Urinary Tract Infections

The urinary tract includes the kidneys, bladder, and the urethra (where urine comes out). An infection can occur in any part of the urinary tract. Normally, urine in the urinary tract does not contain bacteria (germs). But when harmful bacteria do get into the system, they can cause infection of the urinary tract.

Most of the time, bacteria come from the rectal area or from stool, enter the urethral opening, and begin to grow inside the bladder. The bacteria will irritate the bladder and cause pain, which often is the first sign of an infection. The bacteria can also travel further up the urinary tract and infect the kidneys, causing pain, fever, and back or tummy pain. Wiping/cleaning a child properly after bowel movements can help prevent urinary tract infections. You should wipe from front to back.

If your infant or toddler has a urinary tract infection (UTI), they may not be able to tell you they hurt. You may notice fever, fussiness, or lack of appetite, and you may recognize that she does not feel good. An older child may complain of a tummy ache, frequent urination of small amounts, painful urination, wetting accidents, and unusual smelling or cloudy urine.

UTI must be diagnosed by the pediatrician. Most urinary tract infections clear up with antibiotic medication. Encourage your child to drink plenty of fluids, avoid caffeine drinks, and take acetaminophen for pain. And be sure to take all medications exactly as prescribed by the physician.