Is VCUG Necessary After One UTI?

Updated on November 16, 2010
D.W. asks from Anaheim, CA
7 answers

my son had a UTI at 6 weeks of age. the doctors put him on IV antibiotics right away. tests showed that there was e.coli in his urine but nothing had spread to the blood. even though his fever was gone after 1 day and he looked much better too, b/c my son was so young, the doctors continued the antibiotics for the full course (10 days). he is now 11 weeks and is doing fine. we are scheduled for a VCUG in two weeks. i'm just wondering if it really is necessary. of course i will do whatever is best for my son, but i'm not sure if the results of the VCUG will make a difference. even if the test shows that there is reflux, there's nothing we can do about it right? isn't that just something that babies have to outgrow?

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So What Happened?

hi moms,
thanks for sharing your experience. if you don't mind my asking, when did your babies have their first UTI and how frequent were recurring infections?

also, i've had a few UTIs myself and b/c i hate taking antibiotics (it throws everything off with my GI tract) i started taking d-mannose. it's a sugar that binds e.coli, preventing it from adhering to the bladder. it doesn't kill the bacteria but rather flushes it out. since taking d-mannose, i have not had a UTI again. have you heard of it? if so, i wonder if it works on infants?

More Answers

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J.G.

answers from Cincinnati on

my daughter has hydronephrosis, so she's has to go through all sorts of things including vcugs. basically, before her birth they saw that one of her kidneys was enlarged, so they check her regularly. in infants utis can be especially dangerous if not caught immediately, so that's why they take them a lot more serious than they do for adults. if there is reflux, it wont necessarily go away on its own, and sometimes surgery is necessary if things get worse. they will probably watch it until your son is a year or so, at least thats what theyre doing with my daughter. i think its better to be safe than sorry with this sort of thing. utis that early arent really typical, so it's good that theyre keeping an eye on it. let me know if theres anything else you want to know about our experience. my daughter is 9 months old. good luck!

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T.M.

answers from Tampa on

My daughter has grade 3 reflux and it sucks. We do a VCUG every year. At this age, they just want to monitor the situation if he has reflux. We have her on an antibiotic every night to make sure that she doesn't get UTIs. An untreated UTI can lead to kidney damage. I hate it, but we go along with our urologist's recomendation.

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D.G.

answers from Dallas on

Yes - I would definitely do the VCUG. Boys do not typically get UTI's. It's pretty unusual. My son had his first at 3 weeks old. His did end up in the blood and E. Coli showed up also. We did know that he had a blocked urethral valve though. His first VCUG was at 1 day old. At the age your son is at, he won't remember it at all. Better be safe and find out if there are any issues with his kidneys now than wait and have damage done. If there is reflux there is ALOT that can be done. Some babies do outgrow it, some do not. Depends on the severity and what it causing it. They may have to put him on a daily antibiotic (preventative antibiotic) to prevent any infections. UTI's in babies are so hard on them and can be very dangerous. PM me if you need any other information and I will give you any information based on my experience that I can. Good luck !

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A.O.

answers from Las Vegas on

Reflux would cause consistent UTI's. It is very uncommon for boys to have UTI's and maybe that is the reason for concern, not sure. I have a 10 year old girl that does not have reflux and she still has chronic UTI's. However, not sure if a VCUG is warranted after just one infection. Weigh it out as a parent. A test could never hurt just to see what is going on, but if YOU feel it is not necessary than I would not pursue the matter at this time, maybe see hoe things go from here on out. I am not a doctor though. They could have seen something I don't know about. :) I know I did not tell you one way or another but I hope this helps you make a decision either way!

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J.F.

answers from San Diego on

My daughter had her first vcug at 6 weeks. We discovered that her reflux would not resolve on it's own. She had an ectopic ureter. It attached incorrectly and was resolved with surgery at 9 months of age. She has not had a uti since and she is 4.5! I think you should go ahead and do it. Be sure to ask how they do the procedure. I did not approve of the method at Palomar hospital. Children's did an amazing job. Best wishes.

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J.B.

answers from Atlanta on

It's better to be safe than sorry! My youngest had reflux that didn't resolve at birth and went through 2 VCUGS -one at 4 months and one at 18 months. Thankfully he had outgrown it at 18 months, so some kids DO, but not every kid -and it can be REALLY dangerous if left unmonitored -even leading to kidney damage and failure. It's HORRIBLE -I know -and something you don't want to put your child through, but ultimately it's worth it. Good luck -maybe he will outgrow it! He never had any UTIs -although there was one ER trip when he spiked a high fever to be sure that wasn't the cause. My father and I both have had a long history of UTIs, bladder surgeries, etc., and the pediatric urologist told me it was all genetic and my children would have a 60% chance of passing it onto their kids. SO -keep an eye on it!

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J.D.

answers from Los Angeles on

I have nothing to offer personally on VCUGs but am coming with other information.

So, does the doctor also have your son on probiotics? How about NO vaccines? Bet not. I am so sorry he is having to go through this but lets make sure things don't get worse or more added on. Are you nursing? If so, start adding probiotics into your daily intake. There are also baby probiotics that you can give directly to your son - make sure that they are about 2-3 hours either before or after the antibiotics if he is still on them otherwise once a day. Very important for this.

Vaccines disrupt the immune system. His immune system (the gut makes up 80% of it) is already very out of balance right now so the last thing you want to be doing is to mess it up even more. Do your research NOW on which shots he should be getting that HE needs, not what the CDC schedule is (btw - did you know that the CDC has its own, delayed schedule, that it recommends for its employees?). Tylenol is also not recommend as it is putting the immune system on hold for up to 22 days with each dose.

Here are sites and books that I always recommend for people to start their research:

The Vaccine Book, by Dr. Robert Sears

www.909shot.com

www.tacanow.org

www.nvic.org

Healing the New Childhood Epidemics: Autism, ADHD, Asthma, and Allergies: The Groundbreaking Program for the 4-A Disorders, by Dr. Kenneth Bock

What Your Doctor May Not Tell You About Childhood Vaccinations, by Dr. Stephanie Cave

Evidence of Harm, by David Kirby

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