Baby Cries when Urinating sometimes

[HadhratKhadija]

So before I posted that my baby (DD 4.5 mos) wakes up screaming in the morning, apparently in great discomfort. She is like this most mornings but not all.
And it seems that she is like this just before a bowel movement, or like this morning when she woke up screaming, I took her for a diaper change and she was ok then screamed then urinated.

But yesterday she woke up happily, but she did not have an bowel movements until later in the day.

I have caught her screaming just before urinating on other occasions in the middle of the day as well. But this is very infrequent. She had some redness in the area as well.

This started in this past 1 month.

In this past 1 month I also went on a no dairy no soy diet. And she started having frequent diaper rashes. Sometimes painful diaper rashes.

It's been about 1.5-2 months that we went to cloth diapers.

Does she have an infection? How can I tell if she has a yeast problem?
What could it be??


We are also struggling with green mucus in her stools. I've tried eliminating foods from my diet (EBF) and nothing seems to be working.

[Alisse]

Could she have a bladder infection? That's the only thing i can think of that causes pain when peeing, especially when the pee is more concentrated. If she's screaming she's in pain -- i'd get her to the doctors asap.

[HadhratKhadija]

bladder infection, even if she doesnt cry every time she pees?

[eseering]

May be that she has a UTI. My daughter has urinary reflux and wasn't diagnosed with it until she had a UTI that went into her kidneys, which caused high fever and vomiting. I wish we could have caught the UTI before it got to that point, but she didn't exhibit any symptoms other than fussiness (which I attributed to teething, groth spurts, etc...). It's not hard for a doc to do a urinalysis and check on this, so I'd do it if I were you.

[sugarpop]

I would gosee a doctor...today. The poor babe, infections are painful, no matter the kind. It could be any of the above or something not even thought of. It might be the diaper rash when the urine hits it. It might be a yeast infection. It might be....quick visit to the doc and the fix will be quick and easy hopefully. I hope your babe feels better soon!

[HadhratKhadija]

just left a message for the doctor. im all nervous now

[Alisse]

Originally Posted by HadhratKhadija

just left a message for the doctor. im all nervous now

Just make sure she's very well hydrated.

[sugarpop]

keep us posted and good luck, I hope everything is ok and he is feeling better today!

[HadhratKhadija]

so talked to my "holistic" pediatrician over the weekend. and she said that since my DD doesnt have a fever and doesn't have the classic symptoms then the method of verifying if she has uti is too invasive. instead (taking into consideration my daughter's occasional green poops and my attempts at the elimination diet) she wanted to prescribe Zantac and switch to Formula.

lol, i had a good laugh, didn't you?

Look everyone I'm a pediatrician: "uhuh, yeah, ok, i understand, gotcha. OK, so i am going to prescribe zantac and formula".
yeah, its that easy, where's my license to set up shop??

[texaspeach]

the method for identifying a uti is too invasive but switch to formula? like that's better!

can't they tape a bag to get the urine? do they have to use a catheter? fwiw I hve been straight cathed and it was not a big deal, it was over fast and slightly uncomfortable. a foley otoh is mighty uncomfortable

ds went through a phase where he cried before he peed. I spoke with our ped and they seemed to think it was because he was aware of the sensation (he had no other symptoms of uti and is intact). he was a newborn though, not older like your dd

[workjw]

A catheter isn't the most wonderful thing in the world, but it's not that bad. I'd certainly take that over switching to formula!!! DD has been cath'ed more times than I can count b/c of kidney reflux issues, and too be honest, at that age it didn't seem to bother her a bit. I would personally rule out uti.

If you're diligent with some nakey bathtub time (no water of course), you might can catch a sample in a sterile cup, we've had some success with this, but it definitely took both dh and I to do it.

[Alisse]

Why the heck isn't a urine sample being taken??? Wait until fever?

Originally Posted by HadhratKhadija

Look everyone I'm a pediatrician: "uhuh, yeah, ok, i understand, gotcha. OK, so i am going to prescribe zantac and formula".
yeah, its that easy, where's my license to set up shop??

It's prudent for the doctor to do some process of elimination/differential diagnosing, ie. if your daughter still has pain during urination while on zantac and formula, then other causes need to be considered and you'll have to get yourself back to her office. So zantac and formula are easy ways, in the short term, to bring you a little closer to the cause than doing nothing.

[HadhratKhadija]

a urine sample makes the most sense to me too.

but i fail to see how using zantac and formula is at all related to possible UTI, let alone how it might be prudent and easy. please do explain....

[atlantafemme]

A bag catch would rule OUT a UTI if it comes back negative and it's not invasive so I don't see why your doc wouldn't try that first. If it's positive, then consider a cath urinalysis. That's what I would do anyway. Good luck!!

[Alisse]

Originally Posted by HadhratKhadija

a urine sample makes the most sense to me too.

but i fail to see how using zantac and formula is at all related to possible UTI, let alone how it might be prudent and easy. please do explain....

They're not related to a UTI. They're related to the most common reason why most babies hurt (ie. reflux, food allergies) which is relevant in your case because your doctor doesn't want to do an invasive test. So if you gave your LO zantac and some formula for a while but she was still screaming, your doctor might be more inclined to take a urine sample even though the symptoms are a bit ambiguous.

[HadhratKhadija]

i see. i just dont think there is anything easy (or healthy) about giving a breastfeeding baby formula and introducing bottles that she's never seen. frankly, the thought of formula makes me horribly sick.

anyway,
the test stick is def the easiest route, most logical too. thanks for the recommendations! just ordered some.