Foul smelling urine in 7 year old boy with no
Thank you for being with healthcare magic! Your child is having a case of UTI or urinary tract infection that may require taking oral antibiotics.
Thank you for being with healthcare magic! I am sorry to hear about your child’s condition. Having foul smelling urine may be one of the few signs that a child has UTI or urinary tract infection. Other symptoms may include pain will urinating, cloudy pee, urgency, fever, nausea and vomiting. Symptoms may also vary in children like losing control over their bladder that they may wet the bed even if they are already toilet trained and fussiness. You mentioned that there are no other symptoms, however having foul smelling urine is a strong factor that is linked to UTI in young children.
In my practice I give to my patients antibiotics, Amoxicillin 20 – 40 mg per kg, (yes, the dosage of the medicine depends on the weight of your child in pediatric cases). It is usually taken for 5-7 days depending on the severity of the bacterial infection sometimes taken longer until 14 days. You'll have to check with your local physician because prior to treatment, urinalysis is done to confirm infection and after treatment, it is repeated to confirm resolution of UTI. Some laboratories done in these cases are urine culture, imaging such as ultrasound and renal scans.
Prevention of UTI in boys is having your kid drink plenty of fluids to flush out bacteria in the urinary tract, encourage your kid to go to the bathroom as soon as they feel the urge.
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Yes, it is possible
Yes, it is possible that a person may only manifest minimal symptoms and sometimes symptoms vary on different people. Urinalysis exam can have false negatives. It is true that esterase is an indication of UTI however you cannot ignore the symptom plus the high wbc/leukocyte count. This indicates a bacterial infection and prompts treatment of Oral antibiotics for 7 days. You can also undergo urine culture to confirm. If there is no resolution, an ultrasound may be done to check if there is an anatomical abnormality.