Breastfeeding + supplementing with formula.
Hygiene is not an issue. My daughter is a clean freak.
Yes baby is well feed and drinks plenty of fluid.
Weighed 4.2 at birth she’s at 9.8 now.
Not sure about soaps will ask.
I am a radiologist— used to do voiding cystourethrograms (VCUGs) in residency routinely, except I had to place the catheter myself. Hated doing them. Anyhow, this child’s problem is an incompetent valve from the urethra into the urinary bladder, so urine is flowing upstream back into the kidney. The dilation of the renal calyces means it’s a lot. This is the reason the UTIs are recurrent. A lot of the comments here are addressing the UTIs, but that is not the problem, but a result of the vesicoureteral reflux.
There is a good comment below by u/rayshade with more information.
Dilation of ureter and renal collecting system means that one way valve where ureter enters bladder is not working well as urine refluxes into ureter while voiding. From report description seems grandchild has stage III out of V reflux. If it continues it can result in thinning of renal cortex and eventual loss of renal function in that kidney. Some grow out of mild reflux, but some need surgery to relocate the ureter in bladder so valve functions right and stops reflux to preserve renal function. Pediatric urologist or renal doctor evaluation would be suggested.
Most welcome. Old Army doc here specialized in Nuclear Medicine and Radiology. Her parents are doing the right thing to preserve renal function. Best of lick and prayers!
First of all thank you for your service. In the case that surgery is recommended what would be your recommendation open, endoscopic or laparoscopic surgery. She is still quite small approximately 10 lbs. so if recommended should surgery be put off until she grows while continuing the antibiotics.
I would have to defer to your surgeon. Need one that has lots of successful experience in that procedure. Techniques have changed through the years and I am unsure which is best approach. Antibiotic are important to stop bladder and potential renal infection. But increased pressure is part of the issue with reflux. Bladder has much thicker muscle wall to handle pressures that occur in bladder. Ureters and renal collecting systems have much thinner walls ad blow up like balloon. Increased pressure from incompetent valve at distal ureter can destroy renal cortex over time. When is the best time for surgery and what type of surgery to recommend are questions that the surgeon will be better prepared to answer.
The appointment on Monday was with general pediatrician. My daughter was referred to a urologist for a phone conversation on Wednesday. She was advised to stay on the antibiotics and if no further UTIs just wait to see if she grows out of it. Urologist stated even at stage IV the do grow out of it. Will test again in six months to look for progression. Thank you again for your advice and concern.
What is she eating? Is she breastfed? I had a problem with UTIs for a while ten years ago, and learned that E. coli can sometimes cause them, and it seems E. coli does better in more acidic urine, so maybe you should start by testing the baby's urine pH level? Then find out what alternatives you might have towards adjusting that if it turns out to be too acidic? I know what you could do for that with an adult because it is all about diet, but I don't know anything about feeding babies, unfortunately, as I don't have children of my own.
That bit about giving D-mannose supplement seems interesting. But I didn't find anything about whether it would be completely safe for a child that young.
Without the added info from my questions, here is what I have:
Proanthocyanidins (PACs):
Mechanism: Inhibit the adhesion of Escherichia coli to the uroepithelial cells, thus preventing bacterial colonization. PACs are primarily found in cranberry products.
D-Mannose:
Mechanism: Competitively inhibits the adhesion of E. coli to the urinary tract lining by binding to the bacterial fimbriae, thereby reducing bacterial attachment and infection risk.
Arbutin:
Mechanism: Metabolized into hydroquinone in the body, which exhibits antimicrobial activity against pathogens. This action helps inhibit bacterial growth in the urinary tract.
Allicin:
Mechanism: Exhibits antimicrobial activity by disrupting bacterial cell membranes and inhibiting key bacterial enzymes. Allicin is derived from garlic.
Berberine:
Mechanism: Exhibits broad-spectrum antimicrobial effects by interfering with bacterial DNA replication and protein synthesis. Berberine is found in goldenseal and other plants.
Because your child is so young, I would speak to a physician on use.
When looking to purchase any of these, look for nano or liposomal versions of the products. For example: nano-berberine. https://a.co/d/f0I6nS2
Give me an hour to do some research and I will report back. Check my history and you will see I like clinical research :)
Couple quick questions:
Breastfeeding + supplementing with formula. Hygiene is not an issue. My daughter is a clean freak. Yes baby is well feed and drinks plenty of fluid. Weighed 4.2 at birth she’s at 9.8 now. Not sure about soaps will ask.
