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Fish smelling urine, slight feverish, 10 months old - 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 : 2004
Answered : 40 Questions
User :   Hello.My 10 month old all of a sudden has an extreme fish odor from his urine. Over the past week he also has run a slight fever off and on. Is this reason for concern? He has thus far appeared healthy since birth.
Doctor :   Hi
User :   How r u
Doctor :   Pls. give me few seconds to go through your query.
User :   thanx
Doctor :   Ok.
User :   Just started 2 days ago
Doctor :   I need to ask a few more questions to help you better.
User :   I did give him tylenol for first time also
User :   due to fever
Doctor :   Ok.
Doctor :   May I know if he is feeling pain during urination or does he cry while urinating User :   no
Doctor :   The most common cause of fishy smell in urine is Cystitis or Infection of the urinary bladder or ureteritis.
Doctor :   Which also reflects or shows up as fever.
User :   Would he be in pain. He has been minimally cranky but still playing
Doctor :   Usually they feel pain , but sometimes if the baby is active may not feel or may not appear cranky.
Doctor :   I suggest that you continue tylenol syrup thrice daily 4-5ml every time.
Doctor :   2. Please give him lots of liquid diet, may be more of fruit juices and feed to be made more semi-liquid.
User :   I am almost soley nursing him. He drinks smoothies with blended fruits and gerber oatmeal but seems uninterested in eating. i usually have to encourage him and let him takes sips all day. He just wants to nurse. Will this help if i increase vita c and cranberry juice in my diet
User :   Can i give him vita c crystals or powder in his smoothie
Doctor :   It would be fine, and it is fine, mother's milk would be the best medicine.No issues about that.
User :   will he need antibiotic
Doctor :   If the fishy smell doesnt subside in 3 days time,he might have to be put on antibiotic.
User :   will it go away with fluids and could the tylenol i gave have contributed to condition or smell
User :   I read something online about trimylemine or something of that nature also
Doctor :   if it continues even further , and the smell appears in sweat as well, then he might have a metabolic problem called Trimethylaminuria (TMAU), also known as fish odor syndrome or fish malodor syndrome which is very rare, but want you to keep a note on this problem.
User :   Could this be case or would the symptoms have appeared already
Doctor :   Do not worry much about it , as it is very rare.
Doctor :   And the smell has to be appear in sweat as well.
User :   ok well he has appt on monday. I will give him fluid and increase my vita c and cranbery til then thanx
Doctor :   Please continue the same treatment and if it doesnt subside in 3 days, then you have to start with a antibiotic.
Doctor :   That is perfect.
User :   I appreciate the information
Doctor :   As long he is active, the infection might be of very low level and can be washe dout by more fluid intake.
Doctor :   Thank you for consulting me.
User :   Bye
Doctor :   Take care, And by the way what is teh name of teh boy ?
User :   AAAAAAA
Doctor :   Take care, bye to AAAAAAA
Bye for now.
User :   Thanx
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