{"id":2845,"date":"2021-04-09T08:00:00","date_gmt":"2021-04-09T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=2845"},"modified":"2026-08-30T03:26:31","modified_gmt":"2026-08-29T20:26:31","slug":"%e0%b9%80%e0%b8%94%e0%b9%87%e0%b8%81-%e0%b8%9b%e0%b8%b1%e0%b8%aa%e0%b8%aa%e0%b8%b2%e0%b8%a7%e0%b8%b0-%e0%b8%84%e0%b8%a7%e0%b8%b2%e0%b8%a1%e0%b8%96%e0%b8%b5%e0%b9%88-oab","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/th\/2021\/04\/09\/child-urinary-frequency-oab\/","title":{"rendered":"Urinary Frequency in Children: Overactive Bladder Explained"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 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2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">Children come to my urology clinic as well as adults, and one of the commonest complaints among them is passing urine too often. Frequency usually travels together with urgency, and the two together are what we call <strong>overactive bladder syndrome (OAB)<\/strong>. It is reported in around 23% of children at age 5, falling to about 12% by age 13 \u2014 and while those numbers show it often improves with time, it is worth taking seriously in the meantime, because it knocks a child&#8217;s self-esteem and interferes with their development and schooling.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One thing to say to parents first: a child who suddenly needs the toilet every half hour is not being naughty, attention-seeking or lazy. The urge is real, and they cannot hold it the way an adult can. Treating it as behaviour rather than as a bladder problem is the single thing that makes these children feel worst about themselves.<\/p>\n\n\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What is urinary frequency in children?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Urinary frequency in children is defined as urinating more than 8 times during the daytime in small amounts, and\/or waking up one or more times at night to urinate. When combined with urinary urgency, this is classified as Overactive Bladder syndrome (OAB).\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"How common is overactive bladder (OAB) in children?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Overactive bladder syndrome affects approximately 23% of children starting at age 5, decreasing to about 12% by age 13. It can negatively impact a child's self-esteem and overall development.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What drinks and foods can trigger overactive bladder in children?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Beverages and foods that can worsen OAB symptoms in children include caffeine-containing drinks, chocolate, citrus fruits and juices, and carbonated drinks. These should be minimized or avoided.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"How is urinary frequency in children treated without medication?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Conservative treatment includes educating the child and family about OAB, scheduling voiding every 2\u20133 hours during the day, teaching proper toilet posture (legs slightly apart with foot support), minimizing fluid intake before bedtime, avoiding trigger beverages, and treating constipation if present.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What medication is approved for overactive bladder in children?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Oxybutynin is the only oral medication approved by the US FDA for treating overactive bladder in children. Common side effects include dry mouth, dry eyes, dry skin, and constipation. Other off-label medications or bladder injections may be considered in severe cases.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"When should I take my child to a urologist for urinary frequency?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"If your child urinates more than 8 times per day, wakes up at night to urinate, has sudden strong urges to urinate, or if conservative measures at home are not helping, you should consult a pediatric urologist for proper evaluation and a tailored treatment plan.\"\r\n      }\r\n    }\r\n  ]\r\n}\r\n<\/script>\n\n\n\n<h4 class=\"wp-block-heading\">Before anything else: when this is not overactive bladder<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Almost all of this article is about a common, manageable, non-dangerous problem. But a child passing urine very often can occasionally be the first sign of something that needs attention quickly, and those signs are easy to miss precisely because everyone assumes it is a bladder habit. Please read this short section before the rest.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The one that matters most is new diabetes.<\/strong> In a child, diabetes very often announces itself exactly like a bladder problem \u2014 passing large amounts of urine, all day, sometimes with wetting at night in a child who had long stopped. The clue is what comes with it. If your child is <strong>drinking unusually large amounts and is constantly thirsty<\/strong>, and especially if there is also <strong>weight loss, tiredness, unusual hunger, or blurred vision<\/strong>, that combination needs a blood sugar test the same day rather than a continence plan. Going back to bedwetting after a long dry period is a well-recognised way this presents: in one national study of newly diagnosed children it was present in about a fifth of those under 5 and nearly a third of those aged 5 to 9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Go to an emergency department immediately \u2014 in Thailand call 1669 \u2014 if any of these are present:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tummy pain, vomiting, deep or unusually fast breathing, obvious dehydration, or a child who is drowsy or difficult to rouse<\/strong> \u2014 with the thirst-and-frequency pattern above, this is a diabetic emergency, and around a third of children are already in it by the time diabetes is diagnosed.