Urinary Problems and Injuries, Age 11 and Younger
Urinary problems and injuries are a concern in children. A young child may not be able to tell you about his or her symptoms, which can make it hard to decide what your child needs. An older child may be embarrassed about his or her symptoms. When your child has a urinary problem or injury, look at all of his or her symptoms to determine what steps to take next.
Pain during urination (dysuria) and a frequent need to urinate are common symptoms in young children. When your child has only one of these symptoms, or when the symptoms are mild, home treatment may be all that is needed to prevent the problem from getting worse and help relieve symptoms. Mild symptoms include:
Pain during urination and a frequent need to urinate can also mean your child has a urinary tract infection. Urinary tract infections (UTIs) are the second most common bacterial infection in children. When your child has an infection, bacteria grow in the bladder and irritate the bladder wall. This causes pain as soon as a very small amount of urine reaches the bladder. You may find your child trying to urinate more often than usual in an effort to soothe the pain. But your child will pass very little urine because the bladder has only collected a small amount since the last time he or she urinated. Symptoms of a UTI vary depending on a child's age.
Newborns and children younger than 2
Babies and very young children who have UTIs often have symptoms that do not seem specific to the urinary tract. Symptoms may include:
Children age 2 years and older
Young children who have a UTI usually have symptoms that are more clearly related to the urinary tract. Symptoms may include:
UTIs are caused when bacteria, such as Escherichia coli (E. coli), which are normally present in the digestive tract, enter the urinary tract. Two common types of UTIs are:
Except during the first 3 months of life, girls are more likely than boys to have urinary problems. Girls are also more likely than boys to have more than one UTI.
Babies and young children who have problems with the structure or function of the urinary tract may be more likely to have UTIs. A problem such as vesicoureteral reflux or an obstruction in the urinary tract may make it hard to empty the bladder completely. This will allow bacteria to grow and spread more easily through the urinary tract. These problems may be present at birth (congenital) or can be the result of surgery, injury, or past infection.
During the first year of life, boys are more likely than girls to have a structural (anatomic) reason for urinary problems. If your child has a known structural or functional problem with the urinary tract, follow your doctor's instructions about when to seek care for urinary symptoms.
In rare cases, a urinary symptom may indicate a more serious illness, such as diabetes.
An injury, such as getting hit in the back or genital area, may cause urinary problems. A visit to a doctor is usually needed if your child has trouble urinating, cannot urinate, or has blood in his or her urine.
Check your child's symptoms to decide if and when your child should see a doctor.
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