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09/29/2009 08:36 AM

UTIs in children

By: Marcie Fraser

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When a child has a cold, you know it. Coughing, sniffling, and sneezing, but what about a urinary tract infection? The symptoms are harder to diagnose. When it comes to UTIs, children do not have the same symptoms as adults.

"Infants it's primarily a fever, not eating real well. Lethargic, non-specific symptoms," said Dr. Barry Kogan.

According to experts, nearly one percent of all children get a UTI. In infancy, more boys get them and as children get older, girls take the lead.

"Boys tend to urinate with higher pressures in their bladder and that causes the problem and those boys who are uncircumcised tend to have more UTIs the first year of life," said Kogan.

The main cause is "holding it."

"Constipation seems to be associated with urinary infections, holding urine too long," said Kogan.

You may be surprised that the UTIs are not caused by the way your child wipes after going to the bathroom.

"Wiping is really a very minimal thing. Bacteria have a way of getting into the bladder, most of us are able to get the bacteria out of our bladders mostly by urinating and emptying your bladder out," Kogan said.

How about bubble baths or dirty diapers?

"We all know babies sit in poopy diapers all the time. They rarely get UTIs, so I think that bubble baths and how you wipe has a have a very small, very small effect on urinary tract infections in children. It's much more important that they urinate frequently and empty the bladder out completely and hold their urine," the doctor said.

The standard treatment is antibiotics, but doctors like to keep that at a minimum. The focus is on their diet, increasing fiber and fluids.

"More children eat a poor diet and I think many children by not eating a lot of fiber, they are not going to have the bowel movements," said Kogan.

Help reduce constipation by increasing the fiber in your child's diet. More fluids means more flow and less bacteria. Water is best, but there is evidence a small amount of cranberry juice may be helpful.