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Suggest Treatment For UTI In A Child
Question: Hi!
My five year old son has been suffering for 5 weeks now with a severe urgency to urinate. Sometimes up to 50 times a day. His urine test was clear of any indications of bacterial, fungal, etc etc. I suspect he has pinworms as I found them in the toilet, not attached to feces, just floating, and have been treating him with Fluvermal for the past three days. Is there an additional medicine to treat the uti? He is 40 lbs.
Many thanks!!
My five year old son has been suffering for 5 weeks now with a severe urgency to urinate. Sometimes up to 50 times a day. His urine test was clear of any indications of bacterial, fungal, etc etc. I suspect he has pinworms as I found them in the toilet, not attached to feces, just floating, and have been treating him with Fluvermal for the past three days. Is there an additional medicine to treat the uti? He is 40 lbs.
Many thanks!!
Brief Answer:
PLease, it is unlikely to be a UTI! How much water is he drinking?
Detailed Answer:
Hi and thank you so much for this query.
With all the details you have provided, it is unlikely that your son has a UTI. It is very rare for pinworms too be in the urinary tract. They are often in the intestines and not the urinary system. With three days of fluvermal, it is enough to treat almost all worms and this that should no longer be a worry.
For how long has your son been in France? I am more in support of a psychiatric condition. Not psychiatric like he is sick but that it is an attitude he has adopted fro no particular reasons and would grow out of it. How often does he wake up at night when sleeping? It would be vey few times because he consciously controls and decides to visit the restroom more often.
My advise is that you remain calm and do nothing more. He would outgrow this. Do no limit the amount of water he drinks and also reward him if he stays for maybe more than an hour without going to the rest room so that he can abandon this practice.
I hope this helps. I wish your son well. I call on you not to be too worried but motivate your son through rewards for him to give up this attitude. Feel free to ask for more information and clarifications if need be.
PLease, it is unlikely to be a UTI! How much water is he drinking?
Detailed Answer:
Hi and thank you so much for this query.
With all the details you have provided, it is unlikely that your son has a UTI. It is very rare for pinworms too be in the urinary tract. They are often in the intestines and not the urinary system. With three days of fluvermal, it is enough to treat almost all worms and this that should no longer be a worry.
For how long has your son been in France? I am more in support of a psychiatric condition. Not psychiatric like he is sick but that it is an attitude he has adopted fro no particular reasons and would grow out of it. How often does he wake up at night when sleeping? It would be vey few times because he consciously controls and decides to visit the restroom more often.
My advise is that you remain calm and do nothing more. He would outgrow this. Do no limit the amount of water he drinks and also reward him if he stays for maybe more than an hour without going to the rest room so that he can abandon this practice.
I hope this helps. I wish your son well. I call on you not to be too worried but motivate your son through rewards for him to give up this attitude. Feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
It is possible that it is a mental condition as he has suffered a big shock of attending school for the very first time ever....being terrified of a bully, holding urine all day, becoming dehydrated, as the classes run from 8 to 4. I have withdrawn him from this school, and am quite open to entertaining the idea that this is caused by a "trauma" ( new country, first time school, etc etc) he is not waking in the night. He is now drinking 3 to 4 cups of water a day. I am hoping for 6 or so...
Absent of this, I have read that the pinworm can migrate and cause uti's . He is uncircumcised, nail biting, not proper hand washing ( as much a I have tried) In the rare circumstance that this is the case and it has gone on for 5 weeks, I would appreciate advise as to treatment of such. Just to rule this out. I have read. That the Fluvermal may not be able to affect pinworm that is in the genetourinary tract....would it be treated with Ivermectin? Oral antibiotics? Just to be certain that there is not a biological cause.
I have tried a reward system for holding the urine, he does not seem to be in. Control of this. I appreciate your thoughts.
Absent of this, I have read that the pinworm can migrate and cause uti's . He is uncircumcised, nail biting, not proper hand washing ( as much a I have tried) In the rare circumstance that this is the case and it has gone on for 5 weeks, I would appreciate advise as to treatment of such. Just to rule this out. I have read. That the Fluvermal may not be able to affect pinworm that is in the genetourinary tract....would it be treated with Ivermectin? Oral antibiotics? Just to be certain that there is not a biological cause.
