An infection in any part of the urinary system, the kidneys, Bladder,or Urethra. Most infections involve the lower urinary tract i.e. Bladder and Urethra
Common among preschool and school-going children. More among girls
The common symptoms of UTI are fever, frequency of micturition, enuresis dysuria, abdominal pain etc.
In the newborn, the symptoms are non-specific like failure to thrive, irritability, evidence of sepsis etc.
Burning pain on micturition may help to clinically localize the infection to urethra (urethritis).
Suprapubic pain, frequency and dysuria are more suggestive of cystitis.
High fever with toxicity, flank pain or tenderness of the renal angles point towards pyelonephritis.
In older children- Dysuria, hypo gastric pain, frequency and urgency of micturition, foul smelling urine.
Severe cases- fever with chills & rigors, vomiting, flank pain
Urine examination- pus cells, bacteria
Microscopic examination of centrifuged urine may show bacteria and more than 5 pus cells per high power field or more than 10 pus cells per cu.mm of uncentrifuged urine. Culture of midstream or supra pubic aspiration specimen may yield the causative organism. The commonest organism involved is E. Coli.
Urine culture if there is bacteruria
Punarnavadi kashaya, Bruhatyadi kashaya
Up to 1 year: for mother: 2tsp sookshma choorna is boiled in 2 glass water, strained and given to mother. If agni bala permits give 1 tsp thrice to the child
1 year to 5 years: ½ tsp powder boiled in 1 glass of water and given as divided doses mixed with sugar or jaggery
5 to 10 years: 1 tsp powder boiled in 1 glass of water and given as divided doses mixed with sugar or jaggery
10-15 years: 1 ½ tsp powder boiled in 1 glass of water and given twice daily mixed with sugar or jaggery
Chandraprabha gutika, Gopeechandanadi gutika
2-6 years ¼ tab twice daily
6-12 years- 1 tab
12-15 years- 1 tab tds
Chandanasava , Punarnavasava
Up to 2yrs- ½ tsp arishta diluted with 1 tsp water
2-5 years- 2.5ml-5ml diluted with 5 ml boiled water
5-10 years- 10ml
10-15 years- 15ml
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