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Vesicoureteral reflux symptoms in children
Last reviewed: 19.10.2021
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Symptoms of vesicoureteral reflux may be erased, and this condition is revealed when examining children with complications of vesicoureteral reflux (for example, pyelonephritis).
Nevertheless, there are general symptoms that are characteristic of children with vesicoureteral reflux: physical retardation, birth weight deficit, a large number of stigmas of dysembryogenesis, neurogenic dysfunction of the bladder, repeated "causeless" temperature rises, abdominal pains, especially those associated with act of urination. However, these symptoms are typical for many diseases.
The most patomonical for vesicoureteral reflux is a violation of the act of urination, especially of a recurrent nature with the presence of changes in urinalysis. In this case, the symptoms are characteristic of an uninhibited bladder: frequent urination in small portions with imperative urges, incontinence, urinary incontinence, and closer to the age of three, a rare, two-stage, difficult urination is quite often observed. Elevated blood pressure is more common in gross cicatricial changes on the part of the kidneys, which is unfavorable in terms of prognosis.
The reflux clinic also depends on the nature of its complications and concomitant pathology: pyelonephritis, cystitis, neurogenic dysfunction of the bladder. However, leaking against a background of vesicoureteral reflux, these diseases acquire some peculiarity. So, pyelonephritis, leaking against the background of this pathology, is much more often accompanied by a pronounced pain syndrome, with pains that can be both non-localized and localized along the ureter, in the area of the bladder projection, in the lumbar region, in the peripodal region. In the clinic, however, it seems that the disorders of the act of urination seem to outpace the clinic of inflammation of the kidneys. Such disorders as day incontinence and urinary incontinence, enuresis, and other dysuric phenomena may be associated with the manifestation of various forms of a neurogenic bladder, often combined with vesicoureteral reflux. Thus, with hypermotor forms of the neurogenic bladder, imperative urges for urination, incontinence, urinary incontinence, frequent urination in small portions are noted. Less common are children with hypomotor impairment of functions with a weakened urge to urinate, difficulty urinating, large portions of urine, which is more typical of "adult patients." Violations of the act of urination often combine with constipation, which is manifested by a weakening of the urge to defecate or its absence, complicated by the act of defecation or its irregularity, imperative urges for defecation with a crowded colon with possible encopresis.