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Need advice: son crying at night

post #1 of 19
Thread Starter 
Hi moms,
Hoping I can get some advice. Sorry in advance for the long post. My son is 20 months old has woken up for the last three nights crying and clutching at his full diaper. He'd wake up around 3 or 4 am and be up again about each hour thereafter until we're up for the day. He is not circumcised. I thought it was because his diaper was full (he still nurses 1 -3 x night), but he would wake up a few more times crying clutching at/patting his crotch. He has not had and does not have a fever, and the tip of his penis does not look red, swollen or infected. It does look a little pink at the tip but it often looks like this when he's not waking up at night crying and clutching at his diaper. When I took him to the ped the other day she said it might be irritation from urine and advised keeping him clean and dry. Also, before I could say anything she retracted his foreskin slightly to look at the head. I told her that retraction was not supposed to happen before 3 years and she said, no, it's okay. The only thing that made me not freak out on her was that my son didn't react at all when she pulled his foreskin back, and the ped didn't pull it back all the way to expose the entire head, just the tip of the head, so perhaps she didn't cause any harm, I hope? She also pointed out that his head (what we could see of it) was reddish, purplish, a sign of irritation. I'm so glad I read through a couple threads on this site and learned that a reddish, purplish head is actually normal in an uncircumcised penis! I'm afraid to take him back to the ped as I don't think I'll get any useful advice, which is why I'm turning to this site. One more piece of info...this morning when I washed his penis I noticed that he peed a little a cried out when he did. I've read about adding baking soda to his bath, which I'll try tonight. Any other advice, reassurance, info re: similar experiences would be greatly appreciated!
post #2 of 19
Did she take a urine sample for possilbe bladder or kidney infection? Crying when he pees is a pretty good indicator of an infection.
post #3 of 19
:

Sounds like it could be a UTI.

I'm sorry he's hurting . I'd get a urine test done.
post #4 of 19
Sounds like what my DS's been doing. He has been waking up in the middle of the night too. I never even considered his intact penis to be the problem. We figure it was growing pains. Now that he is potty trained and no longer wearing a diaper at night we realize he is actually grabbing his thighs. I rub his legs and nurse him and he is back out in less than 10 minutes. If I can get him calm enough to nurse before he is too worked up by the pain. I can tell it's pain as he will wimper a bit while nursing.
post #5 of 19
Quote:
Originally Posted by habitat View Post
:

Sounds like it could be a UTI.

I'm sorry he's hurting . I'd get a urine test done.

Just try to avoid cath at any cost. If you do have to cath, make sure they do NOT retract his foreskin. Cath turned into a nightmare for SO many intact boys (due to doctors'/nurses' ignorance when it comes to intact penises). They retracted even after being given CLEAR instractions not to, so be very careful. They can use a bag that can be taped to his penis insted (just need to wait for some time till he pees in it)
post #6 of 19
No advice on pain and crying, but NO ONE is to retract your son. NO ONE. Not a little bit, not after he is 3 years old, NEVER. No doctor, no nurse, not to see anything - there is nothing for them to see. Be prepared to slap anyone's hand. Many times medical professionals think "just a little bit" is ok - it's not. It can cause serious damage and pain.
post #7 of 19
My ds went through a phase like that it passed on its own. If he is doing the grabbing during the day as well though I would suspect a UTI or some seperation issues. Have you read this thread? Possible Seperation issues http://www.mothering.com/discussions...d.php?t=764732
post #8 of 19
I agree, get a bag. My baby had to get a cath the 1st time his urine was tested because they were to impatient to wait for him to pee. Bagging is much easier, just give him lots of fliuds before he goes, makes the wait a lot shorter. Our ped. even gave us a bag to bring home and as soon as he went we ran it to a lab.
post #9 of 19
I just wanted to chime in to say a UTI is highly unlikely to be the cause. UTIs in boys are extremely rare. All the studies showing that intact boys are more prone to them have been proven false, and the most accepted, flawless and comprehensive studies have proven that there is no statistical difference between intact and circed boys getting UTIs. They are very rare in boys. I just wanted to share because we tend to think of UTIs at first sign of trouble.....but they are rarely the cause.
So not to say that UTIs cannot happen, just to put us Moms at ease that foreskin does not increase that chance.
-------------------------------------------------
I am a :::: : Mommy of four
post #10 of 19
You are right that UTI and intact do not go hand in hand. I only think about UTI when they symptoms are what the OP describe ie grabbing of the crouch, crying when urinating etc.
post #11 of 19
Quote:
Originally Posted by nattymom View Post
He has not had and does not have a fever, and the tip of his penis does not look red, swollen or infected.
This tells you everything... it is NOT an UTI.

