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What Causes Frequent Urination In An Autistic Child?

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Posted on Wed, 9 Dec 2015
Question: Hi My son XXXXXXX 00 yrs old who is autistic is having a problem of going to the toilet for passing urine or stools every 5 to 10 minutes . This started 2 months Back where the intervals was every half hour now it is 5 to 10 minutes . We took his urine routine test

Only puss is showing little high . We are giving anti biotic last 5 days . No changes it has only got worse . We met a urologist .who says if he is not going at night should be psychological . Can you help ?
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Answered by Dr. Seikhoo Bishnoi (43 minutes later)
Brief Answer:
Psychological stressor could be the cause

Detailed Answer:
Hi, thanks for asking from HCM for your health related doubts

I can understand your concern. Poor bladder and bowel control in a child of autism can occur due to a number of reasons. Poor motor control or urological causes are common possibilities but as you already consulted urologist and nothing found so we are left with psychological causes.

In a child of autism underlying psychological stress is one of main factor for abnormal behaviour. Some children experience stress due to inability to cope with normal children and they are also being ridiculed by other children. All these things increase stress and the child might pass spontaneously. Try to find out any psychological stress in him and if there is any significant cause then try to remove it.

Other possibility is some compulsive behaviour coupled with poor toilet training. A lot of children suffering from autism have associated mental retardation and this cause poor learning and lack of toilet training. Some times the child might develop compulsive, repetitive behaviour which might result in passing of stools and urine in compulsive basis. A proper psychological evaluation might help to find out the exact cause of this problem.

Low dose antipsychotics especially Risperidone along with proper reassurance and toilet training with effort will help to improve the situation. So please consult a psychiatrist for his evaluation.

Pus might occur due to some minor urinary infection but this can't cause spontaneous passing of stools and urine.

Thanks, I hope this is helpful for you. Please don't hesitate to ask again for more doubts.

Take care
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5193 Questions

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What Causes Frequent Urination In An Autistic Child?

Brief Answer: Psychological stressor could be the cause Detailed Answer: Hi, thanks for asking from HCM for your health related doubts I can understand your concern. Poor bladder and bowel control in a child of autism can occur due to a number of reasons. Poor motor control or urological causes are common possibilities but as you already consulted urologist and nothing found so we are left with psychological causes. In a child of autism underlying psychological stress is one of main factor for abnormal behaviour. Some children experience stress due to inability to cope with normal children and they are also being ridiculed by other children. All these things increase stress and the child might pass spontaneously. Try to find out any psychological stress in him and if there is any significant cause then try to remove it. Other possibility is some compulsive behaviour coupled with poor toilet training. A lot of children suffering from autism have associated mental retardation and this cause poor learning and lack of toilet training. Some times the child might develop compulsive, repetitive behaviour which might result in passing of stools and urine in compulsive basis. A proper psychological evaluation might help to find out the exact cause of this problem. Low dose antipsychotics especially Risperidone along with proper reassurance and toilet training with effort will help to improve the situation. So please consult a psychiatrist for his evaluation. Pus might occur due to some minor urinary infection but this can't cause spontaneous passing of stools and urine. Thanks, I hope this is helpful for you. Please don't hesitate to ask again for more doubts. Take care