<\/li>\n\n\n\n<li><strong>Fever with back or side pain<\/strong>, or a child who is generally unwell with pain and burning on passing urine \u2014 this suggests infection rather than an overactive bladder.<\/li>\n\n\n\n<li><strong>Blood in the urine.<\/strong><\/li>\n\n\n\n<li><strong>Being unable to pass urine at all<\/strong>, or straining with a swollen, uncomfortable lower tummy.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">And book an ordinary appointment rather than waiting it out if the frequency <strong>started suddenly in a child who had been completely dry for a long time<\/strong>, or if there is any weakness, numbness or change in how your child walks, or a dimple, tuft of hair or birthmark low on the back. Those last ones are uncommon, but they point away from the bladder and towards the nerves that supply it \u2014 which is why examining the lower spine, the legs and the way a child walks is a standard part of the assessment rather than an afterthought.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"450\" data-attachment-id=\"2852\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/04\/09\/child-urinary-frequency-oab\/frequency\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Frequency.jpg?fit=1200%2C675&amp;ssl=1\" data-orig-size=\"1200,675\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Freepik Company S.L. - www.freepik.com&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Urinary frequency is roughly defined as urination more than 8 in daytime.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Urinary frequency is roughly defined as urination more than 8 in daytime.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Frequency.jpg?fit=800%2C450&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Frequency.jpg?resize=800%2C450&#038;ssl=1\" alt=\"A child needing to use the toilet frequently during the day\" class=\"wp-image-2852\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Frequency.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Frequency.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Frequency.jpg?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Frequency.jpg?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Frequency.jpg?resize=16%2C9&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Daytime frequency is broadly defined as passing urine more than 8 times a day.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">What counts as <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28265323\/\">too often<\/a><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Daytime<\/strong> \u2014 passing small volumes more than 8 times a day<\/li>\n\n\n\n<li><strong>Night-time<\/strong> \u2014 waking to pass urine one or more times<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The word that does the diagnostic work here is <em>urgency<\/em>. Overactive bladder means frequency <em>plus<\/em> a sudden urge the child cannot put off. A child who simply goes very often, in small amounts, without urgency and without wetting, and who sleeps through the night perfectly well, may have something different and altogether more reassuring \u2014 a benign, self-limiting pattern that often follows a period of stress or a minor illness and settles on its own. It is still worth having checked, but it is not the same problem and does not need the same treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The assessment itself is refreshingly low-tech. It is mostly the history, a <strong>two- to three-day voiding diary<\/strong>, a check of how the bowels are working, a physical examination and a urine test <a href=\"https:\/\/doi.org\/10.1002\/nau.70047\" target=\"_blank\" rel=\"noreferrer noopener\">(Linde et al., 2025)<\/a>. Scans come later, and only for children who do not respond or who have one of the warning signs above. Keeping that diary for a few days before the appointment is genuinely the most useful thing a parent can do.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"1166\" data-attachment-id=\"2856\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/04\/09\/child-urinary-frequency-oab\/little-girl-need-a-pee-isolated-on-white-background\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urgency.jpg?fit=823%2C1200&amp;ssl=1\" data-orig-size=\"823,1200\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D850&quot;,&quot;caption&quot;:&quot;Little girl need a pee  isolated on white background, Health concept&quot;,&quot;created_timestamp&quot;:&quot;1577003408&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;52&quot;,&quot;iso&quot;:&quot;160&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Little girl need a pee  isolated on white background&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Too much sense of urgent urinating is one kind of Overactive bladder syndrome&amp;#8217;s symptom.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Too much sense of urgent urinating is one kind of Overactive bladder syndrome&amp;#8217;s symptom.