宝宝尿路感染发烧，去医院查了有尿液返流，有听说过的美妈吗 - 未名空间MITBBS历史存档

宝宝尿路感染发烧，去医院查了有尿液返流，有听说过的美妈吗# NextGeneration - 我爱宝宝

s*x2011-03-27 07:03

1 楼

我家宝宝五个月第一次莫名其妙的发烧，去医院检查确定是尿路感染，于是被要求做
ultrasound，和x-ray检查，确诊为尿液返流，就是尿液会从膀胱返流到肾，后来又见
了urologist,urologist说男孩有一定的几率长好，但是女孩长好的可能性很小，我只
能安慰自己，我家是小子，一定会长好的。
现在每天要吃一定剂量的抗生素预防尿路感染，一旦感染了对肾的伤害很大，专家说我
们要定期检查，如果到三岁还不好就要做手术，不知道有没有妈妈知道这样的病例？我
们现在每天喂药也是折磨宝宝，可是其他什么也做不了。

m*92011-03-27 07:03

2 楼

【在 s********x 的大作中提到】

: 我家宝宝五个月第一次莫名其妙的发烧，去医院检查确定是尿路感染，于是被要求做
: ultrasound，和x-ray检查，确诊为尿液返流，就是尿液会从膀胱返流到肾，后来又见
: 了urologist,urologist说男孩有一定的几率长好，但是女孩长好的可能性很小，我只
: 能安慰自己，我家是小子，一定会长好的。
: 现在每天要吃一定剂量的抗生素预防尿路感染，一旦感染了对肾的伤害很大，专家说我
: 们要定期检查，如果到三岁还不好就要做手术，不知道有没有妈妈知道这样的病例？我
: 们现在每天喂药也是折磨宝宝，可是其他什么也做不了。

m*p2011-03-27 07:03

3 楼

帮顶

az2011-03-27 07:03

4 楼

bless

【在 s********x 的大作中提到】

: 我家宝宝五个月第一次莫名其妙的发烧，去医院检查确定是尿路感染，于是被要求做
: ultrasound，和x-ray检查，确诊为尿液返流，就是尿液会从膀胱返流到肾，后来又见
: 了urologist,urologist说男孩有一定的几率长好，但是女孩长好的可能性很小，我只
: 能安慰自己，我家是小子，一定会长好的。
: 现在每天要吃一定剂量的抗生素预防尿路感染，一旦感染了对肾的伤害很大，专家说我
: 们要定期检查，如果到三岁还不好就要做手术，不知道有没有妈妈知道这样的病例？我
: 们现在每天喂药也是折磨宝宝，可是其他什么也做不了。

r*s2011-03-27 07:03

5 楼

big big bless!

L*72011-03-27 07:03

6 楼

不懂
bless

c*s2011-03-27 07:03

7 楼

我们家小子1岁多的时候也是发现尿液返流，医生给开了抗生素坚持吃到2岁复查，结
果很好，小人自己长好了，也就停了抗生素。

K*a2011-03-27 07:03

8 楼

医生有说是什么程度吗?我家宝宝4个月也查出来有.可医生说是一级,不用吃药

【在 s********x 的大作中提到】

: 我家宝宝五个月第一次莫名其妙的发烧，去医院检查确定是尿路感染，于是被要求做
: ultrasound，和x-ray检查，确诊为尿液返流，就是尿液会从膀胱返流到肾，后来又见
: 了urologist,urologist说男孩有一定的几率长好，但是女孩长好的可能性很小，我只
: 能安慰自己，我家是小子，一定会长好的。
: 现在每天要吃一定剂量的抗生素预防尿路感染，一旦感染了对肾的伤害很大，专家说我
: 们要定期检查，如果到三岁还不好就要做手术，不知道有没有妈妈知道这样的病例？我
: 们现在每天喂药也是折磨宝宝，可是其他什么也做不了。

l*n2011-03-27 07:03

9 楼

bless

u*l2011-03-27 07:03

10 楼

帮顶，bless!

