Conversation: The conversation between human and AI assistant.
[|Human|] My question is... I have an 8 year old step daughter that appears to be going through puberty. Fairly large amount of pubic hair and breast development. She also complains of a stomach ache and urinates frequently in fact she will empty her bladder before leaving the house and return for a second time for what she calls a double check . She also has problems with urine leakage with laughing playing etc. Her urine showed trace protein and ketones. What could be going on?
[|AI|]  Hi, Since there can be many causes of urinary incontinence in child Chat Doctor. Like nerve injury, neurogenic bladder, or overactive bladder, diabetes inspires and diabetes mellitus. But from your daughters' history it seems that she might be having juvenile onset diabetes. I would suggest that get blood sugar level fasting and random both and urine osmolarity test to rule out the cause. Then you may further discuss with endocrinologist. Hopefully my answer is helpful.