What can I do to help 6yo dd with recurring UTI's?!

[Chocolateporridge]

My 6yo dd sees a specialist continence nurse on roughly a monthly basis atm due to longstanding incontinence issues and occasional uti's. She's on Ditropan for irritable bladder and on Dulcolax to keep her bowels regular because quite often she gets bunged up and this leads to uti's.

She's currently on her fourth course of antibiotics in two months, the first two times it was Trimethoprim and now it's nitrofurantoin, her bug is Trimethoprim resistant. I feel like perhaps the original bug has never gone.

She finishes her antibiotics tomorrow, she's really pale and her skin is breaking out, she has dark circles around her eyes. Also the last few days she's been unable to keep poo in and has gone through five pairs of knickers today, which is embarrassing for her and has made her bum really sore.

I'm so worried that she'll get another infection. Is there anything I can do? She drinks plenty of fluids, we make sure that she does and we don't use any perfumed products on her.

I asked the pharmacist today and he recommends cranberry juice. I asked in Holland and Barrett but they only recommended multi vitamins, which she already takes, because of her age.

Any suggestions would be much appreciated.

[Chocolateporridge]

Anyone?

[Inneedofaholiday2017]

I'd ask for a referral to a paed rather than a nurse as sounds like she might need further investigations?

[UnbornMortificado]

DD kept getting recurring ones yours ago although not to the extent your daughter is having them.

She was referred to paeds who did some sort of kidney scan, she had dye injected and the she was x-rayed (I'm going back about 8 years here) it showed a tiny bit of scarring on her kidneys.

I'm sorry your DD is going through this

(I always take pro-biotic yoghurts after a course of antibiotics, don't know if there's any scientific evidence but I think they help slightly)

[IwillrunIwillfly]

I'd hand a urine sample in to the gp to be tested to make sure that it had completely gone after the antibiotics. It also sounds like she maybe needs refered to paediatrics to make sure theres no underlying cause that would make her more suseptable to utis. Some children need tk be on profilactic antibiotics (a small dose taken every day to prevent infection).

In the mean time encourage her to drink as much as you can and when she goes to the toilet make sure she fully empties her bladder. So after shes finished weeing, get her to sit for another min and see if theres more to come out. Drinking cranberry juice etc wont do any harm but it sounds like things need investigated properly to make sure theres no under lying problem.

[reindeesandchristmastrees]

My daughter used to suffer and we were prescribed a manuka honey barrier cream which works wonders. It is called medihoney.

[Chocolateporridge]

Thank you everyone, I really appreciate your replies. I finally, after three weeks trying, managed to get hold off the continence nurse and she's referred us to the specialist UTI nurse and for another ultrasound and in the meantime she's written to our GP to suggest a prophylactic antibiotic, although I'm not too sure how I feel about that, will need to research it a bit.

We're giving her probiotics, cranberry juice and her usual vitamins, we always encourage using the toilet properly, it never seems to sink in and using vaseline as a barrier for her. She's been off antibiotics for two days but is acting a bit weird still so I'll hand another urine sample in on Monday, I really don't think the infection has gone