C*e2011-03-27 07:03

11 楼

Bless 宝宝！

x*g2011-03-27 07:03

12 楼

祝福宝宝快点好起来！

b*o2011-03-27 07:03

13 楼

Bless

L*e2011-03-27 07:03

14 楼

BLESS

a*w2011-03-27 07:03

15 楼

My son was diagnosed with the same problem when he was 3 months old. He had
an non-invasive surgery when he was 8 months old and then stopped
antibiotics after that.

r*s2011-03-27 07:03

16 楼

Hello,
My son was also diagnosed with this problem when he was 3 months old.
Now he is 14 months, and he is still taking antibiotics. His reflux is
degree 4.
The urologist said we would consider the surgery after another ultrasound
and VCUG when he has 18 months old.

s*x2011-03-27 07:03

17 楼

谢谢这里的姐妹，希望跟妈妈们多交流，不管以后要不要手术，心里都有个数，希望对
宝宝的影响尽可能小一些
今天去医院做NMR，确定第一次发烧有没有对肾有影响，结果需要两个星期后去见
urologist才知道
那么个小人，ultrosound，x-ray,NMR都做了，心疼

s*x2011-03-27 07:03

18 楼

你家的一级是很轻微的了，我家宝宝是三到四级

【在 K****a 的大作中提到】

: 医生有说是什么程度吗?我家宝宝4个月也查出来有.可医生说是一级,不用吃药

w*y2011-03-27 07:03

19 楼

big big bless!

h*i2011-03-27 07:03

20 楼

有了孩子才知道原来有这么多需要担心的问题！
bless!

S*p2011-03-27 07:03

21 楼

我家丫头就是。
我们是11个月的时候查出来的，单侧3级。吃了一年的抗生素，一年后复查，已经自己
长好了。

j*u2011-03-27 07:03

22 楼

big big bless.

s*o2011-03-27 07:03

23 楼

my son had UTI when he was 5 months old. We refused to do the VCUG to check
for reflux, since the procedure is invasive, and the material used for X-Ray
is controversial.
We discussed with our ped multiple times, the major concern of her is that
my son's base temp is around 100.2. After reading some papers, we decide
that we are not going to put him on low dose antibiotics even if he had
degree 4 reflux, as a preventive measure. We will just be watching him more
closely.
It seems that use antibiotics to treat degree 4 reflux is also controversial
in the ped world, at least in literatures.
Just FYI.

l*e2011-03-27 07:03

24 楼

bless

r*s2011-03-27 07:03

25 楼

I emailed you.
Could you give more information about 'use antibiotics to treat degree 4
reflux is also controversial', please?
I actually asked doctors in China, France and USA, they all said it is
important to have antibiotics for avoiding kidney infections.
check
Ray
more
controversial

r*s2011-03-27 07:03

26 楼

I am confused:
how do you know your son has reflux degree 4 if you refused the VCUG?
The procedure of VCUG is invasive: that's because they use a foley catheter.
I don't think this hurt at all. Your ped used a foley catheter
when he diagnosed the UTI, didn't he?
Each time when there is a doubt about the UTI, an insersion of foley
catheter might be cosidered, I think.
Actually, my concern about the VCUG is the X_ray.
But It is the only test that can diagnose reflux.

check
Ray
more
controversial

【在 s*********o 的大作中提到】

: my son had UTI when he was 5 months old. We refused to do the VCUG to check
: for reflux, since the procedure is invasive, and the material used for X-Ray
: is controversial.
: We discussed with our ped multiple times, the major concern of her is that
: my son's base temp is around 100.2. After reading some papers, we decide
: that we are not going to put him on low dose antibiotics even if he had
: degree 4 reflux, as a preventive measure. We will just be watching him more
: closely.
: It seems that use antibiotics to treat degree 4 reflux is also controversial
: in the ped world, at least in literatures.

r*s2011-03-27 07:03

27 楼

still waiting for smalltotolo ......

r*s2011-03-27 07:03

28 楼

wait

s*x2011-03-27 07:03

29 楼

Thanks. I am also very concerned with the antibiotics, even very small dose.
So I hope we have more discussion here to exchange experiences and ideas
that we can try to find a better way for our kids.

check
Ray
more
controversial

【在 s*********o 的大作中提到】

: my son had UTI when he was 5 months old. We refused to do the VCUG to check
: for reflux, since the procedure is invasive, and the material used for X-Ray
: is controversial.
: We discussed with our ped multiple times, the major concern of her is that
: my son's base temp is around 100.2. After reading some papers, we decide
: that we are not going to put him on low dose antibiotics even if he had
: degree 4 reflux, as a preventive measure. We will just be watching him more
: closely.
: It seems that use antibiotics to treat degree 4 reflux is also controversial
: in the ped world, at least in literatures.

