Toddler not peed in 30hrs

[Fingerscrossed22]

Hi all,

My toddler hasn't peed in 30hrs.

Currently in childrens hospital, been checked but the Dr seems unconcerned.

She has drank and eaten v.little in this time- stats are normal as are all other checks.

Toddler was lathargic all yesterday but perked up by tea time but I still came in as no urine passed at that point -22 hrs.

Has anyone else had this?

Currently waiting an hr extra, on advice of Dr, to see if ' anything changes' before being sent home

Ask for a 5ml syringe and water or even better squash/apple juice set a timer on your phone for 5/10minutes and gently wake her enough that she'll swallow and let her go back to sleep.

When my 3 year old DS was taken in for not wee’ing in 20 hours they did a fluid challenge. They gave me a cup of apple juice and I had to give in 5 ml increments every 5 mins. They wouldn’t let him home until he’d had a wee, they’d measured and tested it. It was almost the first instruction the dr gave. He told me that if DS didn’t wee then we would be admitted for fluids and monitoring until he did a wee and they were satisfied. They took it really seriously.

Fortunately for us it was ‘just’ severe tonsillitis that stopped him drinking because of the pain in his throat and some ‘magic juice from the dr’ did the trick.

I’m shocked they’re not seemingly so bothered by it. I hope she gets better soon.

she needs much more oral fluids. You really should have been advised of that. 50mls since 1130 isn’t close to enough, that’s 7mls an hour. For the next hour OP I would wake her up ask for a syringe and syringe 5mls in every 5 minutes. Not only are fluids a treatment but it is diagnostic. If she is well filled but still not peeing that would indicate the problem not being simple dehydration but something else (obstruction, AKI, sepsis etc). If she starts peeing with more fluids, she’s dehydrated and yous can start to try to figure out why.

She will have ketones in her urine too ! Happened to my ds when he was a toddler, very dehydrated after a viral illness

My DS had these symptoms. Took him to hospital and after 10 hours of no change they sent him home. Symptoms continued and he was back in hospital 5 hours later needing an operation. Don't let them discharge you. She needs to be seen by someone who knows what they're doing. Stay at the hospital. Insist on being seen by someone more senior.

Have they checked her blood sugars?

Such good information in the thread, please challenge this doctor, there should be a water challenge for sure happening, as above when this happened with ours it was a bad case of tonsillitis. She was low bloods and very very unwell. It was horrific

Thanks all will definetly be asking for more to be done.

Had blood sugars on arrival to A&E, about 28 hrs of low food/drink intake at that point.
It was 4.4 which was deemed fine.

Thats the only thing really done barr taking obs.

It is concerning that they aren't more fussed that urine hasn't been passed for such a prolonged period, agree with others, don't let them discharge you until this happens. It should be morning handover soon and there will be a fresh set of staff on, if it wasn't this time of day I'd suggest requesting a second opinion but you'll thankfully get that soon anyway.

Update-

I expressed my concerns again and requested a bladder scan/bloods- it was deemed unnecessary.

At 9 Am they started DC on the fluid challenge.
At 9.45 , Dc finally peed- A lot! We were discharged right away.

But, Dc became lathargic again (could be put down to lack of sleep) wingy/crying/complaining of tummy ache.

Ive an appointment with my GP at 2.30pm.
Im just not happy with DC still, I feel there is more to this.

She had no other tests barr the blood sugar heel prick at 10pm last night.

It ended with her not peeing for 36 hrs before going and approx 400 ml of fluid in take between 12pm sunday - 9.30am Today.

She isnt wanting food or drink again. (hasn't eaten a meal since Friday Pm)

Will update.

Thanks again for responses.

Happened to my daughter, similar situation. Turned out to be tonsillitis which stopped her eating and drinking. She then developed a UTI. All cleared up with antibiotics

Good luck with your gp . Go in there knowing what you want out of there. Be pushy if you need to be. Don’t be fobbed off.

I’d also be worried about dehydration. Please mention this.

Did they test for heart rate? Before and after the fluid challenge?

