Problems with urinating
November 2, 2014 | 20,00 EUR | answered by Dr. med. Ralf Berg
My daughter (9) has been having problems with urination for 3 weeks, always at night. For a few days it's okay again, then it happens that she has to go again shortly after urinating. She says it burns and then she feels like she has to go to the toilet. But hardly anything comes out. The first time we went to the doctor because I thought she had a bladder infection. But the urine was completely fine. Everything is okay during the day. It only happens every few nights. What could it be? I heard about a rhabdomyosarcoma on the internet and now I'm very scared.
Good day,
A rhabdomyosarcoma is a serious, but extremely rare condition. You don't have to be afraid. It's like buying a lottery ticket and worrying about winning the jackpot. The worries are usually unfounded.
What can you do?
All symptoms ultimately point to a bladder infection. It's not always possible to find the bacteria in the first examination.
You should definitely prepare several clean screw-top jars and collect both urine at night and the first urine that comes in the morning after a night of discomfort. If possible, it's best to collect only the urine that comes in the middle of the stream (midstream urine). Otherwise, better collect the entire urine. It's better than none at all. Then have it examined by the doctor the next day.
If no bacteria are found in these three samples, there are 2 possibilities:
1. Your daughter will empirically receive an antibiotic for the bladder for 3 consecutive days (of course, age or weight-adjusted) based on clinically suspected urinary tract infection, and it will be observed whether all symptoms have disappeared.
2. Your daughter will be presented to the urologist. Then he must decide based on his examination and assessment of the situation whether he proceeds with the procedure as in 1, or immediately seeks further diagnostics (e.g. bladder examination).
If a treatment as described in 1 has not yet been carried out, there is a probability of over 90% that this treatment will be effective.
Bladder infections in girls are rare, but they also account for 90% of all causes of urination problems here.
PS: You should also inspect your daughter's genitals for injuries, and in a gentle conversation, find out if she has manipulated them for any reason.
I hope my answer has helped you and shown some possible solutions.
I hope this answers your questions.
Have a nice Sunday, Dr. R. C. Berg
