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Child with Dysuria and/or Hematuria

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Abstract

Dysuria and/or hematuria are common and worrisome symptoms for most parents. Dysuria results from excessive bladder muscle contraction and peristaltic activity of the edematous and inflamed urethral mucosa. Though urinary tract infection remains the commonest cause for dysuria, non-infectious causes should also be kept in mind. Equating all cases of dysuria to urinary infection is not incorrect. Hematuria can be both macroscopic and microscopic and an important sign of genitourinary tract disease. However, systemic causes like bleeding disorder or malignancy can also present with hematuria. A thorough history and physical examination is important for arriving at a diagnosis. The investigations for both the symptoms and the urgency with which the tests are required are dictated by the patient’s clinical presentation.

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References

  1. Warren JW, Abrutyn E, Hebel JR, Johnson JR, Schaeffer AJ, Stamm WE. Guidelines for antimicrobial treatment of ucncomplicated acute bacterial cystitis and acute pyelonephritis in women. Clin Infect Dis. 1999;29:745–58.

    Article  CAS  PubMed  Google Scholar 

  2. Demetriou E, Emans SJMRJ. Dysuria in adolescent girls: urinary tract infection or vaginitis? Pediatrics. 1982;70:299–301.

    CAS  PubMed  Google Scholar 

  3. Koff SA, Wagner TT, Jayanthi VR. The relationship among dysfunctional elimination syndromes, primary vesicoureteral reflux and urinary tract infections in children. J Urol. 1998;160:1019–22.

    Article  CAS  PubMed  Google Scholar 

  4. Wein AJ, Kavoussi LR, Novick AC, et al. Campbell-Walsh Urology. 10th ed. Epub ahead of print 2012. doi: 10.1016/B978-1-4160-6911-9.00061-X.

  5. Michels TC, Sands JE. Dysuria: evaluation and differential diagnosis in adults. Am Fam Physician. 2015;92:778–86.

    PubMed  Google Scholar 

  6. White B, Oregon Health and Science University, Portland O. Diagnosis and treatment of urinary tract infections in children. Am Fam Phys. 2011; Feb: 409–15

  7. Zamir G, Sakran W, Horowitz Y, et al. Urinary tract infection: is there a need for routine renal ultrasonography? Arch Dis Child. 2004;89:466–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Ingelfinger JR, Davis AE, Grupe WE. Frequency and etiology of gross hematuria in a general pediatric setting. Pediatrics. 1977;59:557–61.

    CAS  PubMed  Google Scholar 

  9. Phadke KD. Vijayakumar M, Sharma J, Iyengar A; Indian Pediatric Nephrology Group. Consensus statement on evaluation of gross hematuria. Indian Pediatr. 2006;43:965–73.

    CAS  PubMed  Google Scholar 

  10. Pan CG. Evaluation of gross hematuria. Pediatr Clin N Am. 2006;53:401–12.

    Article  Google Scholar 

  11. Vehaskari VM, Rapola J, Koskimies O, et al. Microscopic hematuria in school children: epidemiology and clinicopathologic evaluation. J Pediatr. 1979;95:676–84.

    Article  CAS  PubMed  Google Scholar 

  12. Dodge WF, West EF, Smith EH, Bruce Harvey 3rd. Proteinuria and hematuria in schoolchildren: epidemiology and early natural history. J Pediatr. 1976;88:327–47.

    Article  CAS  PubMed  Google Scholar 

  13. Youn T, Trachtman H, Gauthier B. Clinical spectrum of gross hematuria in pediatric patients. Clin Pediatr (Phila). 2006;45:135–41.

    Article  PubMed  Google Scholar 

  14. Meyers KC. Evaluation of hematuria in children. Urol Clin N Am. 2004;31:559–73.

    Article  Google Scholar 

  15. Patel HP, Bissler JJ. Hematuria in children. Pediatr Clin North Am. 2001;48:1519–37.

    Article  CAS  PubMed  Google Scholar 

  16. American Academy of Pediatrics. Urinary tract infections: clinical practice guidelines for the diagnosis and management of initial UTI in febrile infants and children 2 to 24 months. Pediatrics. 2011;128:595–610.

    Article  Google Scholar 

  17. Indian Society of Pediatric Nephrology Group. Indian Academy of Pediatrics. Consensus statement on management of urinary tract infection. Indian Pediatr. 2011;48:709–17.

    Google Scholar 

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VW and BP had done the literature search and drafted the manuscript. AM had guided the framework of the manuscript and had done a critical review and had approved the version to be published. Dr. Muralidharan Jayashree will act as guarantor for this paper.

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Correspondence to Ankit Mehta.

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Mehta, A., Williams, V. & Parajuli, B. Child with Dysuria and/or Hematuria. Indian J Pediatr 84, 792–798 (2017). https://doi.org/10.1007/s12098-017-2448-4

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  • DOI: https://doi.org/10.1007/s12098-017-2448-4

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