Urinary tract infection, Pediatrics FAQ

Understanding Persistent Pain After Pediatric Urinary Tract Infection Recovery

Urinary tract infection (UTI) My daughter is over 3 years old. A little over a week ago, she had a urinary tract infection (caused by E. coli) and was on antibiotics for a week. After a follow-up check, it was confirmed that there were no bacteria and no blood in her urine. Howev...

Dr. Xiao Kaiwen Reply:
The vast majority of urinary tract infections (UTIs) are simple and uncomplicated infections, which can typically be effectively treated with antibiotics for 5 to 7 days. However, in cases of more severe and complicated infections (such as those that have ascended to the upper ur...

Impact of Group B Streptococcus on Newborns: Risks and Management

The impact of Group B Streptococcus on infants? Hello Doctor: My wife underwent Group B Streptococcus screening in obstetrics during her pregnancy, and she tested positive for Group B Streptococcus. The clinic informed us that treatment could be administered during delivery. Afte...

Dr. Pei Rensheng Reply:
Hello, A-Shu. One quarter of women of childbearing age carry Group B Streptococcus (GBS), and mothers typically do not show symptoms. About half of newborns can acquire this bacteria during the delivery process as they pass through the birth canal. The incidence of infection in n...

Persistent High Fever in My 4-Year-Old: What Should I Do?

If your daughter's body temperature is consistently elevated, what should you do? My daughter is 4 years old. In mid-March, she was hospitalized for 6 days due to bronchitis and otitis media with a high fever, and she was on antibiotics for over two weeks. After being discha...

Dr. Xiao Kaiwen Reply:
There are many causes of fever in children, such as infections (the most common), autoimmune diseases, tumors, drug fever, and summer heat, among others. Depending on the situation, it is advisable for your child to go to the hospital for examination (as there are diagnostic faci...

Understanding Abnormal Blood Test Results in Pediatric Infections

Abnormal blood test results? Hello Doctor: My daughter is 9 years old. Last week, she was infected with the new influenza (rapid test positive on 11/30), and she was treated with Oseltamivir for five days. Over the past few days, aside from having a fever on 12/1, she seems to be...

Dr. Xiao Kaiwen Reply:
In general blood tests, parameters such as white blood cell count (WBC), neutrophils (segments), and lymphocytes cannot definitively determine the type of infection. Additional tests are required (such as a chest X-ray to check for pneumonia or a urinalysis to assess for urinary ...

Child Experiences Back Pain While Urinating: What Parents Should Know

Children may experience lower back pain when urinating? Hello Doctor: My child complained of back pain while urinating today, and it took her three attempts to finish urinating. Upon further questioning, I found out that she did not use the restroom at school all day, nor did she...

Dr. Pei Rensheng Reply:
Dear Maggie: Hello, the symptoms in your child strongly suggest a urinary tract infection. Please ensure they drink plenty of water and urinate frequently. It is important to consult a pediatrician. Generally, the physician will perform a urinalysis, and if a urinary tract infect...

Understanding Hepatosplenomegaly in Infants: Causes and Next Steps

Hepatosplenomegaly in a six-month-old infant? When my child was five months old, he was hospitalized for a urinary tract infection and abnormal liver function tests were discovered, with the AST and ALT levels approaching 400. During the hospitalization for the urinary tract infe...

Dr. Pei Rensheng Reply:
Dear Claire, Hello! It has been discovered that liver function indices are abnormal, with GOT and GPT levels approaching four hundred, indicating the presence of hepatitis. After excluding the possibilities of CMV, genetic metabolic diseases, and other viral hepatitis, Toxoplasm...

Is It Okay to See a Pediatric Rheumatologist for Urological Issues?

Is the department for registration okay? My child is currently 5 years old and has been touching his genital area frequently. I didn't pay much attention to it until the night of September 15, when I took him to the emergency room because he was crying in pain. The doctor di...

