UTI & constant soreness in my 6 year old dd, any ideas?

[mowcop]

Bit of a story I'm afraid.

Dd is 6 and was really poorly with what the doctor said was a UTI at the beginning of feb. She had blood and protein in her water and was screaming when trying to wee. doc gave her anti b's.

It seemed to go, but a couple of days after she finished the medicine she was crying when weeing again and complaining that her bottom was stinging. We went back and her water was clear, her bum wasn't red, but the nurse said the anti b's had probably caused thrush and gave her some cream. I have done this twice a day and took more urine samples which are clear.

But, the she is still in alot of pain. She is crying when she wees, says it hurts when she sits on hard chairs etc and that the pain is "inside", but not her tummy. I went back today and the doctor gave her hydrocortizone (sp) to put on. I did this and she screamed. Lots. So it's been washed off.

What now? The doctor said to go back in 2 weeks, but there is no way she can last that long. I have dropped anything acidic from her diet, but have no clue what is causing the pain or how to treat it. Any ideas would be greatly appreciated.

Have they tested her wee again recently?
If not I would atkeher back and ask them to retest.

Yes, they retested today and said it was clear.

In my area they refer all kids who have UTI's for kidney scans. My DD had this, which although unpleasant for her was very worth while (fortunately all clear). You should ask about this.
Did they test her for thrush or was it just a suggestion - it should be tested if suspected.
When she washes - have you tried the 'feminine' washes such as Vagisil. There are other brands too - they are the correct ph, rather than soap.
Lots of cranberry juice too.
I have worked in the nhs and am not ashamed to pester until something is done. Be strong!
Hope she starts to improve.

Bingybong - They didn't test for thrush it was just a "probably" as her water was clear. When i went back tonight the doc said she couldn't swab as "it is friday"

We use baby soap still, but will def have a look at what you suggest. The doctor told me that Cranberry was too acidic and to give her fruit and barley. I have made some of my own today and also got her some probiotic stuff from the health food shop to replace what the anti b's took out.

My DH is going to take her back in the morning and try to see someone else. I'm not sure steroid cream was the right thing for her, judging by the reaction!

steroid cream is really harsh, particularly in that area! Maybe sudacrem or bepanthen may be better, and you can apply frequently for the cooling effect.
I really hope she feels better soon.

It could be that the area is now irritated having been treated for thrush and the steroid cream.

If you aren't doing this already then..
I would try not using any soap and not washing the are but just let her sit in a bath. Then pat dry.
Calpol and possibly piriton if she itching. Also a spoonful of live yoghurt every day rebalances the internal flora and fauna.

if t doesn't resolve in a week or so then I would ask for a referral to specialist. I have known of girls getting a hormonal inbalance ands that causing problems - easily treate though if thats the cause.

hth

Thanks for all the advice.

DH took her back this morning as she is still sobbing when she wees then crying for a good half hour after. They got there just before morning surgery started, but the receptionist said it was appointment only and she would have to go to the emergency docs or A&E.

So I have been smothering her in sudocrem and given calpol and she seems calmer on it, but still hurts when weeing. The thing I don't understand is that there is no sign of infection in her water and her bottom is not red or sore looking at all. It is obviously really hurting, I just wish I knew what was causing it. she is doubly upset today as we had tickets for Legoland, but couldn't go because she was in such a state. I really wish it was me and not her, it's awful when they hurt and you can't do anything about it isn't it?

just a tip my daughter can not tolerate any baby soaps, normal soaps or even the simple soaps, the only soap she can use that doesn't irritate is halos and horns but only the orange one.
She has never had baths since she was little, only showers as she would itch like mad.
I made sure all pants were rinsed several times,only used cotton and made sure she emptied her bladder completely so she didn't dribble.
By trial and error discovered a wash powder that was brill and stopped any irritation, I can't remember what it was called but it was in a pink bag.
It took me months to get things better for her around this age, she is now 14 and is less sensitive to washing powder but still can only use halos and horns.
Hope this helps a bit, anything is worth a try.

Danthe4th Thanks for the advice.

She does actually only have showers as I am lazy! Also, although I use baby soap I never wash her bum with soap only water. I have been trying to think about irritants etc, but I haven't changed washing powder or anything like that. And she says the pain is "where the wee comes out and inside a bit", which makes me think it might not be an external irritant. Bit personal, but did your DD have a sore looking bottom? Hers isn't red at all.

She is really pale today and can't get warm, she has also not had any tea which is unheard of. I will take her back tomorrow and refuse to move until they do something I think. It's surely not right that she is screaming when she wees and is also complaining of being constantly thirsty.

Hopefully, I will manage to get one of the doctors that actually listens in the morning and can sort it all out for her.

Oh dear, back again.

She is still sore and we went back. The doctor said her water is still clear and has taken a swab, which we are still waiting for the results from and he booked her in for a scan.

The only thing I am slightly concerned about is that this weekend her face has been very puffy. Is this to do with her water works or is it just a random thing? She still seems fine in herself, it's just painful when she wees, and she is going as often as normal.

Any advice would be really appreciated.

I would be going back to see the doc as her symptoms are changing. Hopefully the scan is soon. ALso, in case there is any external irritation(though you seem to have ruled it out), can you try something like Lanacane, which actually will dull the feeling? Read the label in case NOK for DD. You are not being a fusspot.

Thanks, I will pop to the pharmacy and ask about the Lanacane. I will ring the docs tomorrow as well, then I can chase up the scan and ask about her face.

I was starting to think she might be pulling my leg a bit as she is not very happy at school and she has got to have a few days off with it over the last couple of weeks. Now her face has puffed up and how guilty do I feel?!?

it sounds as if she has a kidney infection...i hope the scans come up with something conclusive.
try canestan cream round her bum...or get doc to give you some daktacort cream til you get some answers

went for a scan on Thursday. It was going to be 8-10 weeks on the NHS so we paid for it ourselves.

It was clear, which was a relief, but also not iykwim? The prof who scanned her said she wasn't particularly good at emptying her bladder, but this was common for a girl of 6. She said the pain was probably a result of the infection. Apparently the mucus lining of the UTI could have been damamged/disturbed and will just take time to settle down again. However, if it carries on for another few weeks she said it might be worth getting a blood test for kidney function.

I am relieved and hopefully things will start improving.

Thank you all for your time and advice it was very much appreciated.

Just a footnote to your poor DD's prob. We went to see a specialist about my DD as she is 9 and for a few years now wees if she laughs too hard (bloody shame) (Giggling incontinence) anyway, my point is that he said make sure she is sitting completely upright when peeing so that she completely empties her bladder as this can also lead to UTI's. I know this doesn't help your situation now, but it might help stop it happening again. Hope she feels better soon.