First UTI in a 3.5yo girl - further testing warranted?? - Mothering Forums

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#1 of 13 Old 05-02-2009, 10:05 PM - Thread Starter
 
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Our daughter, 3.5yo, just had her first UTI. We think it came about from her pooping in her pullup (which has never happened before, although she does frequently pee and sleeps so soundly that it's hard to night potty learn with her). We're pretty sure she sat/rolled around in poop all night long and my dh said it was aaaaall in the cracks and crevices, very hard to clean out.

We took her to the doc, saw a PA who gave us a rx for antibiotics. She's feeling 100% better now but we got a phone call from the peds office saying that since dd had her first UTI before she was 5 they want to do "further testing". I'm assuming they mean an ultrasound and/or VCUG, right?

I'd consent to an ultrasound, but NOT the VCUG. She only had the one infection, and it's probably from the poopy pullup causing bacteria, right? They haven't returned my call - from 4 days ago - asking what further testing. But what other possible testing is there?

Is this testing warranted? From everything I've heard/read, dh and I say absolutely NOT. Maybe if she experiences more than 3 or 4....but not after her first one.

What do you think/what would you do?

Kier: wife to Jared, mama to Emma ('05), Savannah ('07), and our newest little love Reid (June 30, '09) -intact because of all of YOU! I had an ecstatic birth, at home in the water!
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#2 of 13 Old 05-02-2009, 10:06 PM
 
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No. Dd had 3 before she turned 3, but hasn't had any since. With the 3rd, they mentioned the possibility of further testing if she had any more. i'd take a wait and see approach.

Michelle -mom to Katlyn 4/00 , Jake 3/02, and Seth 5/04
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#3 of 13 Old 05-02-2009, 10:07 PM
 
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no no and no. not needed, not waranted and not a good idea.

Carrie, The Birthteacher CCE and Doula, real mom to five; and womb-mom to G. born at 23w by emergency C. 12/09
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#4 of 13 Old 05-02-2009, 10:10 PM - Thread Starter
 
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thank you for the quick replies!!! it feels good to be validated!

Kier: wife to Jared, mama to Emma ('05), Savannah ('07), and our newest little love Reid (June 30, '09) -intact because of all of YOU! I had an ecstatic birth, at home in the water!
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#5 of 13 Old 05-02-2009, 10:28 PM
 
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I'm of the opinion that many dr's are overly cautious these days. They don't get sued for things they do that are unnecessary, only for things they don't do that are.

Michelle -mom to Katlyn 4/00 , Jake 3/02, and Seth 5/04
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#6 of 13 Old 05-02-2009, 10:51 PM
 
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Another vote for wait and see.

To my husband I am wife, to my kids I am mother, but for myself I am just me.
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#7 of 13 Old 05-02-2009, 11:25 PM
 
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One UTI in 3.5 years is not a reason for further testing.

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#8 of 13 Old 05-02-2009, 11:30 PM
 
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Wait and see Mama. If they are recurring and such then go ahead with testing, but not until your fed up with her getting them... if that happens. DD1 just went through all kinds of testing and several procedures. Her UTI put her in the hospital, and she had several in a row and was leaking urine. Otherwise, I wouldn't have even taken her in to the doc.

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#9 of 13 Old 05-02-2009, 11:33 PM - Thread Starter
 
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I absolutely hate taking our girls to the ped. We don't vax and haven't been following the well checkup schedule. And I've been stressing a bit about this UTI and "further testing" crap - and they haven't even bothered to call us back about it!! I'm not chasing them down just to tell them NOPE, not doing it.

*end rant*. lol...feeling quite pregnant tonight.

Kier: wife to Jared, mama to Emma ('05), Savannah ('07), and our newest little love Reid (June 30, '09) -intact because of all of YOU! I had an ecstatic birth, at home in the water!
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#10 of 13 Old 05-02-2009, 11:36 PM - Thread Starter
 
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Quote:
Originally Posted by eastkygal View Post
Wait and see Mama. If they are recurring and such then go ahead with testing, but not until your fed up with her getting them... if that happens. DD1 just went through all kinds of testing and several procedures. Her UTI put her in the hospital, and she had several in a row and was leaking urine. Otherwise, I wouldn't have even taken her in to the doc.
Oh, I'm so sorry your dd has to go through this! Would you mind talking about your experience a bit with your dd's UTIs and the route you've taken? I feel most comfortable hearing stories from MDC mamas, not mainstream ones.

Kier: wife to Jared, mama to Emma ('05), Savannah ('07), and our newest little love Reid (June 30, '09) -intact because of all of YOU! I had an ecstatic birth, at home in the water!
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#11 of 13 Old 05-03-2009, 08:56 AM
 
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I just want to second, doing more testing on a 3.5 yo who has had ONE uti seems very unnecessary to me
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#12 of 13 Old 05-03-2009, 09:06 AM
 
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I would not get the testing. When I saw the title, my first thought was that maybe she wasn't wiping well enough after using the toilet. The super poopy pull-up could definitely have caused the infection. It doesn't seem right to put a little girl through a bunch of possibly invasive medical tests because she pooped her pants.
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#13 of 13 Old 05-03-2009, 10:32 AM
 
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Is she peeing frequently after the infection cleared? My girl at the same age never had a UTI, but started peeing frequently- like every ten min. or so. We did the VCUG and she did have urinary reflux level 3 on one side- the mainstream treatment is antibiotics long term to prevent kidney infection and damage. We chose to use a combo of probiotics, cranberry extract and echinachia (sp) instead, which worked well until she outgrew it.

If she has reflux the kidneys could get infected very quickly in the event of an infection. You must be on your game to catch an infection (we have the strips at home to test immediately if suspected), encourage frequent peeing, lots of water, NO red dye (kidney and bladder irritant) and good bathroom hygine.

The VCUG is horrible and traumatic and the only diagnostic tool. I will pm you the details if you decide to get it. I would probably get it if she has another infection just to keep an eye on it. Kidney damage is no joke and I would fee terrible if my daughter had damage I could have prevented.
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