Urine infections in children always require investigation as it is unusual for a child to develop a urine infection. That does not mean that there is always a problem but your GP should refer your child to a paediatric urologist for investigation.
The tests that may be suggested are:
- an MSU (mid-stream urine): a urine sample to check the bug growing in the urine
- a renal ultrasound: a jelly scan of the kidneys and bladder to ensure that there is no abnormality such as an obstructed kidney or a kidney stone. This is a simple test and uses no radiation so it is completely safe for your child.
- an x-ray of the abdomen (tummy): this is to check for constipation as often this is the cause of recurrent urine infections in older children
Once you have seen our paediatric urologist, and if all the tests are clear, you will be reassured that there is no underlying problem with your child's kidneys or bladder. There are various strategies that will be discussed to try and prevent infections, such as:
- regular fluid intake
- going to the toilet regularly ("timed voiding")
- passing bowel motions regularly
- avoiding food and drinks that can irritate/upset the bladder
- making sure the bladder is empty before leaving the toilet ("double voiding")
For cases of very frequent urine infections, further investigation with surgery (such as cystoscopy which is a way of examining the bladder with a long telescope) or a course of preventative antibiotics, may be suggested.