HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Crying While Passing Urine. UFR Results Showed Protein +,Pus Cells Field Full And Red Cells 1000/per Area. Prescribed Antibiotics. Guide?

Posted on Mon, 8 Jul 2013

Question: My Baby is one year old boy. Day before yesterday he had started crying when he was passing urine. We consulted a doctor there and he advised us to take a UFR. UFR results showed Protein +,Pus cells field full and red cells 1000/per area. So that day evening we gave a urine for a urine culture test and report is coming after 3/4 days. Doctor asked to start antibiotic "Augmentin" course. so we have started giving him 3 times per day. I am very mush scared and i need an advice the reasons/in the future what should we do? is this a critical issue for the baby ? will it problem for the baby in the future ? and what should we do next ?

Answered by Dr. Y V Siva Sankara Murty (39 minutes later)

Hi,

Thanks for writing to health care magic.

One reason for that RBC in the urine could be doctor started on antibiotic considering it to be urinary tract infection.

Was your baby's blood pressure checked?
Is his urine looking cola colored?
Did he have any skin infection or throat infection recently?
Is there any swelling of the body (like puffiness around the eyes or swelling of the feet or abdomen)?
Does he have any fever?
Is there any increased frequency of urination?
Were any other investigations like ultrasound abdomen done?

Please reply in detail so that I can answer your query better.

Continue to ask further queries as required.
Hope this helps.
Take care.
Dr Y V Siva Sankara Murty
M.D.(Pediatrics)
Associate Professor of Pediatrics

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Y V Siva Sankara Murty (1 hour later)

Dear Sir,

1. we have not tested his blood pressure.
2.not looking cola colored, the color is little bit very very light XXXXXXX but not transparent..like some clouds and it collects it to the bottom after some time.

3.No skin infection or throat infection

4. I can't observe any noticeable swelling.

5. No fever upto now.

6. His Urination frequency has been increased. but now he is doing it in very small volumes at a time.

7. we have not done any ultrasound abdomen ..

please send me a feedback.
Thank you

Answered by Dr. Y V Siva Sankara Murty (48 minutes later)

Hi,

From the description provided by you it seems to be urinary tract infection.

Continue the antibiotic as prescribed by your doctor.

Give your baby lot of fluids so that urinary tract is flushed. This helps.

If there is no improvement in the symptoms or if the urine culture and sensitivity report shows that the organism is resistant to the antibiotic that you are using, then the antibiotic needs to be changed accordingly.

Hope this helps.
Take care.

Above answer was peer-reviewed by : Dr. Vasanth

Follow up: Dr. Y V Siva Sankara Murty (38 minutes later)

Dear Sir,

Is this a critical issue for a 1 year old baby. Is there any side effects for kidneys because of these kinds of infections? Is this a rare case for babies under 5 years old. That doctor advised us to take some scans and some tests after culture report and the decisions. Do we need to do those things if we have identified that there is no growth in the infection after the next culture report? What should we do if the antibiotics are ok after the culture report ?

Answered by Dr. Y V Siva Sankara Murty (45 minutes later)

Hi,

Is this a critical issue for a 1 year old baby.

Urinary tract infections (if the diagnosis is confirmed from urine culture and sensitivity report) do occur in babies. If the response to antibiotics is good you need not worry about it.

Is there any side effects for kidneys because of these kinds of infections?

Infection to kidneys is called pyelonephritis. Most of the infection occur in the bladder itself. Recurrent infections can cause renal scarring. This is the reason why further investigations like ultrasound abdomen, MCU, etc are ordered. (in recurrent urinary tract infections)

What should we do if the antibiotics are ok after the culture report ?
If the antibiotic culture and sensitivity report gives you that the organism is sensitive to that particular antibiotic then the antibiotic should be continued as specified by your doctor.

Hope I have answered all your questions. Let me know if you have any other enquiries.

Take care.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Y V Siva Sankara Murty (1 hour later)

Dear Sir,

I am worried about the tests we have to carried out later. (ultrasound abdomen, MCU, etc) Can you just tell me the details of the tests ? i mean i just want to know that how these tests are being done for the baby. I mean are these painful ? Need anesthesia etc ... And is there any side effects because of these tests ?

Answered by Dr. Y V Siva Sankara Murty (2 hours later)

Hi,

Do not worry about those investigations.
First urinary tract infection should be established. If urinary tract infection is established, we do an ultrasound examination, micturating cystourethrogram and dimercaptosuccinic acid scan (as indicated) in infants below 2 years of age to rule out abnormalities of urinary tract so as to take necessary actions for prevention of further urinary tract infections.

They are relatively safe investigations and you need not worry regarding them.

Take care.

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj