Hello. Welcome to Ask A Doctor . I have read your query and here is my advice. Dysuria and hematuria can be due to kidney disease, sexual abuse, urinary tract infection, or bladder stones. When did your son s incontinence begin? Has your son ever been continent of urine? Is he wet all of the time? Only during the day? Only at night? Is he ever dry? Constipation can be a cause of urinary incontinence. ----------------------------------------------------------------------------- Has he injured his left shoulder and chest? Did he do vigorous exercise prior to onset of the pain? In addition to a fractured bone other possibilities are a pulled elbow or inflammation of the thin tissue that covers the lungs. Does he have any nausea or vomiting, abnormal eye movements, or ringing in his ears(which are related to dizziness)? Is he able to ride his bicycle without difficulty(which is related to weakness)? ------------------------------------------------------------------------------ Since his shoulder pain, dizziness, and weakness are so recent in onset, perhaps we can put them aside for the present, see how he does over the next several days,and concentrate on his kidneys. May I ask, what were symptoms that lead to the diagnosis of kidney disease? Does a pediatric nephrologist monitor your son? How often is your child see by the kidney specialist? Does your son take any medication? How are his lab studies doing? Complete Blood Count, BUN, and Serum Creatinine. Should you want a second opinion I recommend that your son be seen by a pediatric nephrologist who sees children at a University Medical Center. Hope I have answered your query. If you have any further questions, I will be happy to help. Arnold Zedd, MD, FAAP