Possible Penile/Urinary Tract Infection
I agree with the doc's assessment that you usually don't see pus with a UTI. you do with a skin infection, and that sounds like what this poor little boy may have. the antibiotics should clear it up if that's what it is, though possibly the doc is thinking IV antibiotics may be needed? though with something like that I would think they would admit to the hospital right away if that's what they thought would be needed.
Ick at the Dr. for suggesting circ for a single infection with a known cause ie his reaction to the oxy clean. Even an unknown infection like ds's isnt cause for circ.
I am assuming you have no choice but to continue to see this Dr? Because she is obviously biased against the intact penis and has no idea about the care of the intact penis.
I am curious why you didnt want the Dr. to know how her comment upset you. The reason I ask is maybe she would get a clue if she saw how important keeping your ds is to you.
Do you have any OTC bacatracin around? If not it would be worth it to go out and get some and use that on your ds it cant hurt and it very well might help a lot. I hope he feels better soon.
Maybe after this is all over and you are more calm you can sit and write a letter to the old ped. explaining why you left her practice and include information on intact care and treatment of infections.
I am so sorry about your ped... geez... the nerve.
We use FB diapers as well and had an issue with major stinky diapers. I have tried everything to strip them from Dawn (yuk), Biokeen Bac Out Remover, Country Save Bleach Alt, and so on.
This is what seems to work for us:
Start boiling a HUGE pot of water (we end up boiling 2 pots). Rinse and spin diapers in washing machine on cold. Place boiling water in washer and let sit for at least 30 mins. Then wash with half of the detergent you used to use with a second rinse on that load.
I found that I was using way to much detergent and I honestly wasn't using that much. I do the boiling water treatment a couple times a week and it seems to work for our diapers. I also have learned that the inserts just are not that great in the long run. I bought some cotton pre folds that we are using instead. I ended up using the old inserts for wipes.
I have no idea why on earth she would suggest inpatient care, unless she was trying to get to a circ procedure.
I don't even know this doctor, and MY blood pressure is going up, too! I don't blame you for being upset. If it were me, I would write a letter/email/fax to the doctor, maybe tomorrow, and tell her in words how upset she made you, and that you don't appreciate the stress, especially being pregnant. Her suggestion that you now had "a medical reason to circ" makes me irate, as I'm sure it made you.
Sounds to me like a skin infection, and I believe that the Augmentin will kick it (though you know you may need to keep an eye out for yeast after a big antibiotic like that). I expect you will see a marked improvement within 24-48 hours. Personally, I would NOT EVER see that doctor again, and I would follow up with your new doctor.
So sorry you are going through this, and your sweet little one, too. I think he will improve quickly. HTH!
Yeah, it doesn't sound like a UTI.
Could you try doing no diaper at all for while. It seems like too much of a coincidence that the infection started right when you switched diapers. I would suspect the change somehow caused the infection. (Possibly started as an allergic reaction or simple irritation that then developed into the infection.) Try to keep him in easy to clean places, and maybe try some EC techniques.
Needing to treat it inpatient seems very unlikely. Unless it starts spreading that should be completely unnecessary.
Why go straight to amputation before even letting the antibiotics work? If gangrene set in, then it would make sense to consider circ, for a treatable with antibiotics infection it is nonsense.