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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Painful Urination In A 5 Year Old Girl?

My 5-year-old female child has been having pain after urinating. She has got a urine test done today. The results show in microscopic exam:
Pus cells (WBC) 1-2/hpf
RBCs: OCC
Ep. Cells: +
Muscus Threads: +
Bacteria: Few
Please advice if she has got some infection.
posted on Fri, 14 Mar 2014
Twitter Sat, 11 Jul 2015 Answered on
Twitter Mon, 13 Jul 2015 Last reviewed on
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Pediatrician,  's  Response
Hi
Welcome to the HCM

I have gone through your question. The pain associated with urination is most likely due to urinary tract infection(UTI). The urine report of your daughter is not suggestive of any specific infection as such. But let me tell you that the sensitivity of urine routine examination for detection of UTI is not good enough.

The best investigation to detect is urine culture and sensitivity test. So, I would recommend you to give a properly collected early morning urine sample for culture and start her on Antibiotics accordingly. You may consult your pediatrician for appropriate antibiotic and dose required once you have urine report. Otherwise, you may even send us direct query in which you may attach the repot.

Hopefully this will help you.
Take care
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What Can Cause Painful Urination In A 5 Year Old Girl?

Hi Welcome to the HCM I have gone through your question. The pain associated with urination is most likely due to urinary tract infection(UTI). The urine report of your daughter is not suggestive of any specific infection as such. But let me tell you that the sensitivity of urine routine examination for detection of UTI is not good enough. The best investigation to detect is urine culture and sensitivity test. So, I would recommend you to give a properly collected early morning urine sample for culture and start her on Antibiotics accordingly. You may consult your pediatrician for appropriate antibiotic and dose required once you have urine report. Otherwise, you may even send us direct query in which you may attach the repot. Hopefully this will help you. Take care