Have you been told what bacteria it was?
Research using oil of oregano for bacteria Also ivermectin for parasites Both low side effects ,high efficacy
Have they checked sugars and kidney function?
Permalink: https://greatawakening.win/p/17txxxO7om/x/c/4ZDtRQHOwb5
I am a radiologist— used to do voiding cystourethrograms (VCUGs) in residency routinely, except I had to place the catheter myself. Hated doing them. Anyhow, this child’s problem is an incompetent valve from the urethra into the urinary bladder, so urine is flowing upstream back into the kidney. The dilation of the renal calyces means it’s a lot. This is the reason the UTIs are recurrent. A lot of the comments here are addressing the UTIs, but that is not the problem, but a result of the vesicoureteral reflux.
There is a good comment below by u/rayshade with more information.
Someone here posted not long ago about UTIs being parasitic in nature.
Dilation of ureter and renal collecting system means that one way valve where ureter enters bladder is not working well as urine refluxes into ureter while voiding. From report description seems grandchild has stage III out of V reflux. If it continues it can result in thinning of renal cortex and eventual loss of renal function in that kidney. Some grow out of mild reflux, but some need surgery to relocate the ureter in bladder so valve functions right and stops reflux to preserve renal function. Pediatric urologist or renal doctor evaluation would be suggested.
Thank you for your reply. They did diagnose her at stage 4. She’s going to consult with a surgeon on Monday. Will know more then.
Most welcome. Old Army doc here specialized in Nuclear Medicine and Radiology. Her parents are doing the right thing to preserve renal function. Best of lick and prayers!
First of all thank you for your service. In the case that surgery is recommended what would be your recommendation open, endoscopic or laparoscopic surgery. She is still quite small approximately 10 lbs. so if recommended should surgery be put off until she grows while continuing the antibiotics.
I would have to defer to your surgeon. Need one that has lots of successful experience in that procedure. Techniques have changed through the years and I am unsure which is best approach. Antibiotic are important to stop bladder and potential renal infection. But increased pressure is part of the issue with reflux. Bladder has much thicker muscle wall to handle pressures that occur in bladder. Ureters and renal collecting systems have much thinner walls ad blow up like balloon. Increased pressure from incompetent valve at distal ureter can destroy renal cortex over time. When is the best time for surgery and what type of surgery to recommend are questions that the surgeon will be better prepared to answer.
Was surgeon visit with granddaughter productive and provide all the answers that were needed?
The appointment on Monday was with general pediatrician. My daughter was referred to a urologist for a phone conversation on Wednesday. She was advised to stay on the antibiotics and if no further UTIs just wait to see if she grows out of it. Urologist stated even at stage IV the do grow out of it. Will test again in six months to look for progression. Thank you again for your advice and concern.
What is she eating? Is she breastfed? I had a problem with UTIs for a while ten years ago, and learned that E. coli can sometimes cause them, and it seems E. coli does better in more acidic urine, so maybe you should start by testing the baby's urine pH level? Then find out what alternatives you might have towards adjusting that if it turns out to be too acidic? I know what you could do for that with an adult because it is all about diet, but I don't know anything about feeding babies, unfortunately, as I don't have children of my own.
Well, that is the one alternative I can think of.
https://source.washu.edu/2015/06/a-persons-diet-acidity-of-urine-may-affect-susceptibility-to-utis/
Okay, I found this article, maybe there is something useful: https://uribiotic.com/bladder-infection-uti-children/
That bit about giving D-mannose supplement seems interesting. But I didn't find anything about whether it would be completely safe for a child that young.
Catheters in women generally cause UTI's. There is no way around that. Germs get in and cause the UTI.
Without the added info from my questions, here is what I have:
Proanthocyanidins (PACs):
D-Mannose:
Arbutin:
Allicin:
Berberine:
Because your child is so young, I would speak to a physician on use.
When looking to purchase any of these, look for nano or liposomal versions of the products. For example: nano-berberine. https://a.co/d/f0I6nS2
Sources:
Recently heard about uva ursi for UTIs. I have no experience with it, but from a search it’s aka bearberry and you can get tinctures.