Urinary Tract Infections (UTIs)

A urinary tract infection (UTI) is an infection caused by bacteria (germs) getting into the urinary tract. The urinary tract is a term for those parts of the body involved in making and passing urine, which include the kidneys, bladder, ureters (tubes which connect the kidneys and bladder) and the urethra (tube through which the urine exits the body).

Urinary tract infections in children are fairly common and can affect the lower tract (bladder) or the upper tract (kidney). By 5 years old, about 8% of girls and 1-2% of boys have had at least one UTI.

 
What are the causes and signs of UTIs?

Some causes of UTIs in children include poor toilet and hygiene habits (not wiping from front to back or cleaning the bottom area thoroughly), the use of bubble baths or strongly scented soaps that can irritate the urethra and lead to holding onto urine, a family history of UTIs, or vesicoureteral reflux (VUR) when urine flows backwards from the bladder to the ureters and kidneys.

In older children, UTIs may cause obvious complaints such as burning or pain with urination (peeing) but UTIs may be harder to detect in infants and young children because symptoms are less specific.  

Be sure to contact your doctor if your child has any of these symptoms:
  • persistent fever of unknown cause [100.4° Fahrenheit (38° Celsius) rectally in infants, or over 101° Fahrenheit (38.3° Celsius) in children]
  • burning or pain when urinating
  • frequent or urgent urination, and frequent urination at night
  • strong-smelling, cloudy or bloody urine
  • abdominal (especially below the navel), back or side pain

Sometimes, a fever is the only sign of a UTI.

 
How are UTIs treated?

After performing a physical exam and asking about symptoms, your child’s primary care doctor will take a urine sample to check for and identify bacteria causing the infection.

If your child has a UTI, the infection will usually be treated with antibiotics to kill the bacteria. Your doctor may refer your child for additional tests and an appointment with our Nemours pediatric urologists who specialize in treating both simple and complex urologic problems in children.

Bedwetting

Bedwetting is an issue that millions of families face every night. It is extremely common among young kids but can last into the teen years.

Doctors don't know for sure what causes bedwetting or why it stops. But it is often a natural part of development, and kids usually grow out of it. Most of the time bedwetting is not a sign of any deeper medical or emotional issues.

All the same, bedwetting can be very stressful for families. Kids can feel embarrassed and guilty about wetting the bed and anxious about spending the night at a friend's house or at camp. Parents often feel helpless to stop it.

Bedwetting may last for a while, but providing emotional support and reassurance can help your child feel better until it stops.

How Common Is Bedwetting?

Nocturnal enuresis, the medical name for bedwetting, is a common problem in kids, especially children under the 6 years old. About 13% of 6-year-olds wet the bed, while about 5% of 10-year-olds do.

Bedwetting often runs in families: many kids who wet the bed have a relative who did, too. If both parents wet the bed when they were young, it's very likely that their child will.

Coping With Bedwetting

Bedwetting usually goes away on its own. But until it does, it can be embarrassing and uncomfortable for your child. So it's important to provide support and positive reinforcement during this process.

Reassure your child that bedwetting is a normal part of growing up and that it's not going to last forever. It may comfort your child to hear about other family members who also struggled with it when they were young.

Remind your child to go to the bathroom one final time before bedtime. Try to have your child drink more fluids during the daytime hours and less at night. Avoid caffeine-containing drinks. Many parents find that using a motivational system, such as stickers for dry nights with a small reward (such as a book) after a certain number of stickers, can work well. Bedwetting alarms also can be helpful.

When your child wakes with wet sheets, don't yell or punish him or her. Have your child help you change the sheets. Explain that this isn't punishment, but it is a part of the process. It may even help your child feel better knowing that he or she helped out. Offer praise when your child has a dry night.

When to Call the Doctor

Bedwetting that begins abruptly or is accompanied by other symptoms can be a sign of another medical condition, so talk with your doctor.

The doctor may check for signs of a urinary tract infection (UTI), constipation, bladder problems, diabetes, or severe stress.

Call the doctor if your child:

  • suddenly starts wetting the bed after being consistently dry for at least 6 months
  • begins to wet his or her pants during the day
  • snores at night
  • complains of a burning sensation or pain when urinating
  • has to urinate frequently
  • is drinking or eating much more than usual
  • has swelling of the feet or ankles
  • your child is still wetting the bed at age 7 years

Also let the doctor know if your child is experiencing a lot of stress, if you're feeling frustrated with the situation, or could use some help. In the meantime, your support and patience can go a long way in helping your child feel better about the bedwetting.

Remember, the long-term outlook is excellent and in almost all cases dry days are just ahead.

Reviewed by: Mary L. Gavin, MD
Date reviewed: January 2012