Pollakiuria is a condition that causes frequent daytime urination in children, usually without any pain, infection, or physical cause. It is also known as benign idiopathic urinary frequency.
What is the definition of pollakiuria?
Pollakiuria is defined as urinating more than 12 times a day, often every 5 to 10 minutes, with small amounts of urine each time. The child does not have any incontinence (leaking of urine) or excessive thirst.
What is the etiology of pollakiuria?
The etiology (cause) of pollakiuria is not clear, but it may be related to a stressor or trigger factor in the child's life, such as a change in school, family, or personal situation. It may also be due to a heightened awareness of the bladder filling up, which makes the child feel the urge to urinate even when the bladder is not full.
What is the incidence of pollakiuria?
The incidence (frequency) of pollakiuria is not well known, but it is more common in children between 3 and 5 years old. It can also affect teenagers. It affects both boys and girls equally. It may occur in recurrent cycles for 1 to 2 years.
What is the work-up for pollakiuria?
The work-up (diagnosis) for pollakiuria is based on the history and symptoms of the child. No specific tests are needed, unless there are signs of infection, such as fever, pain, blood in urine, or foul-smelling urine. In that case, a urine test and culture may be done to rule out a urinary tract infection (UTI).
What is the treatment for pollakiuria?
The treatment for pollakiuria is mainly reassurance and support for the child and the family. The condition is harmless and self-limiting, meaning it will go away without any complications. The child should be encouraged to drink enough fluids and to wait longer to urinate without fear of having an accident. The parents and caregivers should not comment on or criticize the child's frequent urination, as this may worsen the anxiety and symptoms. Any possible stressors or triggers should be identified and addressed if possible. If the child has any underlying psychological or emotional issues, such as anxiety disorders or tic disorders, they should be treated accordingly.
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