I have tried a reward system for holding the urine, he does not seem to be in. Control of this. I appreciate your thoughts.
Brief Answer:
Please, do nothing and see what happens!
Detailed Answer:
Hi,
I am afraid your extensive search for answers may be responsible for more worries. My suggestion is that you observe your child and he would cope with this new environment. if it were an illness, he would have been wetting the bed or waking up as much as he does during the day. The absence of this during sleep confirms the fact that it is all about his conscious control and decision.
I will not want to recommend drugs for this. If you really want, then he would be treated as having obsessive compulsive disorders. No one would want this as first line. Behavioral techniques should be encouraged.
Work with him and facilitate his integration into this new society. It is never easy, for adults just like for children
I wish you well and open for further discussions on this if need be.
Please, do nothing and see what happens!
Detailed Answer:
Hi,
I am afraid your extensive search for answers may be responsible for more worries. My suggestion is that you observe your child and he would cope with this new environment. if it were an illness, he would have been wetting the bed or waking up as much as he does during the day. The absence of this during sleep confirms the fact that it is all about his conscious control and decision.
I will not want to recommend drugs for this. If you really want, then he would be treated as having obsessive compulsive disorders. No one would want this as first line. Behavioral techniques should be encouraged.
Work with him and facilitate his integration into this new society. It is never easy, for adults just like for children
I wish you well and open for further discussions on this if need be.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr. Ditah,
I thank you so very kindly for your excellent response. I am a bit out of my head with worry as you may well sense.
I am a bit reluctant to take my child to a psychiatrist, as he is already quite a special case, and we are not in our home country of the USA. just to give you a brief idea... My son Atlas had mastered 100 words by the age of 12 months, memorized the greek alphabet at the age of three, for fun, and is currently studying Phoenician and Sumerian scripts for pleasure. He has answered over 4000 mathematics questions on a math app for primary age children, typically for grade levels 2 and 3. He has had absolutely no formal education or structured classes of any sort, and our hopes here in France that an international school would give him structure and challenge all seem to have failed. The school was unwilling to advance him a year as to accommodate his deeply thirsty mind and rapid learning style...so..
Socializing with children his age is not particularly easy for him as he is interested in matters of molecules and the beginnings of the universe....It is quite relentless and exhausting, as his mind is racing from morning to night. Finding and being able to afford the proper education for him appears to be an enormous challenge. I thought that a private international school here in France would be superior to a public school in California....perhaps a great miscalculation. He does not quite fit the norm as it were. My second son who is three could not be on a more normal learning curve for his age, the differences are astounding. an OCD suggestion may not be so far off, although I would resist defining him as such. Any other of your gracious thoughts would be greatly appreciated. With many deep thanks and appreciation!
Cordially, XXXXXXX
I thank you so very kindly for your excellent response. I am a bit out of my head with worry as you may well sense.
I am a bit reluctant to take my child to a psychiatrist, as he is already quite a special case, and we are not in our home country of the USA. just to give you a brief idea... My son Atlas had mastered 100 words by the age of 12 months, memorized the greek alphabet at the age of three, for fun, and is currently studying Phoenician and Sumerian scripts for pleasure. He has answered over 4000 mathematics questions on a math app for primary age children, typically for grade levels 2 and 3. He has had absolutely no formal education or structured classes of any sort, and our hopes here in France that an international school would give him structure and challenge all seem to have failed. The school was unwilling to advance him a year as to accommodate his deeply thirsty mind and rapid learning style...so..
Socializing with children his age is not particularly easy for him as he is interested in matters of molecules and the beginnings of the universe....It is quite relentless and exhausting, as his mind is racing from morning to night. Finding and being able to afford the proper education for him appears to be an enormous challenge. I thought that a private international school here in France would be superior to a public school in California....perhaps a great miscalculation. He does not quite fit the norm as it were. My second son who is three could not be on a more normal learning curve for his age, the differences are astounding. an OCD suggestion may not be so far off, although I would resist defining him as such. Any other of your gracious thoughts would be greatly appreciated. With many deep thanks and appreciation!
