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Prolonged separation issues possible infection

post #1 of 4
Thread Starter 
Hi,
I wanted to post our situation and see if any of you have further information or thoughts about it.
My son is 11 months old and started having separation pain about 6 days ago. At first he had pain while urinating and I noticed a little smegma and a little blood(pinkish smear) on his diapers. There was no unpleasant smell or fever. The next day he had swelling and redness along with the discharge and pain while peeing. By the third day the swelling and redness was gone and he was only having pain when he peed after waking. We thought the issue was resolvng itself but then the night of the fourth day he had a low grade fever and acted like peeing was very painful. We brought him to the doctor the next day and gave them a clean catch urine sample and it showed traces of blood and white blood cells. We dont have results for the culture. So they prescribed antibiotics and we are giving them just to be safe but I am not really convinced that it is an infection unless he caused himself an infection by holding back while peeing because of the pain. He has been holding back a lot while peeing since this started. It seems like what is triggering the pain is when he lets go and pees without restraint he has a lot of ballooning that he didn't have before. When he holds back the ballooning doesn't happen and he doesn't cry.
So I guess my question is about the standard 24-48 hours for resolution of an episode of separation pain. I feel like separation pain is what is happening here and maybe it is prolonged because he has a very small opening and therefore a very thin stream of pee and less room for smegma to pass through. He could be prolonging it as well I think by refusing to pee freely and mostly dribbling urine unless he has just woken.
As far as the blood and white blood cells in the urine, wouldn;'t that be present with separation going on especially with the ballooning and therefore the urine pooling under the foreskin before it exits?
I am wondering what the culture will show as I dont feel this is an infection, as I said before unless it has been caused by him retaining urine as a reaction to the separation pain.
Have any of you experienced prolonged separation pain without infection present? Does this sound more like an extremely difficult separation episode or an infection?
Thanks for your time, I just want some help wrapping my head around this as it is different than wat we experienced with my first son and seems to fall outside of the norm.
post #2 of 4
Fever tells me there is an infection going on whether it is from the foreskin or not though I couldnt say.

The blood and white cells would show with separation for sure.

Separation can take years to complete most of the time you dont know it is going on while others like your ds they have issues. Seems the ones in diapers going through it tend to have a few more issues probably because of the dampness I think.

He is young for separation to be showing up but not out of the range of normal. So can I ask if you are sure no one has been messing with him? Grandparents, day care workers etc just to rule that out.
post #3 of 4
Thread Starter 
We dont do day care or leave him with babysitters so I know that there has been no retraction or inury. I also am positive that he is experiencing separation issues as he has ballooning now that he did not have before. Before the front of the foreskin would balloon some but now a large section that was previously attached to the glans is ballooning.
My first son experienced separation pain and swelling around the same age somewhere between a year and 15 months of age. He does wear diapers but we do EC and therefore he is seldom wet. Wearing training or going naked does make him more comfortable peeing when he pees somewhere other than the toilet.
Do you think even with a low-grade fever it would definitely signal infection? He is teething right now as well.
I am not saying I can definitively say it isn't an infection, I just wish I could pin it down so that I would be able to be more sure about more choices for caring for him, I wish more was known on the range of normal for these issues.
Thank you for your response and any other comments are welcome!
post #4 of 4
The fever could be the teething or the foreskin no real way of knowing. If it where me and it didnt resolve soon (fever) I would take him in for a culture to make sure it isnt an infection of the foreskin. I would imagine the swelling would get worse as well. I know with ds's it sure did. It just took only 24 hours for it to get huge and there was no doubt an infection had moved in.
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