Dr. Pei Rensheng Reply:
Hello: Based on your description, it is possible that there is inflammation of the glans penis or the foreskin, and a small percentage may be associated with a urinary tract infection. I wonder if a urine test has been done? Generally, hospitals do not provide all subspecialty se...

Addressing Pediatric Concerns: Constipation and Circumcision Issues

The issues of two babies? The older child is currently attending kindergarten and has a normal diet with three meals a day plus snacks at school. The main issue is related to bowel movements. He goes to the bathroom five times a week, but most of the time his stools resemble smal...

Dr. Xiao Kaiwen Reply:
Hard, pellet-like stools are defined as constipation. When hard stools accumulate, it is inevitable that some may be expelled involuntarily. Generally, issues with the anal sphincter are rare (the likelihood is low; symptoms typically present during infancy, and if necessary, ana...

Understanding Intermittent Fever in Children: Causes and Concerns

Intermittent fever Hello Doctor: My child is in the second grade. Earlier this year, after recovering from a cold and fever, he has been experiencing fever every 3 to 4 days since then, mostly occurring in the afternoon. He also feels weak and has body aches, with pain on both si...

Dr. Pei Rensheng Reply:
Dear Mom Lu, Hello, your son experiences fever every 3 to 4 days, and the possible reasons are as follows: 1. During the Lunar New Year period, there is frequent viral transmission, making it easy to contract various viruses. 2. Urinary tract infection (is there pain in the g...

Essential Feeding Tips and Concerns for Newborns: A Guide for New Moms

Neonatal Feeding Volume and Related Issues Hello Doctor: I am a new mom and have some questions to ask. 1. My baby girl is currently 1 month and 19 days old and weighed 4 kg about a week ago. I’m not sure what her current weight is. Sometimes she doesn’t finish 120 cc of formul...

Dr. Xiao Kaiwen Reply:
1. A one-month-old infant is considered normal if their weight has increased by 900-1000 grams from their birth weight, indicating adequate milk intake. It is common for newborns to have small feeding sessions due to their limited stomach capacity. The amount of formula to prepar...

Assessing the Impact of Imaging Tests on Infants with Urinary Tract Infections

Urinary tract infection in infants and young children? Due to the frequent association of urinary tract infections in infants and young children with urinary tract abnormalities, further imaging studies using contrast agents and imaging equipment or X-ray examinations of the urin...

Dr. Xiao Kaiwen Reply:
I believe you are referring to a Voiding Cystourethrogram (VCUG), which is performed to rule out the possibility of congenital urinary tract structural abnormalities. In young infants, urinary tract infections may be associated with congenital anomalies of the urinary system. The...

Understanding Persistent Headaches in an 11-Year-Old: Causes and Solutions

An 11-year-old child experiencing persistent headaches? I am Mrs. Wu, and I have an 11-year-old child who frequently experiences headaches in the morning (mostly on sunny days). Sometimes, they feel nauseous while riding in a car and need to gag, but it improves afterward. We hav...

Dr. Hong Shuokun Reply:
Approximately 7% of middle school students aged 13 to 15 experience migraine issues. When it comes to headaches, it is essential to rule out the possibility of secondary headaches, which in childhood can often be caused by conditions such as colds, fever, cavities, sinusitis, vis...

Understanding Bacterial and Viral Infections in Young Children

Bacteria and viruses? Hello, doctor. I have a two-year and two-month-old son. He started showing some cold symptoms on May 7th, such as a mild fever (not exceeding 39 degrees Celsius), cough, and runny nose. By May 11th, he was almost recovered. However, two days later, on May 14...

Dr. Xiao Kaiwen Reply:
Dear YOYO Mom, In response to your questions, here are the details: 1. There are many reasons that can cause a child to have a fever (such as infections, autoimmune diseases, drug fever, summer fever, vaccinations, tumors, etc.). In pediatrics, over 90% of cases are due to infe...

