Just to recap quickly (you can read my original post on the frequent peeing problem here) - she was getting up several times at night to pee and on her two worst days peed between 40 and 50 times a day. Through a urine test, doctors ruled out a UTI (she also has no pain) and diabetes insipidus. After the second urine test came back, our pediatrician recommended we wait a week and monitor her pooping pattern because she explained frequent peeing can actual be a sign of constipation.
After two and half days (sorry, this mama can't wait a full week...so I rounded up) of writing down everything that came out of her and at exactly what time, I figured two or three normal looking poops a day meant she wasn't constipation.
We are lucky to live near one of the best pediatric hospitals in the country so I called the urology department thinking it would be at least a week to get in. They were able to get us in the next day.
Armed with four pages of notes about exactly when she ran to the potty over 3 days (one day it was 23 trips between 5:30pm and when she was finally able to fall asleep) we were off to meet the pediatric urologist at AI Dupont/Nemours Children's Hospital.
|Again...and again...and again...|
Finally, we met with the nurse who drilled me on her peeing patterns, behaviors (was she doing this for attention? because I'm potty training my son?), how much she's emptying, bed wetting (which she's not), accidents (again, no), and so on. From there it was determined she needed an X ray and a ultrasound to determine if there were any problems with her kidneys, bladder, stomach or as the doctor put it: "if she's full of poop because constant peeing can be a sign of constipation." They kept coming back to this, but I was sure it was not the case.
All the tests came back normal...she did not have any weird tumor, an extraordinary amount of poop, or a kidney dysfunction. The urologist also ruled out that the frequent peeing is behavioral since she's getting up in the middle of the night and getting frustrated by the fact that she has to keep going.
They also ruled out Pollakiuria aka Extraordinary Daytime Urinary Frequency Syndrome. This was ruled out because kids with this condition don't wake up at night to pee. It did seem like this was the closest match because she has no other symptoms and only very small amounts of urine are produced...both symptoms of this rare diagnosed condition that does not require treatment and goes away on its own in several weeks to months.
Since we already knew it was not a UTI or inspidus those were also off the table. That left us with two other possibilities: Overactive Bladder and bladder spasms. A bladder scan showed that even at the tiniest amount of urine in the bladder, Olivia would feel as if she has to go to the bathroom.
While she has no other symptoms and she's not in any pain, the doctor felt it best to treat this as bladder spasms because of how disruptive it has become. The medication is supposed to relax her bladder so it stops spasming and therefore she does not feel as if she has to pee at every drop of pee.
We are now on day three of medications and while we're seeing a decrease in daytime peeing, she's still getting up several times at night to pee.
And so we continue to wait to see if the medication helps and how she will react to it...as with many meds the list of side effects is longer and more extreme than her current symptoms.
My questions big questions now about my four year old girl's frequent peeing are:
How long will she need to be on medication?
What if the medication doesn't work?
What caused this sudden onset of frequent urination?
Is it possible the frequent peeing is related to a growth spurt?
Will this be a problem long-term or will she grow out of it?