This student’s symptoms, including persistent crying, frequent urination and defecation in his pants, alongside a reluctance to engage in schoolwork, may suggest an underlying psychological or behavioral issue that needs careful evaluation. It’s not uncommon for children to express anxiety or stress through such behaviors, especially if they’re struggling to adjust to a school environment. However, abrupt changes in a child’s toileting habits could also point to potential medical concerns, such as urinary tract infections or gastrointestinal problems, which would need to be ruled out. Consulting a pediatrician as soon as possible is crucial to assess if there’s a physical health issue contributing to these symptoms. Regarding psychological concerns, it’s essential to consider potential stressors at school or home. School avoidance, distractibility, and disruptive behavior can sometimes be symptoms of anxiety, depression, or other conditions like ADHD. A referral to a child psychologist or psychiatrist might be beneficial for a comprehensive evaluation and diagnosis. In the interim, establishing a supportive routine and environment, both at school and home, might help ease his anxiety. Providing breaks, using visual schedules, or incorporating activities he enjoys may offer him comfort. Engage with his parents to ensure there’s significant communication and consistency between home and school environments. Over time, a multidisciplinary approach involving healthcare providers, educators, and family may help address both logistical and emotional root causes of this behavior, aiming for holistic recovery.
मेरे 7 साल के छात्र के लिए क्या करें जो हर दिन स्कूल में रोता है और उसने अपनी पैंट में पेशाब और शौच करना शुरू कर दिया है?
मेरे पास एक छात्र है, वह 7 साल का है। शुरू के 6 महीने तक वह हर दिन स्कूल में रोता था और पढ़ाई पसंद नहीं करता था। जब हमने पूछा तो उसने कहा कि मैं घर जाना चाहता हूँ क्योंकि वहाँ टीवी देख सकता हूँ, गेम खेल सकता हूँ। फिलहाल वह पैंट में पेशाब और शौच कर रहा है। हर 5-10 मिनट में टॉयलेट जाना पसंद करता है और हर पीरियड में ऐसा करता है। पढ़ाई पसंद नहीं करता और क्लास में बाधा डालता है। आप क्या सोचते हैं? क्या यह मनोवैज्ञानिक और व्यवहारिक समस्या है? इसका निदान क्या है? यह रोने वाला व्यवहार जनवरी में शुरू हुआ और मई तक जारी रहा। जून की शुरुआत से अब तक वह पैंट में शौच और पेशाब कर रहा है।
How long has the student been experiencing the crying and toilet issues?:
- More than 6 monthsHas there been any significant change in his life recently?:
- No significant changesHow often does he express a desire to go home?:
- Every dayDoes he show any signs of anxiety or stress in other situations?:
- Not sureHow does he behave at home compared to school?:
- Generally well-behaved at homeHas he had any previous medical or psychological evaluations?:
- No, this is the first concernHow is his appetite and sleep pattern?:
- Normal appetite and sleep100% Anonymously
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Doctors' responses
Hello dear See as per Clinical history it seems combination of Anxiety Psychological issues Attention deficit behaviour Medical disorder Iam suggesting some tests for confirmation Please share the result with pediatrician in person for better clarity Please donot take any medication without consulting the concerned physician Cbc Esr Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Urine analysis Urine culture Kidney USG Hopefully you recover soon Regards
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