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urgency.jpg?fit=702%2C1024&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urgency.jpg?resize=800%2C1166&#038;ssl=1\" alt=\"A child with a sudden urgent need to pass urine, the hallmark of overactive bladder\" class=\"wp-image-2856\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urgency.jpg?w=823&amp;ssl=1 823w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urgency.jpg?resize=206%2C300&amp;ssl=1 206w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urgency.jpg?resize=702%2C1024&amp;ssl=1 702w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urgency.jpg?resize=768%2C1120&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urgency.jpg?resize=8%2C12&amp;ssl=1 8w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A sudden, hard-to-defer urge to pass urine is the hallmark of overactive bladder.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">How it is treated<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Once the diagnosis is confirmed \u2014 through a full history, physical examination and laboratory tests \u2014 treatment falls into two stages, and the first one does most of the work.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Conservative measures<\/strong> \u2014 explaining the condition to the child and family, scheduled voiding every 2\u20133 hours, correct voiding technique, less fluid before bedtime, avoiding caffeine, chocolate, citrus and carbonated drinks, and treating constipation. <strong>Constipation deserves particular attention<\/strong>: a loaded rectum presses on the bladder, and clearing it alone resolves a surprising number of cases.<\/li>\n\n\n\n<li><strong>Oral medication<\/strong> \u2014 oxybutynin is the only agent US FDA-approved for OAB in children. Its side effects follow a pattern that is easy to explain to a family: dry mouth, dry eyes, dry skin and constipation. That last one matters, since constipation is itself a trigger \u2014 so it needs watching while the child is on treatment.<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\">Two things about that medication that parents are rarely told<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>It reduces sweating, and that matters in a country this hot.<\/strong> A child who cannot sweat properly cannot cool down properly. This is not a theoretical concern \u2014 it appears as a formal warning on the drug&#8217;s own label, which cautions that fever and heat stroke from decreased sweating can occur when the medication is taken in a hot environment. Children are more vulnerable than adults here, because they thermoregulate less efficiently and run about more. So: keep your child well hydrated, use judgement about heavy exertion in the heat and long afternoons outdoors, and be extra careful during any illness with fever. If your child becomes flushed, unusually hot, confused, or stops sweating when they obviously should be, stop the medication and seek advice the same day.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>It can occasionally affect mood and alertness.<\/strong> Oxybutynin reaches the brain, and agitation, confusion, drowsiness and \u2014 rarely \u2014 hallucinations are listed effects, most likely to appear in the first few months or after a dose increase. The reassuring part, and it is worth stating because this worries parents: studies looking specifically at children&#8217;s attention and memory on this medication have not found it does harm <a href=\"https:\/\/doi.org\/10.1002\/nau.24211\" target=\"_blank\" rel=\"noreferrer noopener\">(Stein et al., 2020)<\/a>. So this is something to watch for and report, not something to expect. If it does happen, the dose can be reduced or a different medication used \u2014 several alternatives exist and are used when oxybutynin does not suit a child. Blurred vision and facial flushing are also common and dose-related.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"551\" data-attachment-id=\"2851\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/04\/09\/child-urinary-frequency-oab\/iced-cola-on-the-table\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Coca-cola.jpg?fit=1200%2C826&amp;ssl=1\" data-orig-size=\"1200,826\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;ILCE-7RM2&quot;,&quot;caption&quot;:&quot;iced cola glass on the table&quot;,&quot;created_timestamp&quot;:&quot;1470846706&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;70&quot;,&quot;iso&quot;:&quot;250&quot;,&quot;shutter_speed&quot;:&quot;0.016666666666667&quot;,&quot;title&quot;:&quot;iced cola on the table&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Caffeine-containing drinks might be triggered OAB.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Caffeine-containing drinks might be triggered OAB.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Coca-cola.jpg?fit=800%2C551&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Coca-cola.jpg?resize=800%2C551&#038;ssl=1\" alt=\"A carbonated caffeinated drink, a common dietary trigger for overactive bladder in children\" class=\"wp-image-2851\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Coca-cola.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Coca-cola.jpg?resize=300%2C207&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Coca-cola.jpg?resize=1024%2C705&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Coca-cola.jpg?resize=768%2C529&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Coca-cola.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Caffeinated and carbonated drinks are among the commonest triggers.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2854\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/04\/09\/child-urinary-frequency-oab\/a-white-round-tablet-lies-on-the-tongue-of-a-child-medicines-and-synthetic-vitamins-the-concept-of-drug-selection-treatment-for-children\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Oral-tablet.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;A white round tablet lies on the tongue of a child. Medicines and synthetic vitamins. The concept of drug selection. Treatment for children.