent urination, you should first take him to the hospital for examination to rule out the influence of disease. Because neurogenic urinary frequency is a non-infectious type of urinary frequency and urgency. Urinary tract infection in children is an infectious disease and can also manifest as frequent and urgent urination. A routine urine test at the hospital can provide a clear diagnosis.

Urine tests for urinary tract infection in children will be abnormal, showing turbid urine mainly composed of white blood cells. Children will generally also have other symptoms of discomfort, such as fever, crying, irritability, etc. An experienced pediatrician can usually tell the difference. Parents and friends need to pay attention to the fact that they should collect midstream urine after cleaning the external urinary opening of their children, so as to avoid test errors caused by unqualified urine specimens and affecting the doctor's judgment.

What should I do if my baby suffers from neurogenic urinary frequency? How to treat it?

Once it is confirmed to be neurogenic frequent urination, parents do not need to be too nervous. First, they should analyze the child's recent living conditions, find out the things that cause the child to be nervous and anxious, explain it carefully to the child, comfort him, let him have a correct understanding of the things he is afraid and worried about, and return to his previous relaxed and happy mood as soon as possible. In this way, frequent urination will be corrected naturally. When the child wants to urinate, encourage him to hold it in and extend the time between urinations. If he makes progress, he should be praised and the urination interval should be gradually extended to normal. For children who have just entered kindergarten, the cooperation of kindergarten teachers is required. The teachers should be more understanding and comfort the children. The children should relax during class and participate in more relaxing and enjoyable games to focus their attention on games or other activities. Some drugs such as 654-2. GABA, etc., help regulate the nerves to relax the detrusor muscle of the bladder, contract the sphincter, increase the bladder's urine storage capacity, and reduce the frequency of urination. It can be used under the guidance of a doctor when necessary. In addition, you can try using 15 grams of corn silk, decocting it in water, and adding appropriate amount of sugar to drink instead of tea. Generally speaking, most children around three years old can be relieved after emotional regulation, and drug treatment is not recommended.

What issues should we pay attention to when taking care of such a baby at home? How to provide good home care?

At home, we should be more patient with such children, care about their food, clothing, housing and transportation, and tell them that there is nothing wrong with their bodies, and that they don't need to be anxious or afraid. Encourage him to talk about the things that cause him tension and anxiety, care about the questions he raises, give serious explanations, and comfort him. In this way, frequent urination will be corrected naturally as the mental stress is relieved. Never hit, scold or reprimand your child, as this will make him more nervous and the frequent urination will persist without improvement. When caring for your child at home, you need to pay attention to cleaning the child's external urinary opening in time and changing the child into clean clothes when you find that the child has wet his pants, so as to avoid causing buttocks eczema due to urine soaking the child's delicate little buttocks for a long time.