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What Do The Following Test Results Of A 9 Year Old Child Indicate?

Posted on Sat, 22 Oct 2016

Question: My son 9 year old felt inflammation in urine and dr put him on alkasol and antibiotic and asked us to get ultrasound and urine routine and culture test and these are the reports..kindly suggest wat is the case though there are no symptoms of inflammation in urine anymore but we are making him drink water a lot and the report says urinary blander is distended and shows irregular and thickened walls and urine routine shows
Pus cell 0-1
Epi cell. 0
Albumin +

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Need to consult Urologist

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that your 9 years old son has UTI and was investigated accordingly and his Ultrasound scanning has revealed abnormality like thickening and irregularity of bladder wall .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Hoes he have to strain while passing urine ?
2) How is his urine stream whether normal or weak?

Irregularity and thickening of the bladder wall suggests that he has bladder outlet obstruction .

Consult qualified Urologist for clinical assessment and get following basic tests done to establish diagnosis
1) Urodynamic study with Cystometry of bladder
2) Micturating Cysto urethrogram (MCU)
3) Endoscopic examination of bladder (Cystoscopy).

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.

.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (22 hours later)

He doesnt strain and doesnt have a weak flow when he urinates hes got normal stream of flow..we are giving him lots of fluids and water alongwoth alkasol twice as adviced by dr..his urine culture report is awaited and i am attaching his ultrasound and urine routine test for your reference...kindly advice as he only felt inflamation once while urinating and after that he was given alkasol and more water and since then there hasnt been any inflamtion..advice pls

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
He seems to have bladder infection (Cystitis)

Detailed Answer:
hello
Thans for uploading reports .
Based on the findings in scanning he seems to have infection of bladder .

Start him appropriate antibiotic as per culture report .

You may repeat his scanning after one month and if reveals the similar picture may need to consult qualified urologist .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (23 hours later)

Hello doctor dr has only asked us to continue with alkasol as culture urine report is negative..wat could it be ? Going by the reports pls advise again when shall we get done ultrasound again

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
Give him Urinary antiseptic like Nitrofurantoin twice daily .

Detailed Answer:
Hello
Thanks for follow up .

If urine culture is negative give him Nitrofurantoin twice daily along with Alkasol and repeat his scanning after 4 weeks .

Thanks and Regards.
Dr,Patil.

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Above answer was peer-reviewed by : Dr. Raju A.T