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Urine quantity decreased, trouble in passing, mild fever, sticky urine in an infant. Giving cerelac and fruits. Further?

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Pediatrician, Infectious Diseases
Practicing since : 2005
Answered : 1528 Questions
Hello Doctor
I was a frequent visitor to this forum. Thanks to all of you for sharing such useful information on internet.
My querry is:
I have a 5+ months old kid who was healthy till he is 5 months when he was only on his mother's feed. After that we started giving Cerelac and also fruit juice in small quantities.
Here it is severe summer and 5 days back my wife is ill with cough and fever. She took medication. she is fine in 3 days. But she was giving milk to the kid during this period too.
We started observing the below changes in the kid from past few days:
1) The quantity of urine decreased
2) He is currently feeling trouble while passing motion
3) His body temperature is around 98 degrees to 99 degrees f rarely crossing 100 in past 2 days
4) Urine is sticky and in pale yellow color
We took him to a doctor, he diagnosed it to be a UTI and asked us to do some tests:
1) Common Blood Test
2) Routine Urine Test
3) C Reactive Protein test
4) Ultra Sound for upper abdomen
Except urine test, the other 2 tests resulted normal. He has some puss content in urine.
We are giving him a anti-biotic prescribed by the doc and also giving him Crocin when his temperature is past 100.
His condition is better now compared to last 2 days but his irritation while passing motion is still there. He is still on Mother feed and now we are slowly introducing CERELAC and fruits in addition.
Please advise what we should do to give him comfort and take care of his growth with out any infections like UTI
Thank You

Posted Sat, 16 Jun 2012 in Child Health
Answered by Dr. Hema Yadav 2 hours later
Thanks for posting your query.
Answer 1. The most important thing you can do at present to comfort him is to keep him well hydrated. The best way our this in infants less than 6 months old is to give frequent breastfeeding and make sure that the mother has a nutritious diet and plenty of water.Also make sure that adequate genital hygiene is maintained by appropriate change of soiled diaper or cloth. The discomfort during motions can be due to pain during pressure or as a result of change in digestive ability ( gas etc)due to introduction of new food. You can minimize the intake of juice sand cerelac to total 1-2 serving per day and continue breastfeeding as the main nutrition till he completes 6 months .Sometimes antibiotics and antipyretic medicines can also be difficult for them to handle as their gastrointestinal tract is still developmentally immature and sensitive.But in that case his symptoms will soon resolve once the treatment course is completed .If the baby still has very less urination despite all measures and adequate feeding then boiled cooled sterile water can be given in small quantity during daytime to improve his hydration.

Answer 2 For maintaining good growth and development of baby and prevention of UTI and other infections you may follow these tips
a. Remember to continue breastfeeding till at least 1 year of age or preferably till 2 years. Solid food like rice , ragi , boiled mashed apples , bananas can be introduced gradually 1-3 servings daily after 6 months of age .
Boiled cooled water can be introduced after 6 months of age preferably
Since you have tried to introduce cereals like cerelac and fruit juices , and the baby is about to turn 6 mth old , you can continue that .
b. Practice frequent hand washing both for caretaker and child since they are the main carrier of germs. Mother should wash hands after diaper change, before feeding and handling baby. Remember to clean stools as early as possible because it may transmit germs to urinary Tract if left undetected for long time or if it enters the child's urethra.
Try to avoid the baby from mouthing dirty objects or hands ,though this is very common , normally seen in babies and very difficult to avoid !
c. Do not apply oil directly to any mucosa like nose ,urethra , ear etc . Regular oil massage to skin can be done and is harmless if done with hygiene.
d. Every month or so do go for regular check ups to his pediatrician for tracking the growth and development and advice on any new issues.
Vaccinate according to doctors advice .
Lastly if child has any more episodes of UTI in future then do get him further investigated to rule out any urinary tract anomalies though at present it doesn't seem necessary .
Hope I have answered your query .
Wishing you & your family good health.

Above answer was peer-reviewed by
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