My question is for a child: 6 years, female, 22 kg. Symptoms: has frequent urination during day 5 minutes- 1 hour starting from about a month ago, if she wakes up at night she will go pee; she is diagnosed with pollakiuria and cystitis. The symptoms started with gradually more and more frequent urination. She has no pain when urinating or during a medical examination of the lower/higher abdomen. Stool is normal consistency with a frequency of 1-3 days.
Other medical condition:
General condition is okay, she has constant small pain around the belly button since she was little, unconnected to what she eats, time of the day or stool/pee; she is used to ignore it; she has a light form of vulvitis meaning it gets red and starts scratching so in order to fix this we use a dermatologic creme recommended by a dermatologist: Cicalfate; before bed each day, we wash her and use the creme; and the skin returns to a normal aspect if we keep using the creme; we tried other cremes as well, mostly they work but if we stop the treatment it starts inflammation again. There is no kind of liquid or secretion from vagina.
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The child has only day time frequency. If she wakes up, then she voids. This is very significant history. This means there is no organic disease. A diseased bladder will lead to frequency day and night. No constipation, normal urine examination, normal ultrasound findings. Such frequency is transient behavioural issue. Do not pay attention to her demand to pass urine. Neither positive nor negative response. Stool habits are important, avoid constipation. During this transient period of symptoms: may give tablet Oxybutynin 5 mg extended release after breakfast. If persistent symptoms repeat urine analysis (no need of culture if no significant pus cells/ leukocytes).
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