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Foul smelling urine in 7 year old boy with no

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Posted on Sun, 24 Mar 2019
Question: Foul smelling urine in 7 year old boy with no other symptoms. happens ever time he urinates and we have noticed this for several months. no pain. hydrated healthy otherwise boy
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Answered by Dr. Manuel C See IV (2 hours later)
Brief Answer:
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.

Detailed Answer:
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.
I hope I was able to answer your question satisfactorily and if you have more questions I would be glad to answer them. Please don't forget to rate my answer as 5 stars.

Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Manuel C See IV (1 hour later)
Can he have a uti for several months and not get worse or have other symptoms? Absence of nitrates in results?? This (smell) has been going on for at least several months, do we have to worry about other problems (kidneys) created by how long this has gone on? thank you
doctor
Answered by Dr. Manuel C See IV (7 hours later)
Brief Answer:
Yes, it is possible

Detailed Answer:
Hi again

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.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Manuel C See IV

Urologist

Practicing since :2005

Answered : 875 Questions

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Foul smelling urine in 7 year old boy with no

Brief Answer: 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. Detailed Answer: 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. I hope I was able to answer your question satisfactorily and if you have more questions I would be glad to answer them. Please don't forget to rate my answer as 5 stars.