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Child having RBC in urine, amorphous phosphate. Recurrent UTI, fever. Normal growth, apetite. Suggestions?

my son who is going to become 5 yr old on april this year.i started noticing rbc in his urine since january of year 2011 after an episode of fever.he jad recurrent uti one episode almost each month since then upto one year.his rbc in urine was sometimes 18-20 or sometimes full filled packed of rbc/hpf.after an period of one year he again had fever .urine report this time is pus cells 0 t0 4/hpf and rbcs 4-8/hpf. he also has amorphous phosphate +++.his other investigations are normal.he has good growth and appetite
Asked On : Sun, 10 Feb 2013
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Pediatrician, Surgery 's  Response
Thank you for your query.
If your son is having recurrent urinary tract infections then you must do the following
1. Also get a culture of the urine to know what organisms are causing the infection and what antibiotics will work
2. Maintain good hygiene. Retract his prepuce and clean it once everyday. Teach him to do so more frequently. Some experts also advise circumcision to get rid of recurrent infections but that is your call. And i think its not necessary at his age.
3. Maintain hydration. Ask him to drink lots of fluids.
4. Get an ultrasound. Sometimes there may be a stone which is causing so many RBCs. It can be removed easily.
5. If a boy gets recurrent urinary tract infection we always recommend a micturating / voiding cystourethrogram (MCU or VCUG). It helps us to know whether the urine from bladder is going back into the kidneys.
You should definitely consult a pediatric surgeon for further opinions. It will help prevent any further damage.
Hope that helps
God bless you
Answered: Mon, 11 Feb 2013
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