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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Straining To Urinate, Ketones In Urine Culture, Blood Work Normal. Has Autism. Medical Or Behavioral Problem?

9 year old boy with autism , completely potty trained but minimally verbal, has been straining to urinate 20-30 times per day. He occasionally cries and moans when he attempts to void. Urine culture was negative, except for trace ketones . Blood work showed normal fasting glucose levels. He ca empty his bladder daily, but he continues to struggle with the urge to void. This has been ongoing for almost 3 weeks. Can his problem be medical instead of behavioral?
Fri, 14 Dec 2012
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Pediatrician,  's  Response
Hi,
This is an interesting situation.If this problem is only for the last 3 months then we have to look into the problem with little extra care. Trace ketones and normal blood sugar signifies that he does not have diabetes. This problem may occur if he has a stone somewhere in his urinary tract or a bladder inflammation.This can be overcome by giving him some Alkasol solution with water for few days. Water intake should be increased adequately. If the problem persists a through investigation of his urinary system should be done. Wishing you the best.Have a nice day.
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Child Straining To Urinate, Ketones In Urine Culture, Blood Work Normal. Has Autism. Medical Or Behavioral Problem?

Hi, This is an interesting situation.If this problem is only for the last 3 months then we have to look into the problem with little extra care. Trace ketones and normal blood sugar signifies that he does not have diabetes. This problem may occur if he has a stone somewhere in his urinary tract or a bladder inflammation.This can be overcome by giving him some Alkasol solution with water for few days. Water intake should be increased adequately. If the problem persists a through investigation of his urinary system should be done. Wishing you the best.Have a nice day.