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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constipation And Frequent UTIs

My 5 year old daughter in constipated and has frequent UTIs. Every time they test her urine, she has traces of blood in it and they disregard that. When I five her any type of laxative (Mira-Lax, PediaLax) she gets sick and gets a fever and very lethargic. What's going on????
Mon, 20 Apr 2015
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Pediatrician,  's  Response
I would consider the constipation and UTI as two separate ailments.

For constipation, giving high fibre diet including green leafy vegetables is very important. I prefer PediaLax over MiraLax. However, I prefer lactulose more although it is a prescription medication. I doubt any connections between fever and lethargy with that of constipation. Rather, these symptoms are likely to be due to the recurrent UTI.

The cause of recurrent UTI could be some sort of anatomical abberation which could be identified by a DMSA scan. Please discuss about the same with your pediatrician or urologist. Further treatment would depend on the findings. If antibiotics needs to be prescribed, it is better to check the sensitivity and prescribe accordingly. Intake of plenty of water as fluids is essential.
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Suggest Treatment For Constipation And Frequent UTIs

I would consider the constipation and UTI as two separate ailments. For constipation, giving high fibre diet including green leafy vegetables is very important. I prefer PediaLax over MiraLax. However, I prefer lactulose more although it is a prescription medication. I doubt any connections between fever and lethargy with that of constipation. Rather, these symptoms are likely to be due to the recurrent UTI. The cause of recurrent UTI could be some sort of anatomical abberation which could be identified by a DMSA scan. Please discuss about the same with your pediatrician or urologist. Further treatment would depend on the findings. If antibiotics needs to be prescribed, it is better to check the sensitivity and prescribe accordingly. Intake of plenty of water as fluids is essential.