Throwing up since Saturday afternoon. Diarrhea since then as well.
2 wet diapers in 24 hours. Both extremely dark urine - almost tea colored and very little of it. 1 poopy diaper today - thought it would have been rock hard given the crying and grunting while it was coming out - instead it was a fairly soft stool.
Only on breast milk - sometimes pedialite. Doesn't really like the pedialite and won't take it in popcicle form either. Only keeps liquids down for about 30-60 minutes.
Been to the peds office twice now.
They are concerned about dehydration and have suggested IV fluids as well as cathing him to check his urine.
I'm afraid of cathing him - he's intact and I don't want them to damage his forskin or hurt him.
Ask them to bag his penis instead like they would with a little girl. I would not allow a cath unless this failed. Sounds like a nasty stomach virus I hope.
Wow, just to check his urine? My LO has a kidney disease and he's never been cath'ed, they just tape a bag around his penis under his diaper. It isn't clean catch, but it has worked at least for a first step.
I'd do the cath and IV fluids if he is lethargic, not taking in fluids, not playing normally. I've cath'd many intact men. It isn't a big deal.
Get this baby some probiotics, anyway, any kind at this point, especially bifidum bacterium and lactobacillis they help!
Also, consider some coconut water and "rehydration solutions". Here is the recipe:
All you need is 1/4 tsp sea salt to each 6 oz or water; the rest is for flavor but here is the full recipe:
To make 1/2 gallon at a time:
1 cup lemon juice (fresh squeezed, no preservatives)
2 1/2 teaspoons sea salt
2 syringes full of lemon drop stevia
7 cups filtered water
Here are two links to info on many of the health benefits of coconut water:
Do you know of a homeopathist? They could definitely help with choosing a homeopathic remedy for nausea, vomiting.
Ds had a bought of N/V/D for three days, plus fever. The homeopathic remedy addressed it immediately. We had to repeat it two days in a row (at night), but he immediately was up and drinking fluids, and the N/V/D stopped with the remedy.
The cath is to see if there is residual urine, to see if the child is making urine adequately. It'd be sent for culture and sensitivity, I imagine.
Originally Posted by WuWei
I've cath'd many intact men. It isn't a big deal.
With all due respect, cathing a man is quite different than cathing a sick, scared baby. In addition, I absolutely do believe it's a big deal for a few reasons but the main one being I have heard horror stories of retraction during this procedure because the people doing them were not skilled enough and not knowledgeable enough about intact penises. I, personally, would not let them cath my child - boy or girl - unless it felt VERY medically necessary. Since there is an easy way to catch urine using a bag it seems absolutely awful to me to not want to try this first.
Originally Posted by Flor
Wow, just to check his urine? My LO has a kidney disease and he's never been cath'ed, they just tape a bag around his penis under his diaper. It isn't clean catch, but it has worked at least for a first step.
The doctor said something about needing to cath in order to get a clean catch? I think I was so surprised they wanted to cath at all that I didn't catch the "why they needed to do it." I asked DH and he didn't know either. I guess I'll ask the Dr.why and find out alternatives before consenting.
There is a world of difference between cathing and adult retractable man and a completly non retractable infant/boy.
Some Dr think it is cleaner that way but in all honesty you can get just as good a sample with the bag.
If they do end up cathing him explain to them exactly what you expect. They are in no way to push back the skin. Ask them how they would do it and if at any point they say push the skin back stop them and say no you are not. Please go find someone who knows what they are doing. Someone in the NICU would be your best bet. Be sure that you can see exactly what they are doing and be in a position to stop them should it look like they will retract.
(I am telling this story below as a caution to what can and does happen not to try and scare you OP)
Recently over in CAC (the hospital incident thread) had a mom come telling that her ds was retracted after the nurse repeately assured her that she wouldnt do it then it got stuck behind the glans and they had a emergency situation that took a lot of work and pain to the boy to get it back down
The nurse actually blocked the mom's view so she coudlnt see what was going on
I cant stress enough how important it is that they know that you will not tolerate any retraction period.
Thank you for bringing this issue of retraction of a child's foreskin related to ignorance of proper care of an intact penis. I appreciate folks clarifying their concerns. I, too, would INSIST on being present, no if, ands, or buts! PERIOD.
The concerns related to informed cathing of a young, probably uncooperative child are significant. I would only allow the cathing for dire circumstances, such as the child is lethargic, dehydrated, infectious urine, febrile, etc. This child sounds significantly ill, but the primary issues are vomiting and diarrhea, not a UTI.
For a clean catch, I would do the bag and collect.
Originally Posted by notwonamesalike
The doctor said something about needing to cath in order to get a clean catch? I think I was so surprised they wanted to cath at all that I didn't catch the "why they needed to do it." I asked DH and he didn't know either. I guess I'll ask the Dr.why and find out alternatives before consenting.
Our urologist will not accept a urine sample unless it is by cath. His reasoning is that there is less chance of it being contaminated by outside bacteria, which can give you false results. It reduces the chance of putting a child on abx that they may not need.
I'm not saying that he is right, but that is the explanation that we got. It hasn't been a big issue for us since it is DD being cath'ed, not DS.
We had an issue with our sone about 2 months ago. We went to the Dr.'s office and they told us that they need to cath to get a clean sample. We objected and had our son bagged. Apparently it is possible to have a clean catch, since his urine came clean. So if the cath is only for the urine sample I would definitely object. With the intact penis it is hard to cath, because you cannot see what you are doing. Also the cath goes in the same way as the urine goes out so it gets the bacteria as well, so there are chances of introduciing bacteria to the bladder and actually causing UTI. If they clean him well, they should get a clean sample.
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