&quot;,&quot;created_timestamp&quot;:&quot;1576595246&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;A white round tablet lies on the tongue of a child. Medicines and synthetic vitamins. The concept of drug selection. Treatment for children.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Sometimes, the oral medication might be required in OAB treatment.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Sometimes, the oral medication might be required in OAB treatment.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Oral-tablet.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Oral-tablet.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Oral medication used when conservative measures are not enough for childhood OAB\" class=\"wp-image-2854\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Oral-tablet.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Oral-tablet.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Oral-tablet.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Oral-tablet.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Oral-tablet.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Medication is added when the conservative measures are not enough on their own.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">For severe cases that do not respond, other options exist \u2014 various off-label oral medications, and intravesical botulinum toxin injection. <strong>Botulinum toxin bladder injection is not performed at Bangkok Hospital Headquarters<\/strong>; if a child needs it, a referral to a paediatric centre that provides it can be arranged.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The part of treatment that matters most, though, is not the prescription. It is counselling the child and the family together, and agreeing on a realistic goal \u2014 fewer accidents and a child who is not anxious about school, rather than a perfect bladder by next week. Progress here is measured in months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One request, and I make it of every family I see: <strong>please do not punish accidents.<\/strong> Children with this problem are already embarrassed, often hiding wet underwear, and shame reliably makes the holding-on worse rather than better. Praise the routine \u2014 going to the toilet on schedule, drinking water in the day \u2014 rather than the dry days, because the routine is the part they can actually control.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"2855\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/04\/09\/child-urinary-frequency-oab\/child-at-doctors-office\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Realistic-goal.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D800E&quot;,&quot;caption&quot;:&quot;Cute toddler sitting on his mother&#039;s knees while doctor listening to his heart beat&quot;,&quot;created_timestamp&quot;:&quot;1536118932&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;60&quot;,&quot;iso&quot;:&quot;640&quot;,&quot;shutter_speed&quot;:&quot;0.004&quot;,&quot;title&quot;:&quot;Child at docto&#039;rs office&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Setting a realistic goal of treatment is the most important thing.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Setting a realistic goal of treatment is the most important thing.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Realistic-goal.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Realistic-goal.jpg?resize=800%2C534&#038;ssl=1\" alt=\"A parent and child setting realistic treatment goals with their doctor\" class=\"wp-image-2855\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Realistic-goal.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Realistic-goal.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Realistic-goal.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Realistic-goal.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Realistic-goal.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Agreeing a realistic goal with the child and family is the most important step.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Q1: What is considered abnormal urinary frequency in children?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Urinary frequency in children is considered abnormal when a child urinates more than 8 times during the daytime in small volumes, or experiences one or more episodes of nighttime urination (nocturia). When urinary frequency is accompanied by a sudden strong urge to urinate, this is classified as Overactive Bladder syndrome (OAB), which affects approximately 23% of children at age 5.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q2: Could frequent urination in my child be diabetes?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It can be, and it is the reason not to assume a bladder cause without looking. Type 1 diabetes in children classically presents with passing large amounts of urine, excessive thirst and weight loss, often with tiredness, increased hunger or blurred vision. Returning to bedwetting after a long dry period is a recognised presenting sign \u2014 in one national study of newly diagnosed children it occurred in about a fifth of those under 5 and nearly a third aged 5 to 9. That combination needs a same-day blood sugar test rather than a continence plan. If there is also tummy pain, vomiting, deep or rapid breathing, dehydration or drowsiness, go to an emergency department immediately: around a third of children are already in diabetic ketoacidosis at diagnosis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q3: What causes overactive bladder (OAB) in children?