Uti? Definitely get this checked when my ds had a Uti he really didn't want to wee and held it. It made him unwell he was on iv antibiotics.
Also bladder/kidney obstruction needs to be ruled out if this carries on.. She needs at least a urine dip test. Unfortunately back to the gp, the NHS are dismissive so you really have to advocate nowadays for your own child, it sucks.

No they didn't re test any obs after she peed.
Will definetly push for urine dip test at GP ect.

She is currently on a ibrufen high so perked right up again!

Sad to think so many have been in a similar situ, Thanks all.

Seen GP.
Obs are all normal still, no concern,yet, despite so far 9 hrs again since peeing.
No appetite and little drink consumption.
Ive an appt at 9.50am to see where Dc is at .
The meds have worn off and she has been lathargic the last 2hrs again.

I've told the GP tomorrow I want urine tested, bladder scan , bloods too if she hasnt peed by 9pm tonight (12hrs)

You don't need a bladder scan now that she's peed a urine dip is reasonable.
you need to be actively pushing fluids with a informal fluid challenge at home set alarm on your phone and use a syringe

Yeah bladder scan no longer needed - don't know why I added that.

Been doing the fluid challenge and only managed 3x 10 mls so far ( 15 min intervals) left it a bit as she has refused , just spat out 4th go.

I really don't want to have to go back to Peads unit ( its an hr each way from home) & I just feel we were fobbed off earlier.
Honestly, there was no concern she hadn't peed in 36hrs.
Then I feel Ive over reacted.

Sorry I've never been in this situation so no advice but my god I can't believe how disinterested all these doctors seem about something that is pretty obviously wrong. Really hope she picks up soon or that you are finally able to get a doctor to actually listen and run more tests. Hope you have a better night with your little one 😊

You've not over reacted.

When my DS was about 5, he started having difficulty urinating. GP gave antibiotics. Then more antibiotics. Stronger ones so then he had constant diarrhea.

Took him back, again, to the GP, a different one, who said he was in retention and DS was blue lighted to the local hospital. They couldn't work out what was what so he was blue lighted to a hospital 40 miles away.

Turns out a valve in his system was the wrong way round, should have apparently been picked up on my 20wk pregnancy scan.

Anyway, he had to have a catheter, was sent home for a few days and then had to go back to the 'far away' hospital for surgery. He was in hospital for about five days after the surgery. He also had to attend hospital every six months until he was 12 for check ups in case the surgery failed. After that, he had to go every year until he was 16.

He's 26 now and absolutely fine, but I still have such guilt. OP, you keep going and going and going until you have an answer and treatment.

Could you take her to a different hospital if necessary to return.
Or an out of hours service or urgent treatment centre.
My experience is that the medical response or lack of it seems quite arbitrary at times.
Varies greatly. same symptoms are reacted to or not depending on the individual Practitioner.
And not according to rank or function. Just the individual.
Luck of the draw who you see.
It shouldn't be like this but it is.
In my experience.

Could you pay for a private consultation ?
Try to get someone new to review.
Wishing you both all the best.

I don’t want to undermine the seriousness of this but when DD was a similar age and had a series of UTIs she learned not to drink as she knew she’d then have to do a wee. The thing which she would always eventually drink was a fruit shoot. I think it was a combination of it being something special & the sports cap. Not only did it get liquid into her but the sugar perked her up and then we were able to get other foods & drink into her. I did feel like a terrible parent being sat in the waiting room begging her to drink her fruit shoot!

Hi op so what do they think is causing this? A virus?
It's so odd as pp said don't hesitate to get more help if you think she needs it. I must say I've been so lucky on the limited a and e visits with my dc no one ever made me feel we were wasting time and definitely reassured me that they triage us they decide whose in need most so we could never waste their time. It's always better to be on the safe side.

DS went three days without a wet nappy when he was in hospital for a week last year with a virus when he was 12 months. I was really concerned but the doctors weren’t at all. One of them explained that when a baby is unwell, the body holds on to all its fluids which is why they don’t pee. So it’s a sign that baby is unwell but not necessarily a red flag in itself, so try not to think the worst.