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problem with 3 year old having urination pain
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An_222045 posted:
My 3 year-old has been having a lot of pain during and after urination. She frequently cries and holds her bottom saying it hurts, and she feels like she has to go repeatedly. We have been to her doctor twice and they said the urine test came up negative and that there is nothing wrong, but this is going on 4 months now, and the behavior is out of character for her. She also was potty trained fine, and now wets the bed at least once every single night. What can we do?
Reply
 
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cjl0510 responded:
I am a firm believer of second opinions. Go with your instinct- you know your child the best. Good luck!
 
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Roy Benaroch, MD responded:
The normal urine tests mean that there is no urinary tract infection or diabetes, but there is certainly "something wrong." Your daughter is having pain, and has now started having nighttime accidents again.

The most common cause of these symptoms with a normal urinalysis is a physical process called "dysfunctional voiding." Basically, this begins with a child developing a habit of urinating infrequently or incompletely. Sometimes they're just rushing off the toilet, or sometimes they're unwilling to stop doing something fun so they can go to the bathroom. Overtime, chronic "holders" develop a thickened bladder wall that doesn't empty well, and can start to to have painful "bladder spasms." These kids will have the urge to urinate frequently (though the amounts will be small), will sometimes have little dribbly accidents, and can have issues with painful urination and wetting the bed. Often, there is constipation (stool holding) at the same time as urine holding, and that will need to be addressed too.

I wrote some general ideas about treating this here: http://pediatricinsider.wordpress.com/2008/10/29/clueless-little-accidents/. You'll probably need input from a pediatrician or pediatric urologist with interest and experience in this area for further guidance.

Best of luck!
 
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lverslues replied to Roy Benaroch, MD's response:
Thank you for your reply which I printed off to take along to her doctor. We are taking her to see a specialist next week, so I hope we can get some answers.
 
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Roy Benaroch, MD replied to lverslues's response:
Please let us know how it goes!
 
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Jayshawn replied to Roy Benaroch, MD's response:
My child has the same problem except he's a boy. We have been back and forth to the doctor too, but they seem not to find anything wrong. They want me to believe that it's normal for that age, but I disagree completely because this is a constant compliant from him all day long.. I need help with this because its aggravating.


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