### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My four year old daughter have started to urinate very often. Sometimes, she goes to the bathroom and in less than 20 minutes she has to go again. Every night she wakes up to use the restroom more than once. Sometimes we have to get out of the car and park in random places so that she can urinate. Sometimes, she would say that she doesn t have the need to do it. While a couple of seconds before she cried because of the need to go to the bathroom. She doesn t take any medication and is a very healthy child. what can it be? Is this something I should worry about?

### output:

Dear parent, Many thanks for your question with Chat Doctor .com.  There are many causes for frequent urination in a child.  The most common cause is behavioral.  She may have just got used to going to the bathroom regularly, and you may have to gradually encourage her to increase the time between visits until she increases her ability to hold her urine. However, before you can label it as a behavioral problem, you have to rule out the other, more serious causes of frequent urination.  For this she will need a few tests at your family doctor.1) You need to rule out a urine infection - for this she will need a urine test. 2) You need to check for diabetes - the symptoms of this are usually frequent urination, thirst and weight loss.  For this she would need a urine and blood sugar test.3) You need to check that her bladder and kidneys are all structurally normal.  For this she would need an ultrasound scan.  If the results of the above are all fine, you can then be reassured that it is nothing to worry about, and just work on her gradually increasing the amount of time she can hold her urine. I hope this helps you, good luck with the tests.  If you have any further questions, do not hesitate to contact me and if you found this helpful, please leave a rating!