Quote:
Originally Posted by nattymom View Post
It does look a little pink at the tip but it often looks like this when he's not waking up at night crying and clutching at his diaper.
Sounds like NORMAL separation

Quote:
Originally Posted by nattymom View Post
When I took him to the ped the other day she said it might be irritation from urine and advised keeping him clean and dry.
You can have him be diaper free for a few hours and baking soda baths if you are concerned.


Quote:
Originally Posted by nattymom View Post
Also, before I could say anything she retracted his foreskin slightly to look at the head. I told her that retraction was not supposed to happen before 3 years and she said, no, it's okay.
It's NOT okay. Don't EVER let her do that again.

Quote:
Originally Posted by nattymom View Post
She also pointed out that his head (what we could see of it) was reddish, purplish, a sign of irritation.
This tells you how IGNORANT she is. Fire her and report her to DOC!

Quote:
Originally Posted by nattymom View Post
I've read about adding baking soda to his bath, which I'll try tonight.


let us know how it goes!

Also, when bathing, let him touch his part as much as he wants, itching is very common during normal separation so when he 'scratches' his parts he will help the separation process My son just went through this, sounds exactly like it. Don't stress over it though, it's normal. You will know it's an infection when he runs a fever.
post #12 of 19
My off hand guess, is that he is simply finding his night time errections strange. He doesn't understand the sensation, so he cries and grabs.
post #13 of 19
I highly doubt this is a UTI. Many boys experience a painful separation process. For my son it was VERY painful b/c it happened all at once and the urine was passing over the raw glans. Separation does not mean that he is retractable b/c the opening still may be very narrow, so NO MANIPULATION of his foreskin. Separation is just when the foreskin separates from the glans. When it happens all at once it seems to be more painful than if it happens slowly over time, however, both variations are normal. The raw glans will smooth over and the urine will not sting them after a couple days. For my son it took about 3-4 days. Just try to keep him comfortable and you can have him pee in water, sometimes this helps, sometimes it does not help though b/c the opening is still too narrow to mix the water with the urine. Here is our separation sticky:

http://www.mothering.com/discussions....php?t=764732?

I don't recommend you take him to the doctor unless it persists after 4-5 days. Doctors are not familiar with the normal separation process.
post #14 of 19
Thread Starter 
Thank you to everyone for their responses! My son is still waking up at night, irritable and crying and getting less than his usual 10 hrs, so this is not improving and I am worried that something is wrong. (He is normally a very easy-going baby and easy to put back to sleep.) I do want to rule out a UTI so I have an appointment this afternoon (with a different ped). If the ped wants a urine sample I will insist on a bag, no catheter, and NO retraction at all. If she will not agree I will just leave and seek out a different ped who understands and has experience with intact baby boys.

One thing that is confusing me is he is fine urinating into his diaper during the day and for the first long stretch of sleep at night from 8:30 - 3 a.m., but then wakes up at 3 a.m. crying. Any thoughts, similar experiences? Thanks moms!
post #15 of 19
Could it be that he just hates too full/very wet diapers (which can be the case with night ones)? Or could it be they become too tight or uncomfortable for him when left for so long? Maybe he has night time erections and it hurts to have a tight diaper on? Just thinking out loud...
post #16 of 19
could you try to go to a natural market and get some baby vitamin c for him? follow the instructions on the bottle. You can also buy Echinecia(?) with astragalus or some other natural antibiotic and sprinkle a couple of drops in his bath on a small tub, to make sure it is not too diluted. You can also throw in there some chamomile bags, see if that helps. I swear by this stuff.
post #17 of 19
Quote:
Originally Posted by nattymom View Post


One thing that is confusing me is he is fine urinating into his diaper during the day and for the first long stretch of sleep at night from 8:30 - 3 a.m., but then wakes up at 3 a.m. crying. Any thoughts, similar experiences? Thanks moms!
This is what tells me it is not UTI.

By retracting your son, the pedi probably tore some natural adhesions (even if you did not see him react. She caused more trauma which will take some time to heal. The foreskin is very vascular (like mouth) so it reacts easily. It probaby bothers him most at night b/c he is not distracted and b/c when there is more force, more urine pushes back over the raw glans. You will need to wait 4-5 days to see improvement after this trauma.
post #18 of 19
Quote:
Originally Posted by nattymom View Post
One thing that is confusing me is he is fine urinating into his diaper during the day and for the first long stretch of sleep at night from 8:30 - 3 a.m., but then wakes up at 3 a.m. crying. Any thoughts, similar experiences? Thanks moms!
This just makes my suspition that it's night time erections even stronger. Next time he does it just take a quick peek inside his diaper and see whats going on.
post #19 of 19
Could it possibly be a yeast infection. Here's an article that sound similar to your situation.
http://mothering.com/sections/expert...ive.html#yeast
Hope it helps.
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