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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Born With Spine Bifida, Foul Smelling In Urine, No Sensation In Bowel And Bladder Area. Solution?

My son is 4 and born with Spina Bifida and has never had to cath before but I do know how to do it from being shown at the hospital but I have noticed that his urine is really fowl smelling and yellow and he isn t emptying his bladder as often as he should...I tried cathing tonight and about 1/4 cup came out. I guess what I m asking is how far do I need to put the tube in and how much should come out normally? Side note: He can walk with the help of his walker just little to no sensation in the bladder and bowel area.... Thanks!
Tue, 12 Mar 2013
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Pediatrician,  's  Response
Hi,
Thank you for your query,
Your child might be having the bladder problem due to compression of nerves due to spina bifida.
Still developmental immaturity may also a contributing factor for his bladder dysfunction.
These children are prone for urinary tract infections due to stasis of urine and urinary tract manipulation to catch the urine.
I advise you to go for complete urine examination and for urine culture and sensitivity to detect infection.
You have to put the tube till you get the urine, but don't put the tube without the training and supervision by a healthcare worker.
The amount of urine depends on the capacity of the bladder and the status of hydration.
Give plenty of water.
Antibiotic may be required to treat the infection.
So consult your Pediatrician for the examination of your child and for treatment.
Hope I have answered your query.
If you have any queries you can consult me in future on Healthcare Magic.
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Child Born With Spine Bifida, Foul Smelling In Urine, No Sensation In Bowel And Bladder Area. Solution?

Hi, Thank you for your query, Your child might be having the bladder problem due to compression of nerves due to spina bifida. Still developmental immaturity may also a contributing factor for his bladder dysfunction. These children are prone for urinary tract infections due to stasis of urine and urinary tract manipulation to catch the urine. I advise you to go for complete urine examination and for urine culture and sensitivity to detect infection. You have to put the tube till you get the urine, but don t put the tube without the training and supervision by a healthcare worker. The amount of urine depends on the capacity of the bladder and the status of hydration. Give plenty of water. Antibiotic may be required to treat the infection. So consult your Pediatrician for the examination of your child and for treatment. Hope I have answered your query. If you have any queries you can consult me in future on Healthcare Magic.