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Urgency to urinate

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Ulcerative Colitis
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Posted 2/4/2014 3:01 PM (GMT 0)
My daughter of late is getting up middle of her sleep and wants to urinate on daily basis. Few weeks before her diagnosis of her Colitis, she had urinary track infection and was given "Augmentin" antibiotic.

Is there any relation between colitis/crohns and need to urinate middle of night?
Posted 2/4/2014 3:04 PM (GMT 0)
Not that I know of, but it would be smart to bring her back to her regular ped for a urine dip to make sure she is not having another UTI.

How did she get a UTI in the first place?

You should review with her and your wife how much liquid your daughter is drinking after dinner. Too much water before bedtime can make her need to urinate in the middle of the night. She is old enough to get out of bed and do this for herself without waking you.

Posted 2/4/2014 3:49 PM (GMT 0)
I've never had a problem in that area. I agree with kazbern, maybe she is still dealing with a UTI or it has returned?
Posted 2/4/2014 3:52 PM (GMT 0)
Prednisone can also make you urinate more if she is on that.
Posted 2/4/2014 4:25 PM (GMT 0)
The inflamed intestine can put pressure on the bladder, causing the sensation of needing to urinate. When I was flaring, most of my sensations of needing to defecate were preceded immediately by the need to urinate.

Females with UC are also somewhat more prone to UTI's due to the frequent presence of stool in the area of the urethra (just as women are more prone than men due to our anatomy.) I do think getting her checked out is a good idea.

Be sure to teach her to wipe carefully, from front to back, so she isn't spreading e. coli and other colon bacteria over her urethra.
Posted 2/4/2014 4:35 PM (GMT 0)
I'd also suggest you have her on a good probiotic.

With a uti, she has to take in a good amount of fluids, so don't limit her too much. I don't see that getting up once in the middle of the night is anything abnormal, actually.
q
Posted 2/4/2014 6:33 PM (GMT 0)
Her UTI was fixed before her colitis symptoms started. When her initial UTI started she was not able to hold at all and there are occasions when she had an accident in her pants.She does not wake us in middle of the night. But when she switches on bathroom light on a daily basis. we started to question her. We have no idea what caused her initial UTI. Her UTI and colitis happened so close that I think there may be a link.
She is currently tapering her prednisone.

@quincy: I understand that many people get up once in middle of the night. She never got up before and this habit has started pretty recently. She is currently taking VSL 3 capsule twice a day.
Posted 2/4/2014 7:12 PM (GMT 0)
Your pediatrician should be able to culture her urine and tell you what the bacteria was that caused the infection; this may give you some clues as to why she got the UTI to begin with. Ask your ped what the main causes of UTIs are in young children and see what she says.

My eldest daughter hated using public toilets until she was about 8 and got a UTI once (age 7) because she held her urine too long. Another cause of a UTI would be like quincy suggested - improper wiping. It is important to teach girls to wipe front to back, thus keeping fecal bacteria away from the urethra. If your daughter rides horses or bicycles a lot there may be some urethral irritation.
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