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The causes of OAB in children include bladder immaturity, dietary triggers such as caffeine, chocolate, citrus, and carbonated drinks, constipation (which puts pressure on the bladder), urinary tract infections, and behavioral or psychological factors. In many cases, no single identifiable cause is found and the condition improves with age and proper management.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q4: How is urinary frequency in children treated?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment begins with conservative measures including scheduled voiding every 2-3 hours, avoiding bladder irritants (caffeine, citrus, carbonated drinks), minimizing fluid intake before bedtime, teaching proper voiding technique, and managing constipation. When conservative treatment is insufficient, the only US FDA-approved oral medication for OAB in children is Oxybutynin, though it can cause dry mouth, dry eyes, and constipation as side effects.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q5: Is there anything to know about oxybutynin in hot weather?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, and it matters a great deal in a hot climate. Oxybutynin reduces sweating, and the drug&#8217;s own label carries a formal warning that fever and heat stroke from decreased sweating can occur when it is taken in a hot environment. Children are more vulnerable than adults because they regulate temperature less efficiently and are more physically active. Keep your child well hydrated, use judgement about heavy exertion in the heat and long spells outdoors, and take extra care during any febrile illness. If your child becomes flushed, unusually hot, confused, or stops sweating when they obviously should be, stop the medication and seek advice the same day.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q6: Can oxybutynin affect my child&#8217;s concentration or behaviour?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It is worth watching for, but the paediatric evidence is reassuring. Oxybutynin reaches the brain, and agitation, confusion, drowsiness and rarely hallucinations are listed effects, most likely in the first few months or after a dose increase. However, studies looking specifically at attention and memory in children taking it have not found harm. Report any behavioural change, unusual inattention, drowsiness or agitation rather than assuming it is unrelated \u2014 the dose can be reduced or a different medication used, and several alternatives exist for children whom oxybutynin does not suit. Blurred vision and facial flushing are also common and dose-related.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q7: Will my child outgrow urinary frequency?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Many children do improve with age. The prevalence of OAB drops from approximately 23% at age 5 to around 12% by age 13 as bladder capacity and control mature. However, untreated OAB can negatively impact a child&#8217;s self-esteem and development, so early appropriate management is important rather than simply waiting for spontaneous resolution.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q8: When should I bring my child to see a urologist for urinary frequency?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">You should consult a urologist if your child&#8217;s urinary frequency is affecting their daily activities, sleep, or school performance; if the child is wetting themselves during the day despite being toilet trained; or if conservative measures have not improved the symptoms after several weeks of consistent effort. Some situations should not wait for a routine appointment: frequent urination together with constant thirst, weight loss, tiredness or a return to bedwetting after a long dry period needs same-day assessment, as does fever with back or side pain, pain or burning on passing urine, blood in the urine, or being unable to pass urine. Tummy pain, vomiting, deep or rapid breathing or drowsiness alongside the thirst-and-frequency pattern is an emergency.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q9: Does Dr. Soarawee see young children?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Children are seen from the age of 3 upward, as a general urologist rather than as a paediatric urology subspecialist. Infants and children under 3 are not assessed here and are referred to a paediatric urologist. Where a child needs a treatment that is not provided at Bangkok Hospital Headquarters \u2014 bladder botulinum toxin injection, for example \u2014 a referral to a paediatric centre can be arranged.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q10: Can we discuss this by video consultation first?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, and it suits this problem well, since much of the first consultation is history and explanation. Bangkok Hospital Headquarters offers a Telemedicine service, arranged in advance by email to the Urology department at bhquro@bdms.co.th. Keeping a two- to three-day voiding diary beforehand \u2014 how often, roughly how much, any wetting, and how the bowels are working \u2014 makes that appointment far more useful. Examination and urine testing still need an in-person visit. Samitivej Sriracha is in-person only, booked through the Urology department line 088-022-1445. If any of the same-day signs above are present, go to an emergency department rather than booking a video appointment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If your child is experiencing urinary frequency or overactive bladder symptoms, Dr. Soarawee Weerasopone offers consultations at Bangkok Hospital Headquarters for children aged 3 and above. