delaying treatment for UTI in 8 y.o dd - Mothering Forums
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#1 of 21 Old 06-15-2009, 02:40 PM - Thread Starter
 
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I'm trying to decide whether or not to call the doctor about the fact that I'm 99% certain my 8 y.o dd has a urinary tract infection. I need some feedback! I want to take care of her, but I also don't really want to put her on antibiotics unnecessarily.
She rarely drinks enough water or voids as often as she should. On Saturday, she waited from about 10 am until 8 pm to pee (we were having a pool party for her sister's bday and I guess she was just too busy.) I was helping to run the party and keep watch over the kids in the pool (including nursing a bee sting on one girl) so I wasn't paying attention to her fluid intake or trips to the bathroom. When we were changing into dry clothes, my daughters warned me that it would hurt me to pee because they both had burning upon urination. Natalie kept having to pee literally every minute and even asked if she could squeeze my hand when she peed because it hurt so bad. My dad's pool water seemed a little dirty, so I thought being in the pool all day, with dirty water, and holidng her pee had surely begun a UTI brewing. I would've given her the homeopathic remedy of choice, cantharis, but we didn't have any and the store where I work (the only place for many, many miles that would have it) was closed. At this point, it was almost 9 pm. I figured even if I reached her dr., there wasn't much we could do, since all of the pharmacies even remotely close to our home were all closed. I gave her water and I made her drink lemonade, as the acidity would make her bladder an unpleasant place for bacteria. I made my girls shower when we got home, just in case the pool water was the culprit. At this point, she'd already had about 32 ozs of liquid within a 2-hr time span. I touched her back, where her kidneys are and asked if that hurt and she said yes. I then became very concerned. We live about 5 mins from the hospital, so I figured if she ran a fever or if I saw blood in her urine, we'd just go to the ER in the middle of the night.

Sunday, she drank adequate amounts of water. She was voiding regularly and her urine was clear. It no longer hurt to pee. Her kidneys were still a little sore, but she said noticeable, but not bad. Still no fever. The real problem at this point is that she is at her dad's house and I don't know how attentive he and his gf will be. I wrote a note to her teacher, asking that for today and tomorrow (the last two days of school) she be allowed to have her water bottle with her at all times and to be able to use the restroom as needed. I'll talk to my daughter this afternoon to see how she's feeling.

Do you think I should call the doctor anyway, regardless of how she is feeling? Everything I've read on the internet says that children are at a much greater risk of kidney damage from UTI's than adults are so prompt attention and treatment is necessary. If she doesn't have a fever, has adequate fluid intake and is voiding urine often (and it's clear with no odor) does she still need to get on antibiotics? Honestly, I really see no reason to take her in to the dr's office at all; I would think a call would suffice. Obviously, it's a uti. Should I just ask them to phone in a prescription? She has taken antibiotics more times than my other two kids and I would like to avoid them if at all possible...it's just making that determination that is tricky! Sorry this is so long! I just wanted to give enough background info.

Thanks!
-Alison
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#2 of 21 Old 06-15-2009, 07:52 PM
 
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Sorry Mama...how worrisome. What about a Naturopath? I've seen one for UTIs in myself with success.

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#3 of 21 Old 06-15-2009, 09:21 PM
 
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I'd take her in because of how long it's been and the kidney pain.

If you had asked the day she seemed to have come down with it I would have said to get her to drink large amounts of cranberry juice and water for 3 days and watch how she feels....but once the kidneys start hurting it's too late for that in a kiddo.

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#4 of 21 Old 06-15-2009, 11:40 PM
 
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the doc will most likely tell you to bring her in and not phone in a scrip for abx. (i've had a million uti's and know the protocol) they will want to run a culture so they can see the strain of bacteria. that way, if she's got it again in 10 days, they can run another culture and see if it's a new infection, or if the old one never cleared up.

i would take her in based on the kidney pain. that's not good.
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#5 of 21 Old 06-15-2009, 11:44 PM
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I too would take her in based on kidney pain. I am a pro at waiting out UTIs and once ended up in the ER with such bad kidney pain, the docs were convinced I was beaten by my boyfriend. It was about the same amount of pain as natural childbirth. Anyway it was so bad I wouldn't risk putting an 8 yo through it.

