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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Having Burning Sensation During Urination. No Infection Detected. Bllod In Urine. Need Help

Hi my daughter is 5 and has suffered with vaginal irritation/burning when passing water in the past and we were advised to discontinue perfumed bath products etc. which did improve symptoms. Urine samples didn t show signs of infection. Her last period of symptoms was roughly about 6 months ago, yesterday the burning water and redness around her vagina started again. Last night she woke with discomfort in her tummy and vagina area saying it was burning. Today she has been passing blood in her urine and is needing to go very frequently. I will make an appointment to see a doctor tomorrow but feel from the past that we are not getting anywhere with her problem? Please help!
Thu, 6 Sep 2012
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Pediatrician, Surgery 's  Response
Dear Ms Vicki,

While the story seems to suggest an infection, this has been ruled out by the urine tests. However, the recent onset of blood in urine is a far more serious symptom and needs further evaluation. A detailed look at the vulva, urethra and vagina (genital region) is essential. An ultrasound of the kidneys and bladder is essential. Does the blood come completely mixed with the urine or does it come before or after the urine. The other thing to confirm is whether it is coming from the vagina, as it is difficult in little girls sometimes to differentiate. This is why a detailed physical examination is essential in addition to the urine scan. Has an urine culture been done or is it only a dipstick ? please revert with details. Regards, Dr Antony
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Child Having Burning Sensation During Urination. No Infection Detected. Bllod In Urine. Need Help

Dear Ms Vicki, While the story seems to suggest an infection, this has been ruled out by the urine tests. However, the recent onset of blood in urine is a far more serious symptom and needs further evaluation. A detailed look at the vulva, urethra and vagina (genital region) is essential. An ultrasound of the kidneys and bladder is essential. Does the blood come completely mixed with the urine or does it come before or after the urine. The other thing to confirm is whether it is coming from the vagina, as it is difficult in little girls sometimes to differentiate. This is why a detailed physical examination is essential in addition to the urine scan. Has an urine culture been done or is it only a dipstick ? please revert with details. Regards, Dr Antony