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What Does Reduced Urine Frequency In An Infant Indicate?
Question: My 5m 28 days old daughter did not pass urine for 11 hrs.After that is passing urine in small quantity.We saw a paediatrician and he prescribed a cue and urine culture and sensitivity test.The cue report came today however the urine culture report will take 2 more days.The report shows presence of sediment,nitrite and leucocytes.The puf cells and epithelial cells are in the range of 8-10 hpf and 10-12 hpf respectively. The albumin presence is specified as trace.Though it is clear that she has uti but the albumin presence is scaring me.is this because of kidney disorder.please help.should I worry.I m seeing the doctor tomorrow evening with the report.
Brief Answer:
Looks like urinary tract infection.Leave treatment decision on pediatrician
Detailed Answer:
Thanks for asking again on HealthcareMagic and for asking me specifically. I would definitely try to help you out.
Reduced urinary frequency can be indicative of urinary tract infection and hence your pediatrician has ordered for urine microscopy and culture. A pus cell count of 8-10/hpf is slightly raised as compared to normal although it does not give a clear indication of urinary tract infection. But in combination with traces of albumin, I would prefer to treat in favour of the same. Please do not worry. The filtering membranes of the kidney tubules become leaky due to inflammation during an infection and the condition may be detected by presence of albumin in urine. It should resolve soon with correction of the infection. I would not life to take the assumption of any kidney disorder and neither would like to assume that such a thing will develop in future. I do not think you need to worry, but I would still suggest to get a KUB ultrasonography (kidney-ureter-bladder) done just to be sure that any anatomical abberations are not behind the infection. Talk to your doctor about the same.
You may inform the reports to your pediatrician telephonically if feasible. Till then give increased amount of breast feeding and ORS (oral rehydration solution) if essential. Do not worry, the child should be fine soon.
Hope that helps.
Regards
Dr. Diptanshu Das
Looks like urinary tract infection.Leave treatment decision on pediatrician
Detailed Answer:
Thanks for asking again on HealthcareMagic and for asking me specifically. I would definitely try to help you out.
Reduced urinary frequency can be indicative of urinary tract infection and hence your pediatrician has ordered for urine microscopy and culture. A pus cell count of 8-10/hpf is slightly raised as compared to normal although it does not give a clear indication of urinary tract infection. But in combination with traces of albumin, I would prefer to treat in favour of the same. Please do not worry. The filtering membranes of the kidney tubules become leaky due to inflammation during an infection and the condition may be detected by presence of albumin in urine. It should resolve soon with correction of the infection. I would not life to take the assumption of any kidney disorder and neither would like to assume that such a thing will develop in future. I do not think you need to worry, but I would still suggest to get a KUB ultrasonography (kidney-ureter-bladder) done just to be sure that any anatomical abberations are not behind the infection. Talk to your doctor about the same.
You may inform the reports to your pediatrician telephonically if feasible. Till then give increased amount of breast feeding and ORS (oral rehydration solution) if essential. Do not worry, the child should be fine soon.
Hope that helps.
Regards
Dr. Diptanshu Das
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Her kub usg came normal except for a malrotated right kidney.we are meeting the doctor with the reports tomorrow.is this reason for her infection.is this life threatening.will my daughter be able to lead a normal life with a malrotated kidney.i m really worried.pls help.
Brief Answer:
You need not panic. She will be able to lead a normal life with it.
Detailed Answer:
It is good to hear back from you.
Children can get urinary tract infection (UTI) from anywhere since these bacteria are either around us or a part of our normal bacterial flora. Anatomical aberrations can make one prone to infections, but they themselves are not the cause of infections. It could be that the malrotated right kidney has a role to play, but I do not think that the role is major. It is not a life threatening condition. The infection should go away with treatment. The kidney would remain malrotated but nothing needs to be done about it. Do not worry as she would be able to lead a normal life with it.
Regards
Dr. Diptanshu Das
You need not panic. She will be able to lead a normal life with it.
Detailed Answer:
It is good to hear back from you.
Children can get urinary tract infection (UTI) from anywhere since these bacteria are either around us or a part of our normal bacterial flora. Anatomical aberrations can make one prone to infections, but they themselves are not the cause of infections. It could be that the malrotated right kidney has a role to play, but I do not think that the role is major. It is not a life threatening condition. The infection should go away with treatment. The kidney would remain malrotated but nothing needs to be done about it. Do not worry as she would be able to lead a normal life with it.
Regards
Dr. Diptanshu Das
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
She had a scan when she was 1 month 4 days old then malrotation was not there.what caused malrotation now.Also her today's scan shows not just malrotation but also elongation and renak pelvis facing anteriorly in the right kidney.
Brief Answer:
The malrotation might have been ignored earlier as an insignificant finding
Detailed Answer:
I think that the malrotation was missed out in the earlier scan. It is possible that the finding was ignored as insignificant. I do not think that the malrotation occurred all of a sudden. It is hard to comment on the cause of the elongation of the renal pelvis. It needs a closer look in order to evaluate whether some anatomical structure is actually pressing upon it. I am sure that your doctor would be able to look at the plates and guide you better in this regard.
The malrotation might have been ignored earlier as an insignificant finding
Detailed Answer:
I think that the malrotation was missed out in the earlier scan. It is possible that the finding was ignored as insignificant. I do not think that the malrotation occurred all of a sudden. It is hard to comment on the cause of the elongation of the renal pelvis. It needs a closer look in order to evaluate whether some anatomical structure is actually pressing upon it. I am sure that your doctor would be able to look at the plates and guide you better in this regard.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much for your help doctor.hope everything goes fine with my baby.
Brief Answer:
Give more fluids to drink
Detailed Answer:
I would also wish for the well being of your child. But let me remark that increased amount of fluid intake (it can be breast milk or water, as applicable) is recommended. This will enable her to flush out the system efficiently and prevent infections from developing. She is approaching the age of weaning to semi solids anyway.
In case you found my answer to be helpful, I would request you to close the thread with a positive review and a 5 star rating.
Regards
Dr. Diptanshu Das
Give more fluids to drink
Detailed Answer:
I would also wish for the well being of your child. But let me remark that increased amount of fluid intake (it can be breast milk or water, as applicable) is recommended. This will enable her to flush out the system efficiently and prevent infections from developing. She is approaching the age of weaning to semi solids anyway.
In case you found my answer to be helpful, I would request you to close the thread with a positive review and a 5 star rating.
Regards
Dr. Diptanshu Das
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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