j*12011-03-27 07:03

30 楼

bless

s*t2011-03-27 07:03

31 楼

尿路反流？小男孩常见病吗？

s*o2011-03-27 07:03

32 楼

Sorry, just managed to get back online.
We does not know if he has reflux or not.
Personally, I don't even like the idea of catheter insertion. But we have to
do that to get a clean sample.
照影计was a bigger concern.
And after the VCUG, the only useful result that can come out is to put him
on low dose antibiotics, which we really don't like. So we decided that even
if he had level 4, we don't want to put him on antibiotics. We will just
keep a closer eye on monitoring his temperature ( esp his base is almost 1F
higher than usual ).
And we read a couple of papers on the topic, seems even in the literature,
to do the VCUG is controversal, and also the use of antibiotics.
It is a difficult choice to make. Even with Level 4 reflux, does not mean
the baby has an infection, it just means that it is more prone to infections
. Putting them on antibiotics all the time seems to be an overkill for me,
and antibiotics have many side effects. I don't know the impact of low
dosage, may be not matter that much. But after lots of struggle, I decided
not to.
For the record, I don't think I am really against antibiotics, I used them
when I am pregnant, because I have to. I suggest you talk to ped about your
concerns and go from there.

l*o2011-03-27 07:03

33 楼

//抱抱。bless

h*s2011-03-27 07:03

34 楼

通常小女孩容易得,因为尿路短,即使泌尿系统发育正常,也有可能得
小男孩如果得的话,大部分是结构上有问题,导致尿路返流,结构的问题导致会反复的尿
路感染
而且尿路感染有一定几率对肾造成破坏,这个一旦影响肾,不可逆转,所以长期用抗生素
预防是
有道理的.虽然抗生素有副作用,但是一旦肾受到破环,这个副作用比抗生素的副作用大
的多,
权衡利弊,一般医生会让你用low dose 抗生素预防

【在 s*****t 的大作中提到】

: 尿路反流？小男孩常见病吗？

s*x2011-03-27 07:03

35 楼

谢谢众姐妹热心回复，
我家宝宝这开始吃Septra，才吃了几天，宝宝已经不配合了，看到我们拿droppler就开
始抵抗，昨天弄在米糊里给他吃，吐了，今天米糊也不吃了
跟这小人精有的斗争了

s*62011-03-27 07:03

36 楼

bless。。。。。。。。。。。。。妈妈们真的是要多交流才是啊。还好有mitbbs这个
平台

W*02011-03-27 07:03

37 楼

祝宝宝早点好起来！

c*t2011-03-27 07:03

38 楼

bless

q*72011-03-27 07:03

39 楼

bless!!!

w*t2011-03-27 07:03

40 楼

听着心疼，bless宝宝没事
男孩子一般不容易尿路感染，如果仅仅尿路感染，不是什么大问题
你说的尿液反流就不知道是怎么回事了，希望不要做手术

【在 s********x 的大作中提到】

: 我家宝宝五个月第一次莫名其妙的发烧，去医院检查确定是尿路感染，于是被要求做
: ultrasound，和x-ray检查，确诊为尿液返流，就是尿液会从膀胱返流到肾，后来又见
: 了urologist,urologist说男孩有一定的几率长好，但是女孩长好的可能性很小，我只
: 能安慰自己，我家是小子，一定会长好的。
: 现在每天要吃一定剂量的抗生素预防尿路感染，一旦感染了对肾的伤害很大，专家说我
: 们要定期检查，如果到三岁还不好就要做手术，不知道有没有妈妈知道这样的病例？我
: 们现在每天喂药也是折磨宝宝，可是其他什么也做不了。

w*t2011-03-27 07:03

41 楼

担心的才多了
我每次一想到，接下来几十年，随随便便一点点小意外都会伤害我儿子
我就非常揪心，恨不得把儿子时刻绑我脖子上，随时看着才不出问题

【在 h***i 的大作中提到】

: 有了孩子才知道原来有这么多需要担心的问题！
: bless!

b*r2011-03-27 07:03

42 楼

我也是纠结了半天，
我们家的是肾积水加一侧输尿管扩张，
一直在吃抗生素，
做VCUG和NMR之前我都纠结了半天，觉得孩子太小了，
不想做，想着就是吃抗生素好了。
但是我发现长期吃抗生素也有问题，她的poopoo经常发酸发臭！是抗生素把她肚子里头
好的细菌杀死了。
所以我后来同意做VCUG和NMR了，如果没有问题我们就可以停了抗生素了。
但是我没有研究这两个procedure有什么副作用，真该打，应该看看的，那个VCUG到还
好，很快，NMR真是受罪啊，那个护士还找不到我家宝贝的血管，戳了好几针！至于照
影计，我就不知道有什么副作用了。

【在 s********x 的大作中提到】

: 谢谢这里的姐妹，希望跟妈妈们多交流，不管以后要不要手术，心里都有个数，希望对
: 宝宝的影响尽可能小一些
: 今天去医院做NMR，确定第一次发烧有没有对肾有影响，结果需要两个星期后去见
: urologist才知道
: 那么个小人，ultrosound，x-ray,NMR都做了，心疼

c*42011-03-27 07:03

43 楼

BLESS