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>. Questions about the cost of consultation or treatment should go to the hospital directly \u2014 for Bangkok Hospital, by email to <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">References<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>International Children&#8217;s Continence Society standardisation of terminology of lower urinary tract function in children and adolescents. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28265323\/\" target=\"_blank\" rel=\"noreferrer noopener\">PubMed 28265323<\/a><\/li>\n\n\n\n<li>Linde JM et al. Critical appraisal of guidelines for daytime urinary incontinence in children. <em>Neurourol Urodyn<\/em>. 2025. <a href=\"https:\/\/doi.org\/10.1002\/nau.70047\" target=\"_blank\" rel=\"noreferrer noopener\">doi:10.1002\/nau.70047<\/a><\/li>\n\n\n\n<li>Stein R et al. EAU\/ESPU guidelines on the management of neurogenic bladder in children and adolescents, part I. <em>Neurourol Urodyn<\/em>. 2020. <a href=\"https:\/\/doi.org\/10.1002\/nau.24211\" target=\"_blank\" rel=\"noreferrer noopener\">doi:10.1002\/nau.24211<\/a><\/li>\n\n\n\n<li>Roche EF, Menon A, Gill D, Hoey H. Clinical presentation of type 1 diabetes. <em>Pediatr Diabetes<\/em>. 2005. <a href=\"https:\/\/doi.org\/10.1111\/j.1399-543X.2005.00110.x\" target=\"_blank\" rel=\"noreferrer noopener\">doi:10.1111\/j.1399-543X.2005.00110.x<\/a><\/li>\n\n\n\n<li>Jacobsen LM, Schatz DA. Type 1 diabetes. <em>JAMA<\/em>. 2026. <a href=\"https:\/\/doi.org\/10.1001\/jama.2026.0048\" target=\"_blank\" rel=\"noreferrer noopener\">doi:10.1001\/jama.2026.0048<\/a><\/li>\n\n\n\n<li>Chancellor MB, Lucioni A, Staskin D. Oxybutynin-associated cognitive impairment: evidence and implications for overactive bladder treatment. <em>Urology<\/em>. 2024. <a href=\"https:\/\/doi.org\/10.1016\/j.urology.2023.11.033\" target=\"_blank\" rel=\"noreferrer noopener\">doi:10.1016\/j.urology.2023.11.033<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice, and it cannot substitute for an assessment of your own child. No medical advice, diagnosis or prescription is provided through personal messaging channels or social media. Always consult a qualified healthcare professional before starting any medical treatment. In an emergency, attend the nearest emergency department \u2014 in Thailand the emergency number is 1669.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/04\/09\/child-urinary-frequency-oab\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2021\/04\/09\/child-urinary-frequency-oab\/\",\n      \"name\": \"Urinary Frequency in Children: Overactive Bladder Explained\",\n      \"description\": \"Overactive bladder in children: the signs that mean this is not a bladder habit and needs same-day assessment, including new-onset diabetes; what counts as passing urine too often; why the urge is real rather than behavioural; the conservative measures that do most of the work including treating constipation; and why oxybutynin needs care in hot weather.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2021-04-09\",\n      \"dateModified\": \"2026-08-30\",\n      \"lastReviewed\": \"2026-08-30\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"medicalAudience\": [\n        {\"@type\": \"Patient\", \"requiredMinAge\": 3, \"requiredMaxAge\": 15},\n        {\"@type\": \"MedicalAudience\", \"audienceType\": \"Parents and carers of affected children\"}\n      ],\n      \"disambiguatingDescription\": \"Dr. Soarawee Weerasopone sees children from the age of 3 upward as a general urologist and is not a paediatric urology subspecialist. 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Secondary enuresis after a prolonged dry interval is a recognised presenting sign, reported in about 19% of newly diagnosed children under 5 and 31% of those aged 5 to 9. Requires same-day capillary or random glucose and ketone testing rather than continence evaluation. Abdominal pain, vomiting, Kussmaul breathing, dehydration or altered consciousness indicate diabetic ketoacidosis and are an emergency; approximately one third of children are in DKA at diagnosis\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Febrile urinary tract infection\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Fever, loin or suprapubic pain, dysuria, visible haematuria, or a systemically unwell child; urinalysis with or without culture the same day\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Neurogenic bladder or occult spinal dysraphism\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Abnormal lumbosacral spine such as a sacral dimple or hairy patch, abnormal gait or lower limb neurology, or a palpable bladder\"}\n        }\n      ],\n      \"possibleTreatment\": [\n        {\n          \"@type\": \"LifestyleModification\",\n          \"name\": \"Conservative measures\",\n          \"description\": \"The first stage, which does most of the work: explaining the condition to child and family, scheduled voiding every 2 to 3 hours, correct voiding technique, less fluid before bedtime, avoiding caffeine, chocolate, citrus and carbonated drinks, and treating constipation. 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When frequency comes with a sudden strong urge, it is classified as overactive bladder syndrome, which affects about 23% of children at age 5.\"}},\n        {\"@type\": \"Question\", \"name\": \"Could frequent urination in my child be diabetes?