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Can Cystone Syrup Be Given For UTI In A Child?

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Posted on Tue, 11 Oct 2016
Question: CAN 3 YEAR OLD CHILD TAKE CYSTONE SYRUP FOR UTI RECURRENCE OR NEERI SYRUP... PLZ TELL ME THE DOSE... COZ MY SON IS SUFFERING FROM UTI HIS PUS CELLS WAS 50-70 THEN HE GOT LCIN SYRUP DOSE FOR SOME DAYS... BUT AFTER SOME DAYS AGAIN HE GOT THIS INFECTION PUS CELLS 7-8 AND CULTURE WAS POSITIVE N HE STARTED TAKING LINEZOLID FOR 9 DAYS.. NOW HIS PUS CELLS ARE 2-3 AND EPIT. CELLS 2-3... AND AFTER EVERY 7 DAYS I AM GETTING HIS URINE RM DONE.. IN HIS URINE REPORT SOMETIMES CALCIUM OXALATE ARE ALSO PRESENT... I WANT PERMANENT SOLUTION OF THIS PROBLEM... SOMEBODY SUGGESTED ME THAT AYURVEDIC MEDICINES LIKE NEERI OR CYSTONE SHOULD BE TAKEN.. BUT I AM NOT SURE ABOUT THE DOSE.. PLZ HELP ME OUT AND I DO NOT WANT THAT MY SON SHOULD GET ILL AGAIN N AGAIN..
doctor
Answered by Dr. Sumanth Amperayani (37 minutes later)
Brief Answer:
2-3 pus cells is not urinary tract infection - Don't worry

Detailed Answer:
Hi....I understand your concern.

The initial 50-70 pus cells and later 7-8 pus cells may be suggestive of urinary tract infection.

But the latest 2-3 pus cells report is definitely not suggestive of urinary tract infection.

Moreover without symptoms like high grade fever, vomiting, pain in tummy and painful, burning frequent urination - it is highly unlikely that he is having a urinary tract infection.

I have a few questions for you -

1. What about the urine culture reports?

2. What about the ultrasound abdomen scan?

3. What were the symptoms when your kid had urinary tract infection?

4. Can you upload all the tests done so far in date wise order?

Please get back with answers to my questions and I will be glad to guide you further.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (22 hours later)
DEAR SIR
AS YOU TOLD ME IAM SENDIND YOU ALL REPORTS…
AND ULTRASOUND WAS NOT DONE COZ DOCTOR TOLD ME ONLY FOR URINE CULTURE.. AND I HAVE ALSO SENT YOU 1 PRESCRIPTION OF MY SON’S DOCTOR .. AND MY MAIN TENSION IS THAT MY SON HAD BEEN GETTING ILL SINCE MARCH AGAIN AND AGAIN.. WE WENT TO DOCTOR N DOCTOR GAVE HIM ANTIBIOTICS COURSE FOR 3 TO 5 DAYS N SOMETIMES 5-7 DAYS.. AND HE GOT WELL BUT AGAIN WITH IN SOME DAYS HE GOT ILL AGAIN.. AND THIS THING HAPPENED FOR 4 MONTHS MARCH TO XXXXXXX 2016.. AND I WENT 2-3 DIFFERENT DOCTORS AND EVERY DOCTOR TOLD ME THAT IT IS A VIRAL FEVER N SOMETIMES THEY GAVE AMOXICILIN CLAVULANATE N SOMETIMES AZITHROMYCIN.. THEN MY SON GOT ILL AGAIN IN 15.07.16 N HE HAD A VERY HIGH FEVER N VOMITING N PROBLEM IN HIS PRIVATE PART… MY SON IS ONLY 3 YEAR OLD SO HE COULD NOT EXPLAIN EVERYTHING ABOUT HIS PROBLEM.. I TOLD EVERYTHING TO DOCTOR.. THAT TIME I DID NOT KNOW ABOUT URINE INFECTION ….. DOCTOR HAD A DOUBT N HE SUGGESTED ME FOR URINE N BLOOD TEST.. THEN I CAME TO KNOW THAT HE HAD URINE INFECTION N 50-70 PUS CELLS… THEN HE TOOK LEVOFLOXACIN 150 MG FOR 7 DAYS N HE GOT OK N FEVER WENT..
BUT AFTER SOME DAYS AGAIN I GOT HIS URINE RM N CULTURE TEST DONE.. AND HE GOT 8-10 PUS CELLS… ACTUALLY I TOLD YU BY MISTAKE 7-8 BUT IT WAS 8-10.. HE DID NOT GET FEVER THIS TIME BUT DOCTOR SUGGESTED ME LINEZOLID FOR 9 DAYS.. AND AFTER SOME DAYS HIS REPOTRS WERE OK AGAIN…. N SINCE THEN I AM GETTING HIS URINE RM DONE IN EVERY 7-10 DAYS N SOMETIMES IN ONE DAY FROM 2 DIFFERENT DIFERRENT LABS.. COZ SOMEBODY TOLD ME THAT REPORTS CAN BE DIFFERENT ACCORDING TO LAB… THIS TIME HE IS OK AND TAKING IRON SYRUP N BEVON MULTIVITAMIN SYRUP.. BUT I AM WORRYING AND SCARED THAT AFTER 10-15 DAYS 0R 1 MONTH HE MAY GET FEVER AGAIN.. COZ I READ ONLINE N SOME PERSONS TOLD ME THAT URINE INFECTION REPEATS AGAIN N AGAIN.. N I KNOW MY SON’S IMMUNITY IS NOT GOOD.. THAT’S WHY I AM ASKING YOU FOR NEERI OR CYSTONE SYRUP.. SO THAT HE WILL NOT GET THIS INFECTION AGAIN IN FUTURE… OR ANY IMMUNITY BUILDER TONIC OR AYURVEDIC SYRUP..
I HAVE GIVEN YOU ALL ANSWERS IN DETAIL… NOW PLEASE GIVE ME MY ANSWERS.. COZ I AM WORRIED ABOUT MY SON…
1. WHAT IS THE TREATMENT OF CALCIUM OXALATE ? COZ SOMETIMES HE GOT IN HIS REPORTS..
2. DOSAGE OF CYSTONE OR NEERI AND PLEASE TELL ME IS IT SAFE OR NOT ?
3. IS IT RIGHT THAT URINE INFECTION REPEATS AGAIN AND AGAIN AND HOW TO GET RID OF THIS ?
4. SHOULD MY SON TAKE BAKING SODA AS A NATURAL REMEDY ?
SIR PLEASE GIVE ME ALL ANSWERS.. I WILL BE THANKFUL TO YOU FOR THIS ACT OF KINDNESS… THANKS N WAITING FOR REPLY..
doctor
Answered by Dr. Sumanth Amperayani (13 minutes later)
Brief Answer:
No need to repeat tests again and again