Managing Water Quality for Children with Kidney Issues: Essential Tips

If there are issues with kidney function, should the quality of drinking water be more strictly regulated? Hello Doctor: My daughter was diagnosed with "two sets of ureters = four kidneys" while still in the womb, but one of the kidneys has "cystic dysplasia" ...

Dr. Pei Rensheng Reply:
Hello: 1. Although there are congenital kidney malformations, most kidney functions are normal at birth. Of course, infants under one year old still have developing kidneys, and drinking water with high mineral content can increase the burden on their kidneys, making it unsuitab...

Understanding Painful Urination in Toddlers: Causes and Solutions

Dysuria Hello, doctor. My daughter is currently 16 months old and is still in diapers, not yet able to use the toilet by herself. She can only say a few words like "dad" and "mom." Recently, I've noticed that she seems uncomfortable when urinating, and th...

Dr. Pei Rensheng Reply:
Hello: Experiencing discomfort while urinating and noticing redness in the genital area may raise concerns about a urinary tract infection (UTI). A UTI does not always present with fever, and the best approach is to perform a urinalysis. You can use a urine collection bag or a ca...

Understanding Hydronephrosis in Infants: Risks and Surgical Options

Infant hydronephrosis Hello Doctor: My baby was born about 37 days ago and was hospitalized due to a fever. After examination, the doctor found a urinary tract infection that has affected the kidneys. The doctor mentioned that both kidneys are at grade 4 hydronephrosis and that s...

Dr. Pei Rensheng Reply:
Hello: For infants with urinary tract infections, general practitioners typically perform ultrasound examinations and arrange for a voiding cystourethrogram after treatment. The doctor mentioned that both kidneys are classified as grade 4 hydronephrosis, which likely refers to th...

Understanding Nocturnal Enuresis in Children: Causes and Solutions

The issue of nocturnal enuresis in children? My daughter will turn six this September. It might be because I was always sleepy during my pregnancy and felt like I could never get enough rest, so my daughter has been sleeping longer than her peers since birth. Now, she averages te...

Dr. Pei Rensheng Reply:
Hello, regarding your daughter's situation, I recommend the following examinations: a urinalysis and culture to rule out diabetes insipidus, urinary tract infections, and other abnormalities; a renal ultrasound to exclude structural abnormalities; and if she is difficult to ...

Caring for Newborns: Addressing Ear Hygiene and Urine Exposure Concerns

Nursing-related issues for newborns? Hello Doctor: I would like to ask you some questions regarding the care of newborns. While changing the diaper of my six-day-old baby, urine accidentally sprayed onto the ear. We were only able to clean the urine residue from the outer ear wit...

Dr. Lin Huizhen Reply:
Dear Jeremy, 1. If an infant has an unfortunate urinary tract infection, it is best to have a pediatrician evaluate it for any adverse effects. 2. The ears have a self-cleaning mechanism. Sincerely, Dr. Tsai Yueh-Fu Department of Family Medicine, Tainan Hospital, Ministry o...

Is My Baby's Milk Intake Too Low? Understanding Urinary Tract Infections

Is the milk supply too low? Urinary tract infection? Hello Doctor, I would like to ask you about my son, who has just turned 5 months old. Since he was 2 months old, he hasn't been eating much. At 4 months, he weighed 5.5 kg, and now he is 6.5 kg. Is this growth too slow? C...

Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare: 1. Based on your child's age and weight, they are approximately at the 25th percentile on the growth curve. Generally speaking, the milk intake is indeed slightly lower, bu...

Understanding Pediatric Kidney Stones: Symptoms and Solutions

What to do about pediatric kidney stones? A 4-year-old child recently went to the bathroom and, less than half an hour later, expressed the need to urinate again. After a visit to the clinic, there was no inflammation found, but there were crystals of stones in the urine. Could t...

Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen, Chief of Pediatrics at Hualien Tzu-Chiang Hospital, respectfully responds as follows: When a child presents with frequent urination, the primary concern is whether there is a urinary tract infection causing persistent high fever. If the urinalysis shows no sig...

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