A 4th month old baby boy excessive crying before urination no fever circumcision is done...
do urine r/e n c/s . these multi drug resistant uti is on the rise . u can start with levofloxacin . add a sedative like promethazine or hydroxyzine . plus probiotics . first episode of uti should b investigated throughly with usg kub mcu to r/o any obstructive uropathy like posterior urethral valve .
In favour of "UTI". Babies are especially vulnerable to UTIs because they're in diapers most of the time, which keeps their genital area moist and warm and allows bacteria to breed. Plus, diapers don't always keep their messes contained, so bacteria from bowel movements can easily get into the genitals and sometimes cause an infection. Adv:-Usg abd,urine routine,Urine c&s. Rx. Phexin drop. Mefanic-p drop. Plenty of liquid.
Post circumcision dysurea Adv 1 check the dissected foreskin likely injury to frenulum or urethera 2 UTI 3 sepsis
All babies have some normal fussy crying every day. When this occurs over 3 hours per day, it's called colic. When they are not crying, they are happy. Pain (Serious)
Adv..Urine Micro & CS. Start antibiotic coverage accordingly.
Check urine routine and culture Look for urinary tract infection
How many days before circumcision was done? Is there any inflammation, increased frequency of urination? Urine RE/ME, C & S Continue breast feeding Drop PARACETAMOL 15mg/kg tds
1ST DD WILL BE UTI 2ND WILL BE POST CIRCUMCISION INFECTION OR INFLAATION IF DONE IN RECENT PAST
Rule out UTI... if uti present then start ofloxacin for 5 days...
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