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4 year old with Ovary torsion, Appendicitis and Recurrent UTI - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   Hello Docotr. This is for my daughter who is 4years old.
User :   One and half months back she undergone a surgery due to Ovary tortion and they removed the right ovary with the fellopain tube and the inflammated appendicitis also.
User :   seh had this history of UTI issue before(first diagnosed at 18months)...and coupl eof months back, i have observed that she got white discharge also...all these got investigated during her hospitalisation period and everythng came normal
User :   now past couple of days back, i have seen this white discharge in her panties again
User :   so i did a Urine routine for her and the
User :   pus cells -2-3
User :   RBC - NIL
Doctor :   Ok
User :   but MOTILE BACTERIA turns to be PRESENT
User :   i took the first urine in the morning (middle
Doctor :   Ok
User :   is there anythng to be concerned for this, since she had this hsitory
User :   they took a vaginal swab also during her hospitlaisation period...but it was normal
User :   so i would liek to know whats this MOTILE bacteria and what could ne the reasons?
User :   i couldnt figure out from google search also..i will be visiting her peadtrician tomorrow...but because of this tension...
User :   Could you please enlighten me?
Doctor :   Motile bacteria is moving bacteria
Doctor :   which shows an infection again
Doctor :   Reasons for recurrent UTI in a 4 year old female
Doctor :   should be investigated throughly
User :   So is this a UTI issue ,because pus cells are normal
Doctor :   Since there is discharge, the first thing is fungal vaginitis
Doctor :   or vulvitis
Doctor :   When fungal cause, bacteria can be present
User :   she always holds her urine and then passes only at the last moment...
User :   ok, so what all tests you recommend?
Doctor :   Ultrasound abdomen
Doctor :   Urinalysis
Doctor :   Stool analysis
Doctor :   You have to maintain a good perineal hygiene for you girl
User :   all these got analysed 1 and half months back during her hospitalisation...that time she was under antibiotics...everythng came normal
Doctor :   wash the area with good antibacterial soap
Doctor :   This is mot imp
Doctor :   keep the aarea dry
User :   could you recommend a anit bacterial soap for 4year old? Dettol is fine?
User :   ok
Doctor :   3X
Doctor :   Dettol is fine
Doctor :   Keep the area dry
User :   3X ??
Doctor :   Just dettol soap is fine
User :   ok
User :   can i keep her in the hot water with salt
User :   menas warm water in a bucket or tub?
User :   while tkaing bath?
Doctor :   No need
User :   ok thanks a lot docotr , i will keep this in mind and evrytime she urinates i have to clean with Dettol?
Doctor :   Let her be without pants
Doctor :   so that it is air
User :   cotton panties
Doctor :   loose ones
Doctor :   help
Doctor :   OK?
Doctor :   Thank you
Doctor :   Bye for now
User :   Thanks
User :   Bye
Doctor :   Bye for now

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