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"It can be, and it is the reason not to assume a bladder cause without looking. Type 1 diabetes in children classically presents with passing large amounts of urine, excessive thirst and weight loss, often with tiredness, increased hunger or blurred vision. Returning to bedwetting after a long dry period is a recognised presenting sign, occurring in about a fifth of newly diagnosed children under 5 and nearly a third aged 5 to 9. That combination needs a same-day blood sugar test rather than a continence plan. 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Often no single cause is found and the condition improves with age and proper management.\"}},\n        {\"@type\": \"Question\", \"name\": \"How is urinary frequency in children treated?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Treatment begins conservatively: scheduled voiding every 2-3 hours, avoiding bladder irritants, less fluid before bedtime, correct voiding technique and treating constipation. Where that is not enough, oxybutynin is the only oral medication US FDA-approved for OAB in children; side effects include dry mouth, dry eyes and constipation, and the constipation needs watching because it is itself a trigger.\"}},\n        {\"@type\": \"Question\", \"name\": \"Is there anything to know about oxybutynin in hot weather?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes, and it matters a great deal in a hot climate. Oxybutynin reduces sweating, and the drug label carries a formal warning that fever and heat stroke from decreased sweating can occur when it is taken in a hot environment. Children are more vulnerable than adults because they regulate temperature less efficiently and are more physically active. Keep the child well hydrated, use judgement about heavy exertion in the heat and long spells outdoors, and take extra care during any febrile illness. If the child becomes flushed, unusually hot, confused, or stops sweating when they obviously should be, stop the medication and seek advice the same day.\"}},\n        {\"@type\": \"Question\", \"name\": \"Can oxybutynin affect my child's concentration or behaviour?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"It is worth watching for, but the paediatric evidence is reassuring. Oxybutynin reaches the brain, and agitation, confusion, drowsiness and rarely hallucinations are listed effects, most likely in the first few months or after a dose increase. However, studies looking specifically at attention and memory in children taking it have not found harm. Report any behavioural change, unusual inattention, drowsiness or agitation rather than assuming it is unrelated: the dose can be reduced or a different medication used, and several alternatives exist. Blurred vision and facial flushing are also common and dose-related.\"}},\n        {\"@type\": \"Question\", \"name\": \"Will my child outgrow urinary frequency?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Many children do improve with age, with prevalence falling from about 23% at age 5 to around 12% by age 13 as bladder capacity and control mature. However, untreated OAB affects a child's self-esteem and development, so it is better managed than simply waited out.\"}},\n        {\"@type\": \"Question\", \"name\": \"When should I bring my child to see a urologist for urinary frequency?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"See a urologist if the frequency is affecting daily activities, sleep or school; if the child is wetting during the day despite being toilet trained; or if conservative measures have not helped after several weeks of consistent effort. Some situations should not wait: frequent urination with constant thirst, weight loss, tiredness or a return to bedwetting after a long dry period needs same-day assessment, as does fever with back or side pain, pain or burning on passing urine, blood in the urine, or inability to pass urine. Tummy pain, vomiting, deep or rapid breathing or drowsiness alongside the thirst-and-frequency pattern is an emergency.\"}},\n        {\"@type\": \"Question\", \"name\": \"Does Dr. Soarawee see young children?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Children are seen from the age of 3 upward, as a general urologist rather than as a paediatric urology subspecialist. Infants and children under 3 are not assessed here and are referred to a paediatric urologist. Where a child needs a treatment not provided at Bangkok Hospital Headquarters, such as bladder botulinum toxin injection, a referral to a paediatric centre can be arranged.\"}},\n        {\"@type\": \"Question\", \"name\": \"Can we discuss this by video consultation first?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes, and it suits this problem well, since much of the first consultation is history and explanation. Bangkok Hospital Headquarters offers a Telemedicine service, arranged in advance by email to the Urology department at bhquro@bdms.co.th. Keeping a two- to three-day voiding diary beforehand, recording how often, roughly how much, any wetting and how the bowels are working, makes the appointment far more useful. Examination and urine testing still need an in-person visit. Samitivej Sriracha is in-person only, booked through the Urology department line 088-022-1445.\"}}\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>A child running to the toilet every half hour is not being difficult \u2014 and it is not something to simply wait out. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains overactive bladder in children, what parents can change at home, and when medication is warranted.<\/p>","protected":false},"author":185281453,"featured_media":10117,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Child urinary frequency and overactive bladder (OAB) \u2014 causes, conservative treatment, and Oxybutynin therapy. 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