Detailed Answer:
Hi.... I understand your concern. First of all I will approach to your problem by explaining you how are urinary tract infection behaves and then I will explain you how a viral illness behaves. I personally feel that your son is having recurrent viral illness and not urinary tract infection.

Symptoms of urinary tract infection - high grade fever with chills and rigors, pain in the tummy, burning sensation while passing urine, frequently passing small quantities of urine, recurrent vomiting and cloudy urine.

Symptoms of viral illness - Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Now you can compare both the symptoms and decide whether your child is having a recurrent viral illness or not. One more absolute fact is that children of this age attend to get recurrent viral illness in this season. They can get fever almost 3-4 times a month.

I did not receive any reports that you say you have uploaded, but I will try to answer your queries.

Coming to your queries now -

1. Occasional calcium oxalate crystals are normal in urine routine. Do not worry about them. Unless there is a family history of kidney stones do not worry about this.

2. The syrups which you are mentioning are Ayurvedic preparations and as I am and allopathic doctor I am not aware of the ingredients in them. So I will not be able to suggest you on alternative system of medicine and drugs. But I can suggest you a very excellent Ayurvedic doctor who can guide you in this regard. I suggest that you post a direct query to Dr. S. Senthilnathan on this healthcaremagic forum. He will be able to guide you better regarding these syrups.

3. What you have heard is true - urinary tract infection can get repeated. But this is exactly the reason why I asked you whether ultrasound abdomen has been done or not. Urinary tract infection can get repeated only if there is a vesicoureteric Reflux our reflux of urine back into the ureters. To diagnose this we need ultrasound abdomen or a MCUG - micturating cysto urethrogram.

4. Please do not use baking soda for the prevention of urinary tract infection.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (21 minutes later)
THANK YOU VERY MUCH SIR FOR YOUR DETAILED ANSWERS... I HAVE UPLOADED ALL REPORTS SO PLZ CHECK AND HE HAS VOMITING EVERY TIME N SOMETIMES HE SAYS ABOUT ITCHING IN HIS PRIVATE PART... THAT IS WHY I ASKED FOR URINE INFECTION.. N PLEASE TELL ME ABOUT ACIDIC AND MILD ALKALINE URINE COZ BEFORE THAT HIS URINE WAS ACIDIC BUT IN LATEST REPORT HIS URINE IS MILD ALKALINE.. IS THERE ANY THING FOR WORRYING ? THANKS..
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Don't worry about acidic and alkaline urine

Detailed Answer:
Hi...I have just read through all your son's reports.

Important issues -

1. Only one report with 50-70 pus cells is suggestive of urinary tract infection. Rest of the reports are normal. Please do not repeat any more urine tests.

