My son started with a bladder infection last tuesday, i took him tot he dr's wednesday,the nurse gave him?

Question

erythromycine but it had no effect and he became very ill with paina nd high temps, he was rushed in to A&E on friday 4am by ambulance as he was shivering and wouldnt respond. he was given trimethprim and he started to get better quickly of so we thought. he has been taking his meds regular without missing one, and the temps returned to normal. last night he woke at 5.30am and needed a wee, it was so painful he cried. he has started to get pain in his side again. i took him to the drs again this morning and she prescribed ciprofloxacin, which i am waiting for the order to come in this afternoon. he only had another syringe of trimethoprim left so the course was almost finished but it didn't seem to work very well. but i can't understand why this one didn't work because it is for bladder infection. im so worried i dont want him to get sick again fast. it was out of control last time. i could there be another problem within his bladder of that area that the drs haven't looked for?

Answer 1

I myself just got over a very bad bladder infection. Cipro was what the dr gave me. I also had a CT Scan to rule out kidney stones because i was in ALOT of pain! I didn't have kidney stones but the cipro worked for me. If you are really concerned, ask the dr to order a ct scan to look for kidney stones. At least to rule it out. With your son having a fever and lots of pain, I'm surprised they didn't already do that. Good Luck!

Answer 2

I basically second what Crouching Dogie wrote. Erythromycin is not a good choice for urinary tract infections. Trimethoprim alone is often inadequate. Trimethoprim with sulfa (Bactrim or Septra) is usually effective. Ciprofloxacin should be very effective. It IS now given to children, but on an empty stomach and with a full glass of water. That may be difficult with a small child.

As stated by Crouching Doggie, a urinary tract infection in a boy is cause for a diagnostic work-up to ascertain that there is not some structural anomaly in the urinary tract that could cause permanent damage or loss to a kidney if not detected. Also, common practice is to place the child on a course of low dose antibiotics for several weeks to prevent recurrence once the initial infection has subsided. One follow-up culture, at least,  should be obtained.

Answer 3

chinese tea always seems to do the trick for my problems

Answer 4

Someone asks if C&S was done on the urine sample (first sample, before he was put on anything). Odd to have been prescribed EES. Cipro is not usually given for someone under 18--it's in the news (although it's not "new" news).

You didn't mention how old he your son is. Anyway, make sure you have a follow up appointment with his primary care doctor--so another urine test can be done to be sure it has cleared up.

Without saying, if he relapses, bring him right to a doctor at once.

Answer 5

Did they do a calture of his urine to see exactly what their trying to fight? My little boy going through same thing at the moment- tis horrible, just spent 3 days in hospital- his kidneys were infected to but..... could have spread to his blood so hope theyu have checked it to.... not all things can be treated with the same antibiotics as far as I know, if your concerned and dont think the docs are looking into everything right you should get anouther opinion if its a reacouring problem could be reflux to the kidney of some other slight abnormality with the urinary tract; as is the case with my lil man. Good Luck- hope he is better soon

Answer 6

It's a very difficult question, but I'll give it a go.  All drug classes have varying spectra and degrees of coverage.  Erythromycin probably wasn't too good of a choice for a UTI.  Bactrim was better (for Gram neg. coverage) and Fluoroquinolines (Cipro) even more broad spectrum (kills more bugs).

Sure, it's not uncommon for babies (boys or girls) to have other factors which make UTIs more common including reflux (urine flows up instead of down because the bladder muscles haven't fully developed).  If he has repeated bouts of UTI (or in my humble opinion, a single bout in a boy) this would indicate VCUG or a Nuclear cystogram, a test to see if urine flows retrograde through the ureters, in which case he should at least be on prophylactic antibiotic and if this fails, further measures can be taken.

Without formal VCUG, your child may lose a kidney to infection before the ureter has a chance to mature, so please bring this to the pediatricians attention; generally pediatricians are quite keen to how to handle this sort of thing.  But I strongly encourage you to have a fluoroscopic VCUG to see if there is an anatomic basis for the baby to have UTIs, particularly if they're recurrent.  I'm certain your pediatrician knows this all too well, but speak to her/him about it anyway to set your mind at ease.

I wish you well.