to wonder what else this can be? (UTI related)

[Narnia72]

DD, who is 9, has been complaining of frequent urges to wee, and pain when she does, for over a week.

She has been sent home from school twice because she's been struggling so much, and had 2 days off in between.

She went to the docs last Tuesday, there was no obvious trace of infection in her urine, they sent it off and was no infection when they'd cultured it (?), but they gave us ABs, which we duly started. After 2 days at home she looked a bit better, so I sent her back to school. Got called to pick her up at lunchtime as she was struggling. I rang the docs, and took another sample in, this time there was protein in her urine, so they gave her an alternative AB, which she's had over the weekend.

She's still not right. She's constantly running for the loo, and if she's sitting still it's much worse.

We're giving her a special probiotic, which is supposed to really help with urine infections, she's drinking water and cranberry, we've cut out sugar and processed food, and she's having paracetamol and hot water bottles for the pain.

I really don't want her missing any more school due to this, but when she's there she's just really uncomfortable. They have been great and let her have a water bottle on the table and just go to the loo when she needs to, but tomorrow they have a sports festival off site, which involves a coach trip of 20-30 minutes and obviously she may struggle to find suitable toilet facilities.

I'm thinking I need to take her back to the docs tomorrow, although they may not want to see her again until she's finished these ABs. Should I keep her off school, or ask to pick her up when they go to the sports day?

In my (fairly extensive sadly) experience of urine and kidney infections, the ABs start having a positive effect within 1-2 days. She doesn't seem to be getting better and I don't think she's putting it on.

What else could it be? She's never had this before, and it came on pretty suddenly. It's been 10 days now. She is really down about it. There's no visible redness around her vulva, so I don't think it could be thrush. She's also not itchy.

Any suggestions of what it could be, or of anything else I can do to help her get comfortable?

[Madeyemoodysmum]

Cut the cranberry that makes urinr acidic and bacteria thrive.
Get some d mannose from a company called sweet cures.
It's a miracle and stops bacteria sticking to the bladder.
If it's not a urine infection
Could she be
constipated ? Large amount of poo in bowel run the bladder causing irritation
Worms ? Threadworms can enter the bladder causing irritation

Has the urinr sample come back positive. You can buy dip stick from amazon. You need to see positive for white bloods, red bloods,protein and nitrites But you may see a combo of any.
My dd has white bloods in her urine and we ended up seeing a private consultant. She needs to drink 2 litres of water a day to help flush her poo out That was the route cause

But try the d mannose. It's amazing stuff.

[Madeyemoodysmum]

Oh and get her some barley water That helps urine get alkaline. Bacteria don't like alkaline conditions. They love acidic tho that's why cranberry is a myth.

[Narnia72]

Thanks for that madeye - will order some straightaway.

Is that right about cranberry - DD will be thrilled as she hates the stuff and I've been forcing her to drink it.

I hadn't thought of getting some dipsticks - will get some of those as well.

She's not obviously constipated. I will ask her in the morning. Worms - she's not itchy but I can go and do the torch test now.

Thanks - that's really helpful

[Madeyemoodysmum]

No worries. I've had 18months of dd having white bloods in urine. Urine samples always back from lab negative tho. I've read so much about it. The d mannose and lots of water hopefully keep us sting free !!
I've also banned bath bombs and perfumes soaps. It's Sanex zero all the way now.

[NurseRosie]

If there is definitely no infection it's difficult. There is a condition called interstitial cystitis which has all of the same symptoms but no infection but difficult to diagnose. It's a bit of a toughy but maybe mention it to GP. For now increase water, only 1 glass of cranberry per day, too much can be bad. Acidic fruit juice such as carton orange juice should be limited. Also limit caffeine (such as cola and chocolate) as this irritates the bladder and no fizzy drinks. Ensure DD is wiping front to back. Avoid perfumed soaps and shower gels. Knicker less at night and if possible cotton knickers during the day is supposed to help. It may sound odd but make sure her bowels are working well as constipation can irritate the bladder. Good luck at the GP and I hope you get answers soon x

[Narnia72]

Thanks NurseRosie - I'd googled and come across interstitial cystitis, so will mention it.

She doesn't drink anything other than water - we've cut out squash, and will now stop the cranberry too. She's stopped sugar, so no chocolate for a week.

She knows to wipe front to back and we've reiterated this.

Baths are just water - no fragrance or soap.

Will get her to wear a nightie and stop wearing knickers at night. They are all cotton.

Just checked, and no visible worms. Will ask about constipation tomorrow.

Thanks for all your help. Just wish I could make it go away for her.

[Madeyemoodysmum]

How is your dd now narnia?

[nocoolnamesleft]

Does she drink enough volume of fluid? A lot of kids don't, and concentrated urine can really irritate the bladder, giving a cystitis-like picture, but without any bugs.

Also, is she constipated? That can stop them emptying their bladder properly, which leads to stale urine, which has the same effect.