Cordially, XXXXXXX
Brief Answer:
I recommend you stay level headed at this.
Detailed Answer:
HI and thanks for the detailed description.
At times, it is difficult to get all we aspire in life. When we are at such a juncture accepting the reality and moving on is helpful. I will not want this child to see a psychiatrist either at this time. I want you to do some preliminaries and try to change the way he responds to this new milieu. Talk with, with his great state of reasoning, he would be able to assimilate and work on. I hate nothing more than getting children on pills for behavioral concerns. Its still early and I believe we can win this by behavioral measures.
Motivate him...Give him continue challenges at home...let him continue to explore and develop his skills. Even if he cannot be advanced, at one point they would need to recognize and do so. Teachers would rarely advance a child who is arriving. When he proves his worth in the new system, that's when you should again revisit that point.
I wish you well. I am at your disposal and very ready and happy chatting with you.
I recommend you stay level headed at this.
Detailed Answer:
HI and thanks for the detailed description.
At times, it is difficult to get all we aspire in life. When we are at such a juncture accepting the reality and moving on is helpful. I will not want this child to see a psychiatrist either at this time. I want you to do some preliminaries and try to change the way he responds to this new milieu. Talk with, with his great state of reasoning, he would be able to assimilate and work on. I hate nothing more than getting children on pills for behavioral concerns. Its still early and I believe we can win this by behavioral measures.
Motivate him...Give him continue challenges at home...let him continue to explore and develop his skills. Even if he cannot be advanced, at one point they would need to recognize and do so. Teachers would rarely advance a child who is arriving. When he proves his worth in the new system, that's when you should again revisit that point.
I wish you well. I am at your disposal and very ready and happy chatting with you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr. Ditah,
You are very kind and I appreciate your sage advise. I shall listen and keep calm.
As for the moment, we have withdrawn from this school as it was causing too much damage. We shall carry on and keep calm with a focus on communication and continued challenges.
Hopefully this urination urgency will resolve itself, as for now I shall try not to worry that there is a pathogen disturbing his nether parts...
With kindest regards and many many thanks to you.
Your lovely words have been a salve to my worried heart.
Thank you!
You are very kind and I appreciate your sage advise. I shall listen and keep calm.
As for the moment, we have withdrawn from this school as it was causing too much damage. We shall carry on and keep calm with a focus on communication and continued challenges.
Hopefully this urination urgency will resolve itself, as for now I shall try not to worry that there is a pathogen disturbing his nether parts...
With kindest regards and many many thanks to you.
Your lovely words have been a salve to my worried heart.
Thank you!
Brief Answer:
Keep me updated on his progress!
Detailed Answer:
Hi and thank you so much for your kind words.
It is okay to have the child out of school for a while but please make sure he returns as soon as he's improved. Remember this is your new home and you would need to brace the challenges and integrate into the new system. He cannot teach or learn by himself for the rest of his life so figure out a way for him to return to school and the new milieu as soon as possible. Have you had a chat with his teachers to help him with the transition?
Keep me updated with the progress. I wish your son well and wish you well as you help him through this challenging phase of his life.
Keep me updated on his progress!
Detailed Answer:
Hi and thank you so much for your kind words.
It is okay to have the child out of school for a while but please make sure he returns as soon as he's improved. Remember this is your new home and you would need to brace the challenges and integrate into the new system. He cannot teach or learn by himself for the rest of his life so figure out a way for him to return to school and the new milieu as soon as possible. Have you had a chat with his teachers to help him with the transition?
Keep me updated with the progress. I wish your son well and wish you well as you help him through this challenging phase of his life.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr. Ditah,
Thank you again for your excellent thoughts. As I have come to realize, we may need to make our return to our home country to facilitate this crucial life phase. It was by choice that we decided to move here. A dream of the other...the grass being greener etc etc.
