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Discussion Starter · #1 ·
My 3yo has what I am assuming is an infection in his penis. It's red and swollen, it's hurting him, he has a fever, and pus came out the end when I gently touched it. Peeing doesn't hurt. I got a broad spectrum antibiotic and got the dr to swab the pus.<br><br>
I'm from a place that doesn't circ so pretty much all the boys/men around me aren't circed and I haven't heard of this before. Is it common? Do you have any advice for me? Is there anything I can be doing to clear this up? He has gotten pretty sick with it pretty quickly and I am comfortable giving the antibiotics in this instance, but I would love to hear anything you have to offer. Thank you.<br><br>
Edited to add that he has never been retracted, but has started retracting himself a little.
 

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<div>Originally Posted by <strong>nznavo</strong> <a href="/community/forum/post/10744667"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My 3yo has what I am assuming is an infection in his penis. It's red and swollen, it's hurting him, he has a fever, and pus came out the end when I gently touched it. Peeing doesn't hurt. I got a broad spectrum antibiotic and got the dr to swab the pus.<br><br>
I'm from a place that doesn't circ so pretty much all the boys/men around me aren't circed and I haven't heard of this before. Is it common? Do you have any advice for me? Is there anything I can be doing to clear this up? He has gotten pretty sick with it pretty quickly and I am comfortable giving the antibiotics in this instance, but I would love to hear anything you have to offer. Thank you.<br><br>
Edited to add that he has never been retracted, but has started retracting himself a little.</div>
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Usually, the soreness you describe is normal separation see these resent threads for discussion: <a href="http://www.mothering.com/discussions/showthread.php?t=861984" target="_blank">Thread 1</a>, <a href="http://www.mothering.com/discussions/showthread.php?t=861730" target="_blank">Thread 2</a>, and <a href="http://www.mothering.com/discussions/showthread.php?t=764732" target="_blank">Thread 3</a>.<br><br><b><i>But</i></b> you mention a fever. So I would get that checked out. There should be perhaps two things that could be done. A clean catch urinalysis to check (The shouldn't need to cath him) for UTI and also a culture to check for possible infection. Others will reply but a fever should proabably send you in. And he might end up getting ABX. Hope those help. Where are you from anyway?<br><br>
ETA: Sorry I should read your post before replying I see you've been to the doc so it seems like your doing thing just fine. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Discussion Starter · #3 ·
Thanks. I just noticed that it seems to be spreading - he now has a tender red patch above his penis on the left. Where an ovary would be if he were a girl. He was very ill as a baby with a bacterial infection that spread very fast and became septicemia and I am super paranoid about bacterial infections (though try not to be!). Does this spreading sound normal? He is acting unwell but not super sick. He has just gone to bed (nighttime here) so it's hard to monitor behaviour.<br><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">Where are you from anyway?</td>
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I'm from New Zealand, living in SE Asia.
 

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<div>Originally Posted by <strong>nznavo</strong> <a href="/community/forum/post/10745094"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Thanks. I just noticed that it seems to be spreading - he now has a tender red patch above his penis on the left. Where an ovary would be if he were a girl. He was very ill as a baby with a bacterial infection that spread very fast and became septicemia and I am super paranoid about bacterial infections (though try not to be!). Does this spreading sound normal? He is acting unwell but not super sick. He has just gone to bed (nighttime here) so it's hard to monitor behaviour.<br><br><br><br>
I'm from New Zealand, living in SE Asia.</div>
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Others will follow this up but I am wondering about UTI. This can be detected with a urinalysis from a clean catch (no cath is required). Others may follow up but I would get it checked out further. The spreading doesn't sound like a normal separation thing usually the irritation involves the foreskin and or the glans. The tummy soreness and fever I believe are abnormal.
 

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If an illness seems like it's getting worse, it's always a good idea to have him seen by a doctor again. It's better to catch something early, than to wait too long and have a more serious situation on your hands.<br><br>
Gillian
 

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I agree with the previous poster. If his symptoms are getting progressively worse, time to see the doctor again. His red, swollen penis could be totally unrelated to the fever and sore tummy region, and it would be best for a physician to review his symptoms. Did you get any feedback on the culture?<br><br>
And a UTI can be completely asymptomatic, it wouldn't hurt to bring a mid-stream, clean-catch urine sample in to be cultured too. If your son isn't potty trained, you could try taping a baggie onto his penis and slip it inside the diaper. Morning samples are the best if you can get one.<br><br>
In the meantime, try lots of warm soaks with baking soda (1/2 cup) in the water, lots of diaperless time, fluids and cuddles. You could try a fever-reducer as well to keep him comfortable.<br><br>
Keep us posted!<br><br>
Cindy<br><br>
Lindsey (96/02/26)<br>
Jason (00/06/08)
 

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I would definitely start the abx and follow up with a doctor to get him checked out today. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Yeah, this sounds like it just *might* be more than the usual separation "scare" that is so common -- because of the fever and the tender spot.<br><br>
But the only way to tell if it's a true infection is to culture -- the pus/smegma AND a urinalysis to see where/what it is. Smegma washed out with urine looks just like pus, so a visual exam isn't gonna do it. And I'll reiterate what everyone is saying about the catheter -- it's not necessary, and often the staff who perform the cath will automatically and forcefully retract the foreskin. So basically, if there IS an infection present, they've just causes tears in the foreskin where the infection can get into. Makes perfect sense, huh?<br><br>
Please keep us posted on how your son is doing, OK?
 