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#6 of 21 Old 06-15-2009, 11:53 PM
 
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I agree with pps. If you take her in, they will probably take a urine sample. The initial urinalysis will give you a pretty good idea if it's a UTI and the culture (which takes a few days) will tell you which bacteria it is so that you can at least know she is on the right abx.

Hope she is feeling better soon!
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#7 of 21 Old 06-16-2009, 12:19 AM
 
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another vote for taking her in mama. Kidney's are so easy to scar and I know from experience. I thought I was over a UTI (cranberry tablets, water by the gallon, no pain) until I woke up with a 104 fever and a kidney infection that got me 2 days in hospital on IV antibiotics.

UTI's are simple to get, simple to fix w/ the right combo of care. Once it touches the kidneys it is really best put in the dr's hands. And a culture/ urine test is the only way to tell what is the safest way to get rid of it. :
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#8 of 21 Old 06-16-2009, 08:16 AM
 
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I agree with pps. If you take her in, they will probably take a urine sample. The initial urinalysis will give you a pretty good idea if it's a UTI and the culture (which takes a few days) will tell you which bacteria it is so that you can at least know she is on the right abx.

Hope she is feeling better soon!
:

OP,

I would take her in and get the urinalysis done (they can check the culture in the office. Then they will send it off to the lab to grow it. That will tell them if it is resistant to the abx they prescribed or not). If it is showing a UTI, then get the abx. After the course of abx have them recheck to make sure the bacteria is gone.

Anne, Mama to Conner 2/27/04 blahblah.gif  Gabrielle 2/6/06 W/LMC-TCS, Neurogenic Bladder, AFO & KAFO wearer, Neurogenic Bowel energy.gif & Delaney 5/12/08 mischievous.gif &  Beethoven cat.gif& Gizmo cat.gif

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#9 of 21 Old 06-16-2009, 08:31 AM
 
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I once delayed treatment on a UTI in myself. I drank water and took cranberry, and did some of those OTC things to help deal with the pain. The symptoms got better, then I had horrendous kidney pain, then a high fever (I want to say 105) and DH (who I had just started dating) took me into the ER. I had a kidney infection and they gave me IV antibiotics. I will never ever delay treatment for a full blown UTI again. Kidney infections are painful.
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#10 of 21 Old 06-16-2009, 09:21 AM
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I once delayed treatment on a UTI in myself. I drank water and took cranberry, and did some of those OTC things to help deal with the pain. The symptoms got better, then I had horrendous kidney pain, then a high fever (I want to say 105) and DH (who I had just started dating) took me into the ER. I had a kidney infection and they gave me IV antibiotics. I will never ever delay treatment for a full blown UTI again. Kidney infections are painful.
I ended up having the same thing happen. You don't screw around with UTIs.
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#11 of 21 Old 06-16-2009, 09:58 AM
 
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Honestly, giving her lemonade to drink was a very bad idea. The acidity in it intensifies the pain. I used to get them very regularly, and for me to drink orange juice or anything like that was like pure torture once I peed.

UTI's are nothing to mess around with, especially if they ended up becoming kidney infections.

It's important to know what's causing the infection. Usually it's caused by bacteria from the intestinal tract migrating up and ending up in the bladder. If it's from that, then d-mannose will work on it. D-mannose is found in blueberries and it sticks to the bacteria (that is, if it's bacteria from the intestines) without sticking to the walls of the bladder, and flushes them out when you pee.

You can get d-mannose at some natural stores, I order mine from iherb and try to keep some onhand, but for some reason i don't get uti's as often since i had kids.

but if it's progressed to the point of kidney pain, then really I would see a proffessional, as they could be dangerous.

