Reduction in urine output
Your child may have difficulty weeing, or stop weeing altogether.
Causes
The kidneys continue to make urine but the bladder doesn’t empty - ‘retention’
- Some medicines may interfere with bladder function
- Constipation
- Tumour pressing on the bladder or on the spinal cord
The kidneys don’t make enough urine
- This can be due to tumour pressing on the kidneys
- During the last few days, the kidneys often shut down - this is a natural process and does not need treatment
What can you do?
- Tell your nurse or doctor - they can assess whether the bladder is blocked or if it is the kidneys not working so well
- Warm baths and running water may help if there is retention
What can your nurse or doctor do?
- They can treat constipation or stop medicines which interfere with the bladder
- They can give medicines to ease the discomfort of a full bladder if there is rentention
- They may discuss the pros and cons of putting a ‘catheter’ (a tube) into the bladder - this may relieve retention but it is an uncomfortable procedure
Incontinence
Children may experience problems with bladder control - this may be distressing for older children
Causes
- Constipation
- Immobility – difficulty moving about or getting to the toilet (especially if moving causes pain)
- If your child is unconscious
What do you notice?
- Your child may not get to the toilet on time
- He/she may wet the bed
- He/she may seem unaware of the need to pass urine
What can you do?
- Ask your nurse about pads, mattress covers, commode, etc.
- Regular toileting if possible
- Reassure your child that it is not their fault
What can your nurse or doctor do?
- Treat constipation or pain
- Arrange equipment such as downstairs commode, etc.
- Help with lifting