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Frequent urination
My child is 3 yr old. He is going to pee very frequently within every 10 min or sometimes mostly before sleeping he just go after every 2 min. And he when he sleeps overnight he doesn't pee . He doesn't have fever or pain while peeing. I showed him to pediatrician she asked to do urine routine test. 1-2 pus cells were there so she gave antibiotic after that 60-80% improvement observed. After that again same thing he is doing from yesterday. I don't understand what it could be? Pediatrician checked him when i visited first so she said nothing could be major. But now again he is going to pee frequently what it could be?
Some of the common cause of frequency of urination is Urinary tract infection and parasitic infestation.
Other causes are constipation ,stress and neurologic structural abnormalities of bladder .All these should be excluded
Next Steps
Don't blame or scold the child for this.Anxiety should be addressed.Do through urine examination.If constipation present one should deal with it.Consult a urologist if neurological structural abnormality is present.
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If a child has frequent urination only during the daytime, with normal nighttime urine control and undisturbed sleep, and the urine routine is normal (e.g., only 1–2 pus cells and no other abnormalities), if no burning sensation, pain then the condition is likely pollakiuria.
It is temporary, and usually resolves on its own.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
Contact number: 97012307 two nine
Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology
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If it is new onset in favour of infection,improved with and as per your observation also I favour of infection.Go for CUE and culture with sensitivity again as symptoms again started. But this is Amal stage of development I saw cases some tough children will go for very frequent urination without any cause though very rare .No need of symptoms for UTI
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Most commonly it is UTI but since the urine exam is normal, no other symptoms of infection and as u r saying he doesn’t get up to pee, only pees frequently when he is awake, one of the possibility is pollakiuria. It is the psychological urgency to pee. It is usually self limiting.
Next Steps
Look for any stressors and try to eliminate it
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