Isolated extraordinary daytime urinary frequency of childhood: a case series of 26 children in Switzerland.
Acta Paediatr
; 96(9): 1347-9, 2007 Sep.
Article
in En
| MEDLINE
| ID: mdl-17718789
ABSTRACT
BACKGROUND:
The term 'isolated extraordinary daytime urinary frequency' designates an abnormally increased diurnal frequency of painless urination in a completely toilet-trained child with normal urinalysis.METHODS:
We report the history of 26 children (16 boys and 10 girls; aged between 4.1 and 10 years) who were referred to us between 2002 and 2006 and subsequently diagnosed with this condition.RESULTS:
Possible psychosocial problems, or recent emotional stressors, were disclosed in the majority of the children recent (36 months or less) asylum seekers (n = 9), school-related problems (n = 4), parental divorce (n = 2) or death of the mother (n = 1). Possible dietary causes were observed in 9 patients oxalate-rich beverages (n = 5) and liberal ingestion of 'acidic' juices (n = 4). A diet low in oxalates was recommended when children were consuming large quantities of oxalate-rich beverages; and a diet low in acidic juice was recommended in those liberally ingesting acidic juices. Reassurance and observation were the approach in the remaining cases. The median duration of the symptoms was 5 months. A longer (p < 0.05) duration was noted in children of asylum seekers.CONCLUSIONS:
This functional condition is easily identifiable, but often under- or misdiagnosed. Confounding the condition might result in redundant investigation.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Periodicity
/
Urination
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
Acta Paediatr
Year:
2007
Document type:
Article
Affiliation country:
Switzerland