Categories: Narayanahealth

A parent’s guide to Urinary Tract Infections in children

Urinary tract infection (UTI) is an infection anywhere in the urinary tract. The urinary tract includes the organs that produce, pass or store urine including the kidneys, ureters (the tube through which urine passes out of the kidneys), urinary bladder. UTI is quite common, especially in young children/infants. It can also occur in older children.

Signs and symptoms

  • Moderate to high-grade fever without cold/cough
  • Pain on passing urine
  • Needing to pass urine more frequently
  • Passing urine before getting to the toilet (incontinence or wetting)
  • Pain in the lower part of the tummy
  • Experiencing a burning pain when passing urine
  • Smelly urine
  • In young children, UTI may cause a fever or general un-wellness without any of the above symptoms.

Tests:

A routine urine test can detect the possibility of a UTI. Additional tests such as a Urine Culture might also be performed.

Special Tests:

Many children with UTI, especially below the age of 5 years, may have underlying problems of the urinary bladder or kidneys. Common tests done to identify these problems are:

  • Ultrasound scan – This is a simple and painless test.
  • Micturating Cystourethrogram (MCU) is done. This test involves putting a catheter into the bladder through the urethra. Dye is injected through the catheter and X-Ray pictures are taken. The test is done mainly to look for a condition known as urinary reflux (sometimes called VUR).
  • Special scans such as DMSA scan.

Treatment:

Antibiotics are the mainstay of therapy. They can be taken orally or have to be given as injectables, depending on the severity of the illness and age of the child.

Follow up:

Most children with UTI make a good recovery and have no future problems.

In a very small number of children, there may be underlying kidney or urinary bladder problems, which will need further follow up. Your doctor will discuss the necessary tests and how to monitor this. It is recommended for a child who has had a UTI in the past to get the blood pressure checked yearly and to do a urine test in every subsequent episode of fever.

How to Keep Your Kidneys Healthy?

  • Drink plenty of water every day.
  • Avoid food that has a high salt content and preservatives.
  • Eat lots of fruits and vegetables.
  • Keep active, play sports, exercise regularly.
  • Avoid taking over the counter medications, without prior consultation with your doctor.
  • Avoid taking strong medications for fever.

Dr. Uma Ali, Dr. Vaishali More and Dr. Nisha Krishnamurthy | SRCC Children’s Hospital, Mumbai

Narayana Health

Share
Published by
Narayana Health

Recent Posts

सर्वाइकल कैंसर या बच्चेदानी के मुंह का कैंसर

बच्चेदानी के मुंह का कैंसर महिलाओं में होने वाले कैंसर में दूसरे स्थान पर आता…

1 week ago

Cervical Cancer Screening

Regular cervical screening can prevent about seven or eight out of every 10 cervical cancers…

1 week ago

Amyotrophic lateral sclerosis: All you need to know

Amyotrophic lateral sclerosis Table of Content: What is amyotrophic lateral sclerosis? Who gets ALS? What…

2 weeks ago

Brain Angiogram: Why Is It Done?

Brain angiogram, also known as a cerebral angiogram, is one of the common diagnostic tests…

2 weeks ago

All you need to know about Ataxia

Table of Content: What is Ataxia? Causes Symptoms Risk Factors & Complications How is it…

2 weeks ago

पोस्ट कोविड सिंड्रोम में तेजी से बढ़ रही पल्मोनरी फाइब्रोसिस और एम्बोलिज्म (खून के थक्के) की समस्या

जयपुर। कोरोना संक्रमण से ठीक होने के बाद भी फेफड़ों पर इसका असर लंबे समय…

2 weeks ago