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Very foul smelling urine at all times of day. this

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Posted on Sun, 24 Mar 2019
Question: Very foul smelling urine at all times of day. this has been going on for several months. 7 year old healthy boy with no other symptoms.
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Answered by Dr. P. T. Patil (15 hours later)
Brief Answer:
Needs further evaluation and investigations .

Detailed Answer:
Hello
Thanks for query .
Based on the facts and reports of urine analysis of your 7 year old son that you have posted which reveals plenty of WBC (384) and presence of Hyaline cast strongly suggests either Glomerulonephritis or Pyelonephritis and needs further evaluation .

Please consult qualified Nephrologist for clinical examination and get following basic tests done to establish diagnosis .
1) Urine culture
2) Ultrasound Scanning of abdomen and pelvis
3) Renal function tests

In the mean while give him Nitrofurantoin 50mg and Ciprofloxacin 200 mg twice daily .

Further treatment will depend upon result of these tests and final diagnosis

Get the prescription of medicines from your family Physician.

Ensure he drinks more water to keep his urine dilute .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. P. T. Patil (7 hours later)
thank you can you tell me about the bacteria that was found and its significance?
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Answered by Dr. P. T. Patil (11 minutes later)
Brief Answer:
Bacteria can be detected only by doing urine culture

Detailed Answer:
Hello
Thanks for follow up
The bacteria can be detected only on doing urine culture. Get it done and start antibiotics as per culture report
Thanks and Regards
DrPatil
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10205 Questions

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Very foul smelling urine at all times of day. this

Brief Answer: Needs further evaluation and investigations . Detailed Answer: Hello Thanks for query . Based on the facts and reports of urine analysis of your 7 year old son that you have posted which reveals plenty of WBC (384) and presence of Hyaline cast strongly suggests either Glomerulonephritis or Pyelonephritis and needs further evaluation . Please consult qualified Nephrologist for clinical examination and get following basic tests done to establish diagnosis . 1) Urine culture 2) Ultrasound Scanning of abdomen and pelvis 3) Renal function tests In the mean while give him Nitrofurantoin 50mg and Ciprofloxacin 200 mg twice daily . Further treatment will depend upon result of these tests and final diagnosis Get the prescription of medicines from your family Physician. Ensure he drinks more water to keep his urine dilute . Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you Thanks and Regards. Dr.Patil.