I hope she is feeling better today.
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#12 of 21 Old 06-16-2009, 10:53 AM
 
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I'll try to say this as nicely as possible. You are not a doctor. You are not qualified to diagnose a UTI. I had what people thought were UTI's when I was little. Turns out I had a medical condition called interstitial cystitis, a chronic health condition that mimics UTI symptoms. You can't know that it's just UTI. I have also had multiple kidney infections and they are nothing to mess around with. I can't for the life begin to fathom why you think there is no reason to take her in. Overuse of antibiotics is bad. Using them for a purpose that is necessary is good.

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#13 of 21 Old 06-16-2009, 11:12 AM
 
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I remember being a child and spending the entire day in a chlorinated pool. I always had painful urination for the first pee after. I don't remember having any other problems though and what your daughter has sounds like it might be more serious. My mom used to put me in water to pee during those painful times and it helped immensely.
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#14 of 21 Old 06-16-2009, 12:24 PM
 
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UTI's are nothing to mess around with, especially if they ended up becoming kidney infections.
ITA. A friend of mine is a physician, and she was commenting on how the volume of much more serious UTIs she sees are these days has increased because many just do cranberry juice and hope for the best. By the time she's seeing them, the infections are advanced.

IME, I've never had a fever with a UTI. I would take her in for a culture if I were in the situation. Antibiotics are definitely over-prescribed but are a blessing when necessary

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#15 of 21 Old 06-16-2009, 12:48 PM
 
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ITA. A friend of mine is a physician, and she was commenting on how the volume of much more serious UTIs she sees are these days has increased because many just do cranberry juice and hope for the best. By the time she's seeing them, the infections are advanced.

IME, I've never had a fever with a UTI. I would take her in for a culture if I were in the situation. Antibiotics are definitely over-prescribed but are a blessing when necessary
Gabrielle rarely has a fever with hers either. I can tell by smell and look when I cath her. Also her toddler irritablity increases.

Cranberry juice has to be 100%. Ocean Spray is NOT 100% cranberry juice.

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#16 of 21 Old 06-16-2009, 12:55 PM
 
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Yeah, I'm usually able to "arrest" mine in the very, very early stages with 100% cranberry juice (whoa, hard to get me to drink it, let alone my dd!) and a variety of herbal supplements, but UTIs are something I've learned not to mess around with esp. if it's a child.

Please keep us updated

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#17 of 21 Old 06-16-2009, 01:13 PM
 
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Originally Posted by lalaland42 View Post
I too would take her in based on kidney pain. I am a pro at waiting out UTIs and once ended up in the ER with such bad kidney pain, the docs were convinced I was beaten by my boyfriend. It was about the same amount of pain as natural childbirth. Anyway it was so bad I wouldn't risk putting an 8 yo through it.

mama
I would take her, particularly with the previous kidney pain.

To ward off UTI's I mix craberry juice concentrate (from the health store) with a bit of 100% juice (just enough to make it drinkable) right before bed. This only works in the very early stages when I realize that I have not been drinking enough water and I feel "off" down there. Once it progresses to burning I need the anti-biotics. Once in pain, fruit juice will only make it worse.

If she is frequently on the verge of a UTI she should see a Dr. anyway. Not applicable to your dd, but last year I had a string of UTIs and finally I saw a Dr. (I had been to 3 in that practice already) that figured out what just that day I had suspected...my UTI's were being cause by the spermicide I was using; the other doctors had been on the verge of sending me to a specialist.

There is an anti-biotic that is prescribed to have "on hand", where you take 1 when you feel you may be developing a UTI. Though I know a Dr. will not phone in a prescription without taking a urine sample first.

"It should be a rule in all prophylactic work that no harm should ever be unnecessarily inflicted on a healthy person (Sir Graham Wilson, The Hazards of Immunization, 1967)."
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#18 of 21 Old 06-16-2009, 03:44 PM
 
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Cranberry juice is actually bad for the bladder. Though it can be great for a UTI in a pinch if it doesn't work right away then I would probably go see the Dr.

I also have Interstitial cystitis, it can be debilitating. I wouldn't mess around with a UTI particularly is kidney pain is involved.

The point isn't to get her on antibiotics the point is to get a precise diagnoses so she gets proper care. If she does need the antibiotics then well...that is what they are for.