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If the results come back as bacterial I would request a topical cream to use along with the abx. Ds had a bacterial infection and was on abx and topical and within 24 hours he was much improved.<br><br>
If is has spread since you took him to the Dr. last another trip is in order. But like pp's have said make sure they do not retract him because this can cause tearing and that will make it spread faster.<br><br>
Please let us know what the culture showed and keep us updated.
 

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Discussion Starter · #11 ·
I think he's doing better. I had given the first dose of abx when I initially posted, now he's had two and no longer has a fever and is acting basically fine. His penis doesn't look improved but there is no further spreading of the redness and I think (hope!) it might even be retreating a bit.<br><br>
The dr said 3 days for the culture to come back and it has been less than 24 hours so far. As long as he isn't acting very sick then I'll just keep with the abx and cool baths. If he seems worse I'll take him back. Thank you for your responses! I'll keep you posted with what it is.<br><br>
Also on the retracting, the doctor told ME not to retract him! As if I would, but I mention it because I haven't ever come across a dr wanting to retract here.
 

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It's good to hear things seem to be on the mend. The doctor you have is a jewel! He went immediately to collecting samples for a culture. This is the only way to positively identify the source of the infection. This does seem to be an actual infection as evidenced by the tenderness, the fever and the spread of symptoms. Generally, I recommend watching them for a day before seeking medical help but in this case, you did exactly the right thing.<br><br>
The important thing for you to remember is that genital infections in boys are caused by exactly the same bacterials and fungals as genital infections in girls. They respond to treatment in boys at least as well as in girls and the prognosis for successful treatment in boys is at least as good for boys as girls.<br><br>
It is very important to administer the medications for the entire prescribed time period. The symptoms may completely disappear in a few days but that does not mean the pathogen has been completely eliminated. Stopping treatment before the prescribed time can result in the infectious agent returning and being far more resistant to future treatment.<br><br><br>
Frank
 

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Discussion Starter · #13 ·
Update: nothing of any significance was cultured. Huh. I'm kind of confused by this. Everything (to me) pointed to it being a bacterial infection and he did respond to antibiotics. He still has a little tenderness in the groin above his penis but his penis looks completely normal now and there's no discharge.<br><br>
While I am glad that he's well I kind of want to know if I unnecessarily gave him drugs. I will finish the course.
 

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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>nznavo</strong> <a href="/community/forum/post/10771035"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Update: nothing of any significance was cultured. Huh. I'm kind of confused by this. Everything (to me) pointed to it being a bacterial infection and he did respond to antibiotics. He still has a little tenderness in the groin above his penis but his penis looks completely normal now and there's no discharge.<br><br>
While I am glad that he's well I kind of want to know if I unnecessarily gave him drugs. I will finish the course.</div>
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Did the dr. offer any other suggestions about what might have caused it?
 

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<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>nznavo</strong> <a href="/community/forum/post/10771035"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Update: nothing of any significance was cultured. Huh. I'm kind of confused by this. Everything (to me) pointed to it being a bacterial infection and he did respond to antibiotics. He still has a little tenderness in the groin above his penis but his penis looks completely normal now and there's no discharge.<br><br>
While I am glad that he's well I kind of want to know if I unnecessarily gave him drugs. I will finish the course.</div>
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This is often the way medicine works. It's a process of elimination. You eliminate all possible causes until only one is left and that will then be known to be the source of the problem. At least you now know that it was not an infection of his penis. This may be a problem in another area that his immune system is taking care of. The appearance of any effect of the antibiotics may just be coincidental. It does appear that the administration of the antibiotics was unnecessary but you or the doctor couldn't have known that at the time.<br><br>
I'm curious, did the doctor collect a urine sample?<br><br><br>
Frank
 

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Discussion Starter · #16 ·
The doctor still thought it was a bacterial infection and that the bacteria had been slow to culture. I have no idea whether or not this is valid. He didn't collect a urine sample. Wouldn't a UTI have made peeing painful? Or should I not be translating my own UTI to him?!<br><br>
He is completely well now, all pain and swelling gone.
 

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<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>nznavo</strong> <a href="/community/forum/post/10801664"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">The doctor still thought it was a bacterial infection and that the bacteria had been slow to culture. I have no idea whether or not this is valid.</div>
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If there had been a significant infection, it would have cultured quickly. It may have been that the colonies were so sparse that he didn't get enough for a strong culture. This would indicate your son's immune system was already taking care of the problem. The human body has an amazing capability of keeping itself healthy.<br><br><br>
[quoteHe didn't collect a urine sample. Wouldn't a UTI have made peeing painful? Or should I not be translating my own UTI to him?![/quote]<br><br><br>
UTIs can present in a variety of ways and symptoms. There may only be a fever and no other symptoms or there might be a slight discomfort similar to gas in the intestine but in the bladder. There might be a burning sensation making it feel to him that he needs to urinate when the bladder is not nearly full and there can be a burning of the urethra during the entire time he is urinating.<br><br><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">He is completely well now, all pain and swelling gone.</td>
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<br>
That' good. All's well that ends well!<br><br><br>
Frank
 
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