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What could be causing my 7-year-old student to cry every day at school and have accidents?
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Pediatric Medicine
Question #30773
46 days ago
150

What could be causing my 7-year-old student to cry every day at school and have accidents?

Client_ba0e64

I have a student he is 7 year old. For starting 6 months he had been crying every day in school and doesn't like to study. When we asked he said I want to go home because can watch TV, play games. Currently he's urinating in pants and shitting in pants. Every 5- 10 minutes like to visit toilet and every period he does it. Doesn't like to study and interrupts the class. What do you think

How long has he been experiencing these changes in behavior?:

- More than 6 months

Has there been any recent changes in his home or school environment?:

- Yes, changes at school

How does he behave at home compared to school?:

- Very active and playful

Has he shown any signs of anxiety or stress outside of school?:

- No, not really

How is his appetite and sleep pattern?:

- Normal

Has he had any medical issues or illnesses recently?:

- No, healthy

How does he react when he has an accident?:

- Indifferent
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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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There could be several factors at play here, potentially ranging from emotional to physical causes. First, rule out any medical issues. Frequent urination and having accidents can sometimes be linked to a urinary tract infection (UTI) or other medical problems like constipation affecting the bladder. It’s best if the child sees a pediatrician who can perform a physical exam and conduct any necessary lab tests to exclude or confirm these conditions. Ensure any potential physical causes are properly addressed, as ignoring them might exacerbate the problem.

If medical causes are ruled out, consider psychological factors. For instance, the problem might relate to anxiety or emotional distress. It’s important to understand if there have been recent changes or stressors at home or school affecting the child’s mental well-being. A behavioral assessment could help explore if the classroom environment or social dynamics are affecting the child negatively. Collaboration between teachers, parents, and perhaps a child psychologist may provide insights into emotional or behavioral disorders such as ADHD or anxiety disorders, which may manifest through such symptoms.

Encouragement and positive reinforcement are key in cases stemming from stress or anxiety. Making the school environment more welcoming for the child might help—this could involve modifying learning activities to include more play-based elements that engage the child. Also, establish a routine if one isn’t already in place, as predictability can be comforting to children. If these issues persist or worsen, consulting with a pediatrician or child psychiatrist is recommended as they can offer tailored advice and management options.

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