As it would appear, the pieces of life's puzzle are many, a delicate balance that hold the XXXXXXX jigsaw together. At this stage, being surrounded by those who share a common language and culture may be the most important aspects to helping my little one gain entry into the social sphere.
France does not seem to have a structure to accommodate those with accelerated learning, being deeply rooted in the concept of XXXXXXX and equality for all. One size does not fit all for us.
I must explore the possibilities in XXXXXXX to respect and nourish this child's mind, spirit and aspirations.
First and foremost, to make friends....all of this may be more easily accomplished where there is not a language barrier, cultural and otherwise.
We are of the friendly milieu...not the stand off ish euro cast.
So...I am looking into our return, although travel at this time is virtually impossible as standing in lines far from toilets would be quite a challenge.
So....we shall chill out here, heal, hope and make our journey forward.
I shall always be grateful for your kind words, try to not lose my mind with worry, and hope that this too shall pass.
As long as you are quite confident that there is not a concern to investigate a pinworm induced uti....
Kindest and best, XXXXXXX
Thank you again for your excellent thoughts. As I have come to realize, we may need to make our return to our home country to facilitate this crucial life phase. It was by choice that we decided to move here. A dream of the other...the grass being greener etc etc.
As it would appear, the pieces of life's puzzle are many, a delicate balance that hold the XXXXXXX jigsaw together. At this stage, being surrounded by those who share a common language and culture may be the most important aspects to helping my little one gain entry into the social sphere.
France does not seem to have a structure to accommodate those with accelerated learning, being deeply rooted in the concept of XXXXXXX and equality for all. One size does not fit all for us.
I must explore the possibilities in XXXXXXX to respect and nourish this child's mind, spirit and aspirations.
First and foremost, to make friends....all of this may be more easily accomplished where there is not a language barrier, cultural and otherwise.
We are of the friendly milieu...not the stand off ish euro cast.
So...I am looking into our return, although travel at this time is virtually impossible as standing in lines far from toilets would be quite a challenge.
So....we shall chill out here, heal, hope and make our journey forward.
I shall always be grateful for your kind words, try to not lose my mind with worry, and hope that this too shall pass.
As long as you are quite confident that there is not a concern to investigate a pinworm induced uti....
Kindest and best, XXXXXXX
Brief Answer:
Will like to hear from you on the progress!
Detailed Answer:
Hi,
Thanks for the discussions. I will like to hear from you about the next moves. Moving back may not be the best idea now but overcoming the challenge should be of prime importance.
As you go on and face this challenge, keep me updated on the progress and I will chip in my contribution to help you move pass this.
I wish you both well.
Will like to hear from you on the progress!
Detailed Answer:
Hi,
Thanks for the discussions. I will like to hear from you about the next moves. Moving back may not be the best idea now but overcoming the challenge should be of prime importance.
As you go on and face this challenge, keep me updated on the progress and I will chip in my contribution to help you move pass this.
I wish you both well.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so kindly.
As the days pass how shall I make contact with you?
I am new to this health care magic...
With many thanks again!
As the days pass how shall I make contact with you?
I am new to this health care magic...
With many thanks again!
Brief Answer:
Write: Attention Dr. chobufo.
Detailed Answer:
Hi,
To get back to me, you may choose to keep this question open and not close it so that you may always come back. Another nice way is to look for my name on the doctors and send the question directly to me. If the above don't work, you may ask the question and in the stem specify that Attention Dr. Chobufo and it would be forwarded to me for answering.
I hope that addresses your question fully. Look forward to exchanging more with you.
Write: Attention Dr. chobufo.
Detailed Answer:
Hi,
To get back to me, you may choose to keep this question open and not close it so that you may always come back. Another nice way is to look for my name on the doctors and send the question directly to me. If the above don't work, you may ask the question and in the stem specify that Attention Dr. Chobufo and it would be forwarded to me for answering.
I hope that addresses your question fully. Look forward to exchanging more with you.
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. Chakravarthy Mazumdar
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