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"Regarding frequent urination"
My son is four years old. For the past six months, he has been urinating frequently. He is unable to control it, and a little urine leaks onto his clothes. When I notice this, I take him to the toilet and make sure he empties his bladder completely, then I change his clothes. But again, after a short while, he feels the urge to urinate. Since he tries to hold it in, some urine leaks onto his clothes again. This happens frequently. He tells me, "Daddy, I need to pee often."
Which doctor should I consult for this problem? How can this be treated?
Answers (10)
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Frequent urination, urgency, and occasional leakage in a 4-year-old can have several underlying causes, ranging from functional bladder issues (like overactive bladder) to constipation or even behavioral factors. Sometimes, children experience these symptoms due to stress or delayed toilet training maturity.
Next Steps
I would recommend a step-wise approach, starting with a CBC, RBS, basic urine examination to rule out infections, and reviewing the child’s stool patterns, fluid intake, and voiding habits.
Health Tips
you can reach out to me via practo or your local pediatrician
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Based on your description, your 4-year-old son may be experiencing a condition called overactive bladder or voiding dysfunction, where the child has frequent urges to urinate and may leak urine before reaching the toilet.
This is relatively common at this age and is usually not due to a serious medical problem, but it does need evaluation.
So it's better to consult a pediatrician.
Next Steps
Keep a bladder diary- Note how often your child urinates and fluid intake
Encourage regular toilet trips (every 2–3 hours)
Avoid bladder irritants like excess juices or chocolate
Ensure your child empties the bladder completely every time
Health Tips
Seek Prompt Attention If your child has pain while urinating, fever, blood in urine, or swelling in the abdomen, seek medical attention sooner.
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Hello, I understand your concern
This can be due to various causes: An overactive bladder, Holding urine for too long, Mild constipation pressing on the bladder, Sometimes even emotional stress or changes at home or school
Urine routine + microscopy – to rule out UTI
Random blood sugar – if polyuria/polydipsia
Check for constipation – even mild stool retention can affect bladder control
If normal → proceed with conservative bladder training
Next Steps
Take your child to the toilet every 2 to 3 hours, even if he doesn’t feel the urge. Make sure he empties completely — you can ask him to try again after finishing.
Avoid giving excess fluids late in the evening. Cut down on sugary drinks or juices, especially those with caffeine.
Health Tips
Visit nearest Pediatrician for detailed examination and management
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Dr. Sachin Pariskar
Pediatrician
8 yrs exp
Pune
Kindly consult once physically to nearby pediatrician for examination
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Dr. Prathibha Reddy
Pediatrician
12 yrs exp
Hyderabad
Go for cue test to rule
Out urinary Tract infections .
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation for further evaluation
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Dr. Noureen Sadaf
Pediatrician
3 yrs exp
Kota
Consult a local Paediatrician. This can be due to a local infection or a urinary infection. Also advise your son to not hold back and urinate as much as need be.
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Dr. Jyothi
Pediatrician
2 yrs exp
Hyderabad
Please consult local pediatrician
Can be a urine infection or any local pathology
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Dr. Anjali Maini
Pediatrician
33 yrs exp
Gurgaon
You can show him to a local paediatrician. From your history I understand that he was able to control the urine before 6 months. You have not mentioned about night time continence
A detailed checkup is required - if any social stressors are there, any local problem, spinal or neurological problems associated
The doctor will test for urine examination, routine urine with specific gravity and osmolality, a urine culture to rule out infection if any
We also usually deworm routinely as well as make sure he is not constipated
A toilet hygiene is important to take care of so that there is no cause for urine infection - most urine infections come from the faeces
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings it could be due to urinary infection or due to local Infection kindly consult Pediatrician in person
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.