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Updated 13 August 2015

What's your diagnosis? – Case 23: frequent urination

Mr O is concerned about his five-year-old daughter, Miss B, who has been urinating a lot.

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Mr O read in a newspaper article that bladder infections in young girls should always be investigated. In the article, frequent urination was stated as one of the symptoms of bladder infection.

No significant signs

Miss B is generally healthy with no medical or surgical history. She is also not allergic to any medications; she has a sweet tooth and drinks 6 glasses of water a day.

On further history taking the doctor did not find any mention of recent vaginal discharges or burning urine.

On examination the doctor did not find any significant signs, except for a slight tenderness in the left lower quadrant of the abdomen.

Urine testing was completely clear. 

Based on the above information:

1. What special investigations would you do?

2. What is the most likely cause of the young girl's complaint?

3. How should you treat it?

What's your diagnosis? Join the guesswork on our Facebook page, or comment below.

NOTE: Health24's on-site GP Dr Owen Wiese will reveal new cases on Thursdays. We'll post the answer with the story on Mondays, or you can get it via the Daily Tip – sign up here.

Previously on What's Your Diagnosis?

What's your diagnosis? -  Case 1: vomiting and weight loss

What's your diagnosis? -  Case 2: eye pain

What's your diagnosis? -  Case 3: strange behaviour and a bullet in the back

What's your diagnosis? -  Case 4: seeing odd things

What's your diagnosis? - Case 5: mysterious lungs

What's your diagnosis? - Case 6: runner with seizures

What's your diagnosis? - Case 7: swollen knee

What's your diagnosis? - Case 8: bloody semen

What's your diagnosis? - Case 9: confusing neurological signs

What's your diagnosis? - Case 10: diabetic teenager with unusual signs and symptoms

What's your diagnosis? - Case 11: bruising with no apparent reason

What's your diagnosis? - Case 12: severe tummy pain

What's your diagnosis? - Case 13: severe sore throat

What's your diagnosis? - Case 14: abdominal pain and swelling

What's your diagnosis? - Case 15: the world is spinning

What's your diagnosis? - Case 16: numbness in forearm

What's your diagnosis? - Case 17: burning urine

What's your diagnosis? - Case 18: boy with persistent fever

What's your diagnosis? – Case 19: lady who can't lose weight

What's your diagnosis? – Case 20: chest pain next to breastbone

What's your diagnosis? – Case 21: burning sensation in vagina

What's your diagnosis? – Case 22: vomiting and headaches

Image: Ladies from Shutterstock

Dr. Owen J. Wiese is Health24's resident doctor. After graduating from Stellenbosch University with additional qualifications in biochemistry and physiology he developed a keen interest in providing medical information through the media.

 
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