Urgent Question - If DD is allergic to Pencillin could she be allergic to Trimethoprim?

[BlueBumedFly]

Long story made as quick as possible.

2 weeks ago DD fell onto the rim of a potty cutting herself 'inside'. Since then she has had a gastro bug and then this Friday got a Urinary Tract Infection and V.trush.

She has had 48 hours of Trimethoprim and now is crying and crying as she says her tongue hurts which I know is a side effect. I cannot seem to settle her down and she is usually an excellent sleeper.

She has had 48 hour of Trimethorpim, tonight she has had nurofen and calpol as temp has been 38-40 over the weekend.

We are off back to the docs in the morning, has anyone any experience.

Only other allergies in the family is the SDD2 is allergic to nuts which I know can predispose penacilin in following siblings.

HELP, I have had this poor crying clingy toddler to the docs 3 times this weekend and 'only mummy will do'.

Any advise please???

[BlueBumedFly]

Oh, she has also been constipated which I know can bring on a UTI due to stagnating urine (apologies for those who are eating). She keeps saying she has pooed when she hasn't, I can only imagine this is the sudden urge to wee linked to the UTI?

I cannot give fruits to help the constipation in high quantities as a) she won't eat, b) it will make her wee too concentrated and thus hurt more, c) not sure but there must be a c.

She is 2.2, never a good eater and has gone down a nappy size in a week. They are literally falling off her as she has no tum and no bum.

[fishie]

ring nhs direct. poor girl, hope she feels better soon.

[foxinsocks]

I don't know about the allergy but I do know that when dd has had trimethoprim it has taken more than 2 days to kick in

I didn't know sore tongue was a side effect

has the UTI been diagnosed (by urine test)?

tbh that and thrush would make me feel v miserable I think

[foxinsocks]

is she drinking fluids ok? you need to keep getting some down her

[lou031205]

She could be, but it would have nothing to do with her penicillin allergy, as they are completely different antibiotics.

Could she have oral thrush?

[FluffyBunnyGoneBad]

I'm allergic to penicillin, I can take trimethoprim though as it's not the same antibiotic so it's probably not this. It can cause thrush though as it kills off all the bacteria, not just the bad ones.

[GentlyDoingIt]

Poor kid.

Only helpful thing I can add is that I'm the same as FluffyBunnyGoneMad - penicillin allergy, but trimethroprim has come to my rescue about ten times in my life. Always feel a bit "ick" on it after a couple of days, but wouldn't even go so far as to call it an intolerance. Makes me susceptible to thrush too - I think it's possible to get oral thrush, as well?

Hope she feels better soon.

[GentlyDoingIt]

sorry lou031205, just noticed you suggested that already.

[fishie]

i'm also allergic to pen and do try to avoid all antib in general.

i was prescribed some recently for ear infection which made me feel worse than the illness did and doctor told me to stop taking them. no idea what they were though.

[BlueBumedFly]

Thanks so much everyone from coming back so quickly.

So, in answer, she is drinking water but not milk, pretty much nil by mouth otherwise as she keeps pointing to her tongue saying 'it hurts me' (she is pretty eloquent for 2.2 and she was able to point to her bits at the docs and show him exactly where is hurt).

She could have oral thrush as well
would it take 48 hours to kick in? Interesting Foxinsocks that you say it takes more than 48 hours, can you give me an estimation of when it has worked for you?

I am at my wits end. It has been such a year, FIL died last week and SDD1 has had surgery for spine issues and SDD2 has had peanut desensitization therapy. I am not at my best and trying to be sooooo nice mummy to the whining toddler but I am SO tired too.

i have to get a urine sample in the morning as apparently it goes off. She has regressed in potty training after the accident so my only hope is to catch a wee on a cotton wool pad and wring it out. Nice. I am going to do it in the AM as they could not test over a weekend apparently.

Again, thank you all so much. So, what do they give you for oral thrush?

[BlueBumedFly]

Fishie - I have managed to avoid antibs with her since December as I know that she does not respond well. We had 6 doses from Sept to Dec last year, vicious cycle so I started to give Dalivit and Probiotics and it has worked a dream until now.

[foxinsocks]

well it will be so child and infection dependent I guess BBF. I don't know what the expected normal times are for it to show an improvement in a child that age so I don't want you to think that it might be normal for her not to get better when it isn't iyswim.

But just for the sake of it dd normally got better on day 3-4.

BUT she didn't have the constipation or thrush issue (that must be complicating things).

I get thrust with antibs and it really is so so horrid. Sorry you have all this stress at once!

I think it's worth taking her back. If they think it is a UTI and they think it isn't responding to the antibs, they will want to treat her v quickly (to avoid any complications with the kidneys).

[foxinsocks]

thrust = thrush!

[BlueBumedFly]

Thanks so much fox, they want to do a kidney scan asap too - goodness me.

[GentlyDoingIt]

Try not to be too spooked by the kidney scan - it's a sensible next step for a UTI that is hard to shift.

Poor you though, sounds like a tough time lately. Hang in there.

[foxinsocks]

yes don't be too worried about the scan

it's something they do as routine in some areas now so they can check the kidneys are ok (also to pick up any conditions that could be contributing to her getting UTIs). Just think of it as a preventative measure (fingers crossed it's ok).

but yes, one more thing to add to your list of concerns, you poor thing! What a year.

[BlueBumedFly]

Thanks Gently and Fox, I know it is best to get these things checked but it did spook me a bit.

Hanging in, in fact just poured a glass of wine, its gotta help surely!!??

[jaluca]

my dd now 6 was on trimethoprim for years as a preventative antibiotic. had renal reflux discovered after she had e-coli urine infection, also extreme constipation causing her to need an anal stretch.the trimethoprim prevented urine infections which could result in kidney scarring etc.my d also had a milk protein allergy and took seeing a consultant to sort her health problems out. my d always responded well to antibiotic Suprax when she had infection as she cant take penicillin either. and yes trimethoprim can cause tongue irritation.my advice definately get her refered to have kidney scan etc.

[GentlyDoingIt]

I think a glass of wine is an excellent idea at this point!

[BlueBumedFly]

Jaluca, bless her, goodness me, that is why MN is such an great thing, not only do you get such wonderful help, support and empathy but you can rely upon life experience too. Your poor DD, I hope she is better now? I am going to push for the scan asap just to be on the safe side.

Gently - if you want to join me I have a whole bottle up for grabs!

[jaluca]

my d is nw 6 and beautiful, healthy and stong despite the problems she had. so be strong cos things will get sorted out.

[jaluca]

DD still under consultant but doesnt see her regularly.off trimetoprim, nutamigen and anything else she was on. gorgeous,healthy girl.

[QueenofSpleen]

I'm allergic to penicillin, I can take trimethoprim too

[BlueBumedFly]

Thanks Queen, I think the guys are right, it might be oral thrush too, poorly pickle she is asleep but restless. xx

[lulalullabye]

Sorry to piss you off more, but the urine sample will be contaminated if you ring it out of cotton woll. It has to be a clean catch ! The olny thing to suggest is to follow her round with a bowl and try and catch it when she wee's.

Also the allergy to the trimethoprin would have occured more immediatly than 24hrs, so thrush is probably right.