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#19 of 21 Old 06-16-2009, 04:08 PM
 
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I have also heard that cranberry juice won't work if the infection has already set in.

I'd take her in....just a simple urine test will determine if she needs antibiotics.

I have IC too.

: Robyn : Increasingly crunchy Mama to Kya (8) , Makena (7) , and Keegan (4) :
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#20 of 21 Old 06-16-2009, 05:30 PM
 
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All the big drugstore chains sell Azo brand test strips which tests for white blood cells and nitrites. Just be aware that if you take a lot of Vitamin C it makes the test inaccurate.

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There is an anti-biotic that is prescribed to have "on hand", where you take 1 when you feel you may be developing a UTI. Though I know a Dr. will not phone in a prescription without taking a urine sample first.
That is a BAD idea. You should always have it cultured to find out what antibiotic you need, or you raise the chances of getting an antibiotic-resistant one. There are a bunch of different bacteria that it could be and without a culture, they just don't know.

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#21 of 21 Old 06-16-2009, 09:21 PM
 
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I'm trying to decide whether or not to call the doctor about the fact that I'm 99% certain my 8 y.o dd has a urinary tract infection. I need some feedback! I want to take care of her, but I also don't really want to put her on antibiotics unnecessarily.
She rarely drinks enough water or voids as often as she should. On Saturday, she waited from about 10 am until 8 pm to pee (we were having a pool party for her sister's bday and I guess she was just too busy.) I was helping to run the party and keep watch over the kids in the pool (including nursing a bee sting on one girl) so I wasn't paying attention to her fluid intake or trips to the bathroom. When we were changing into dry clothes, my daughters warned me that it would hurt me to pee because they both had burning upon urination. Natalie kept having to pee literally every minute and even asked if she could squeeze my hand when she peed because it hurt so bad. My dad's pool water seemed a little dirty, so I thought being in the pool all day, with dirty water, and holidng her pee had surely begun a UTI brewing. I would've given her the homeopathic remedy of choice, cantharis, but we didn't have any and the store where I work (the only place for many, many miles that would have it) was closed. At this point, it was almost 9 pm. I figured even if I reached her dr., there wasn't much we could do, since all of the pharmacies even remotely close to our home were all closed. I gave her water and I made her drink lemonade, as the acidity would make her bladder an unpleasant place for bacteria. I made my girls shower when we got home, just in case the pool water was the culprit. At this point, she'd already had about 32 ozs of liquid within a 2-hr time span. I touched her back, where her kidneys are and asked if that hurt and she said yes. I then became very concerned. We live about 5 mins from the hospital, so I figured if she ran a fever or if I saw blood in her urine, we'd just go to the ER in the middle of the night.

Sunday, she drank adequate amounts of water. She was voiding regularly and her urine was clear. It no longer hurt to pee. Her kidneys were still a little sore, but she said noticeable, but not bad. Still no fever. The real problem at this point is that she is at her dad's house and I don't know how attentive he and his gf will be. I wrote a note to her teacher, asking that for today and tomorrow (the last two days of school) she be allowed to have her water bottle with her at all times and to be able to use the restroom as needed. I'll talk to my daughter this afternoon to see how she's feeling.

Do you think I should call the doctor anyway, regardless of how she is feeling? Everything I've read on the internet says that children are at a much greater risk of kidney damage from UTI's than adults are so prompt attention and treatment is necessary. If she doesn't have a fever, has adequate fluid intake and is voiding urine often (and it's clear with no odor) does she still need to get on antibiotics? Honestly, I really see no reason to take her in to the dr's office at all; I would think a call would suffice. Obviously, it's a uti. Should I just ask them to phone in a prescription? She has taken antibiotics more times than my other two kids and I would like to avoid them if at all possible...it's just making that determination that is tricky! Sorry this is so long! I just wanted to give enough background info.

Thanks!
-Alison
Lack of a fever doesn't mean she's not in danger. I was in the hospital for 3 days with a serious kidney infection that stemmed from an untreated (asymptomatic) UTI. I never had a fever. I'd take her in.
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