2. None of the culture reports can be trusted as they have not mentioned the colony count of the E.coli. They have just mentioned that the culture is positive. This is not the right way to report a culture. The report should contain colony count and it can be treated as a significant result only if the colony count is more than 1,00,000 CFU.

3. Now I feel even more strongly that your son is getting only recurrent viral illness.

4. Do not worry about acidic or alkaline urine. It depends on the organism in the urine. It can be normal too.

Regards - Dr. Sumanth


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (55 minutes later)
THANK YOU VERY MUCH SIR FOR MY ALL ANSWERS AND SEEING MY SON'S REPORTS..AS YOU TOLD ME MY SON IS GETTING RECURRENT VIRAL FEVER SO I WISH TO ASK YOU SOME QUESTIONS SO PLEASE SIR GIVE ME ANSWERS TO MY ALL QUESTIONS..

1. HOW CAN HE GET RID OF RECURRENT VIRAL INFECTIONS ?

2. CAN YOU PLEASE SUGGEST ME ANY IMMUNITY BUILDER SYRUP OR TABLET FOR MY SON OR ANY HOME REMEDY FOR FIGHTING WITH RECURRENT VIRAL FEVER ?

3. CAN YOU PLEASE SUGGEST ME WHAT FOOD HE SHOULD TAKE OR WHAT FOOD HE SHOULD NOT TAKE ?

4. AS YOU TOLD ME ABOUT CALCIUM OXALATE IS NOT ANY THING FOR WORRYING BUT I WISH TO TELL YOU THAT MY FATHER HAD KIDNEY STONE BEFORE 20 YEARS ... NOW HE IS 65 YEARS OLD.. SO IS IT DANGEROUS FOR MY SON?

5. AND LAST QUESTION I WISH TO ASK THAT CAN I GIVE ANY LOW DOSE ANTIBIOTIC SYRUP TIME TO TIME AFTER 15-20 DAYS OR ONE MONTH SO THAT HE WILL NOT GET ANY VIRAL FEVER IT MEANS WITHOUT FEVER CAN I GIVE MY SON ANY ANTIBIOTIC FOR SAFETY PURPOSE?


WAITING FOR YOUR REPLY SIR.. AND ONE THING I WISH TO TELL YOU THAT.. I FEEL VERY GOOD AFTER TALKING TO YOU.. COZ YOU GAVE ME MORE N MORE ANSWERS AND I ASKED THESE QUESTIONS TO MANY PERSONS BUT NO BODY GAVE ME PROPER ANSWER AND EVERY BODY TOLD ME THAT TELL ME IN SHORT.. BUT YOU ASKED FOR DETAIL SO THANKS AGAIN ....
doctor
Answered by Dr. Sumanth Amperayani (5 hours later)
Brief Answer:
Suggestions for recurrent viral fever

Detailed Answer:
Hi.... I am happy that my answer relieved your distress. Now coming to your queries directly -

1. There is no way that you can prevent recurrent viral illness in any child. It is a normal phenomena in this age group. This is how they will develop a resistance to infections as they are growing up. The frequency of viral illnesses will gradually decrease as he grows older.

2. Unless a child has got recurrent lung infection or pneumonia or bone and joint infections or brain fever or skin and soft tissue infection or fungal infections, we cannot call a child as immunodeficient. Your child is not having problem with immunity do not worry.

3. There are no syrup or Tablet or medicines to boost immunity. Please do not believe if somebody says so.

4. There are no specific foods to avoid. Please give him everything and especially what he likes. But do not forget to brush his teeth at night after eating.

5. Regarding the calcium oxalate in the urine and kidney stones - as there is a family history of kidney stones it is better to get an ultrasound abdomen to pick up any kidney stones.

6. As I have already explained this is only a viral illness. Viral illnesses should not be given antibiotics at all. It will make the organisms more resistant to further antibiotics. Please do not use antibiotics without proper testing and indication. Blood culture and urine culture are a must before starting a proper antibiotic.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Can Cystone Syrup Be Given For UTI In A Child?

Brief Answer: 2-3 pus cells is not urinary tract infection - Don't worry Detailed Answer: Hi....I understand your concern. The initial 50-70 pus cells and later 7-8 pus cells may be suggestive of urinary tract infection. But the latest 2-3 pus cells report is definitely not suggestive of urinary tract infection. Moreover without symptoms like high grade fever, vomiting, pain in tummy and painful, burning frequent urination - it is highly unlikely that he is having a urinary tract infection. I have a few questions for you - 1. What about the urine culture reports? 2. What about the ultrasound abdomen scan? 3. What were the symptoms when your kid had urinary tract infection? 4. Can you upload all the tests done so far in date wise order? Please get back with answers to my questions and I will be glad to guide you further. Regards - Dr. Sumanth