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Query about urination in a child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3511 Questions
User :   My daughter is 3 years old.Recently she has developed a habit of urinating very less.She is stopping the urine if she has nature's call.She purposely avoids going for urination.She urinates withina interval of 5-6 hours which has now increased to 10-15 hours.She doesn't complain of any pain.We had a urine test which didnt show any infection.What could be done?
Doctor :   hello
User :   hello
User :   ya sir
User :   My daughter is 3 years old.Recently she has developed a habit of urinating very less.She is stopping the urine if she has nature's call.She purposely avoids going for urination.She urinates withina interval of 5-6 hours which has now increased to 10-15 hours.She doesn't complain of any pain.We had a urine test which didnt show any infection.What could be done?
Doctor :   any recent changes in your life ?
User :   no
Doctor :   like moving to a new place?
User :   no
Doctor :   or a new baby ?
User :   no
User :   she drinks less water
Doctor :   is she drinking water the usual ?
User :   she always has cold
Doctor :   well you have to prompt her to drink more water . either in can be juice too
Doctor :   as long as she is taking right amount of liquids
User :   we are worried whether her kidneys are ok
Doctor :   dont worry the urine test would have shown any abnormality
User :   but she is very active and intelligent
Doctor :   what did her pediatrician said ?
User :   we haven't shown the report yet
User :   what does pus cells;ocassional mean
Doctor :   a active child is a sign of a healthy normal child
User :   in urine test
Doctor :   tell me the report ?
Doctor :   do tell me whats in the report
User :   can u wait for 1 min
Doctor :   sure
User :   i will bring the report
Doctor :   ok
User :   ya
User :   colour:pale yellow
Doctor :   ok
User :   app:opalescent
User :   deposit:absent
User :   recation: acidic
User :   protein:traces
User :   glucose:absent
User :   ketone bodies;absemt
User :   bile salt;absent
User :   bile pigment:absent
User :   pus cells:occassional
User :   rbc :absemt
Doctor :   ok
User :   epithlial cells;few
User :   crystals: absent
User :   casts:absent
User :   casts:absent
User :   others: absent
User :   thats it
User :   are u there
Doctor :   k
User :   what can we make out
Doctor :   Normally 2 to 3 pus cells are present in HPF (high power field of microscope).
If more than 5 it indicates urinary tract infection or non infectious condition such as fever, stress, dehydration irritation to urethra, bladder or urethra.
User :   here its wrietten occasional then
User :   is the report normal or not
Doctor :   since she does has few pus cells. then i will suggest you to take it to her pediatrician
Doctor :   at the same time do make sure you give her lots of liquids
User :   but is this report normal
User :   she is very weak by the way and she is just 10 kgs
User :   3 foot height
User :   but very very active
Doctor :   i see
Doctor :   well she does need a physical examination to be done for proper assessment ,the report in general is normal
Doctor :   just the few pus cells which like i said no number is given
User :   no number given
Doctor :   yes
User :   but what do u say abt her weak weight
Doctor :   thats why you should see her physician
Doctor :   how is her diet ?
User :   she eats very very less
User :   u cannot imagine hw much less
Doctor :   you need to tell this to the pediatrician they will prescribe some appetite stimulants
User :   ok
Doctor :   but if othre wise if she is active then its nothing serious
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