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Red spot on diaper couple of times only
My 2.5 months old baby boy had mild red spots on diaper 3-4 times last month. We had done urine report which shows bacteria present and RBC count as 5. Doctor has given antibiotics for 5 days and suggested for sonography. Is the sonography really required for small baby? Is there any side effect of sonography? Also doctor has given EUMOSONEM M for local penis application for redness. Can we use this cream. Please refer attached report and photo.
Answers (7)
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The urine test shows 5 RBCs/hpf and presence of bacteria, which can suggest a mild urinary tract infection (UTI). The red spot seen in the diaper is likely urine mixed with a small amount of blood, which can happen with a UTI. At this age, even minor UTI findings warrant careful evaluation, as babies can’t express symptoms clearly.
The antibiotic course for 5 days is appropriate and should be completed fully. The Eumosone-M cream (contains steroid and antibacterial/antifungal) can be used locally on the penis if there is redness or irritation, as prescribed. Make sure to apply only a small amount and for the short duration advised.
Yes, sonography (ultrasound of the abdomen/KUB) is safe and non-invasive. It is recommended after any suspected UTI in infants to check for any underlying kidney or urinary tract abnormalities, like: Posterior urethral valves, Vesicoureteric reflux, Hydronephrosis.
There are no side effects of sonography. It doesn’t involve radiation and is done externally, like a regular scan.
Next Steps
Complete the antibiotic course as prescribed.
Proceed with the ultrasound scan as advised.
Health Tips
Red flags:
Fever
Poor feeding
Decreased urine
Swelling in the abdomen
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Yes, absolutely for this age group sonography is must to see the bladder conditions.
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
Yes plz do urgently ultrasound or sonogram as less than 1 yr age with UTI needs to evaluate other abnormalities also
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Dr. Jasneet Kamal Narang
Pediatrician
49 yrs exp
Gurgaon
Do urine c/s and US. is not harmful
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Dr. Sachin Pariskar
Pediatrician
8 yrs exp
Pune
Kindly consult once for discussion
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Jyothi
Pediatrician
4 yrs exp
Hyderabad
Yes the urine report suggests the possibility of UTI and so ultrasonogram is definitely essential considering the age of the child
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.