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Urinary frequency in Children

Urinary frequency in Children (Overactive bladder in Children)
FB Dr Soarawee
Soarawee Weerasopone, MD

Minimally Invasive Uro-Oncologist
Royal Phnom Penh hospital, Kingdom of Cambodia

Children as well as adults have been visited my Urology office. There’s one symptom that very commonly complaint in pediatric patients, and that is “Child urinary frequency”. The urinary frequency normally concomitant with urinary urgency, in medical professional categorized them as a syndrome called Overactive bladder syndrome (OAB). This syndrome OAB has been reported perhaps 23% begun at age 5 years old and it will drop down to 12% while at 13 years old with a negatively impact on self-esteem along with the impairs of their development.

Let’s jump to the point and the definition of urinary frequency and urgency.

Child urinary frequency
Urinary frequency is roughly defined as urination more than 8 in daytime.

Child urinary frequency

  • Daytime – Small amount of voiding volume which is more than 8 times a day.
  • Nighttime – One or more nighttime urinating
Urgency
Too much sense of urgent urinating is one kind of Overactive bladder syndrome’s symptom.

Urinary urgency

  • Sense of urgent urinating and they may not make it to the toilet before the urine begins to flow.

While we have confirmed the diagnosis; with a full history taking; physical examination and laboratory investigation, then we will discuss about the treatment plan that would be divided into conservative treatment and oral medication.

Coca cola
Caffeine-containing drinks might be triggered OAB.
  1. Conservative treatment
    • Educate children and families about Child urinary frequency’s nature condition along with setting goal of treatment
    • Voiding-interval – scheduled voiding time for every 2 – 3 hours during daytime
    • Teaching a proper voiding technique – children should split their legs little bit and a foot stand should be helping to balance their foot when the toilets does not fit to them.
    • Minimize fluid intake before bedtime
    • Beverages that could be triggered an OAB – Caffeine drinks, chocolates, citrus and carbonated drinks
    • Improving the constipation conditions
Oral tablet
Sometimes, the oral medication might be required in OAB treatment.
  1. Oral medication
    • Oxybutynin is the only pharmacological oral agents which approved by the US FDA for OAB treatment in children
    • The common side effects from Oxybutynin are dry mouth, dry eyes, dry skins and constipation

There are varieties of alternative off-label oral tablets or even intravesical botulinum toxin injection in case a severe Child urinary frequency is encountered. But the important part of the treatment that we shouldn’t forget is, patient and family’s counseling educating along with setting a realistic goal of the treatment.

Realistic goal
Setting a realistic goal of treatment is the most important thing.

If you have any questions on Child urinary frequency, you can discuss with your trusted Urologist or it would be my pleasure if you text me. See you around!

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