Paediatric Nephrology Specialist

Recurrent Urinary Tract Infections (UTIs)

Preventing permanent kidney scarring through accurate diagnosis and anatomical imaging.

A urinary tract infection in an infant or toddler is a serious clinical condition. High-fever UTIs (acute pyelonephritis) carry a significant danger of irreversible renal parenchymal scarring and future hypertension if structural urinary anomalies remain uninvestigated. We distinguish true infections from contaminated samples and implement anatomical safety roadmaps.

Common Symptoms & When to Consult

Signs and clinical presentations evaluated by our pediatric team

Unexplained high fever with shivering or vomiting in infants
Pain, crying, or grimacing during urination (dysuria)
Foul-smelling, cloudy, or blood-tinged urine
Sudden onset of bedwetting or daytime urgency in a previously potty-trained child
Persistent abdominal or lower back pain

Diagnostic Workup & Clinical Evaluation

Precision testing protocols avoiding unnecessary invasive tests

1

Strict aseptic urine collection (clean-catch or catheterization) with quantitative colony counts

2

Urine microscopy for pyuria, leukocyte esterase, and bacteriuria

3

Ultrasound KUB to detect pelviureteric dilatation, renal asymmetry, or bladder wall thickening

4

Micturating Cystourethrogram (MCU/VCUG) to assess Vesicoureteral Reflux (VUR)

5

Dimercaptosuccinic Acid (DMSA) renal scan to detect acute pyelonephritis or permanent renal scars

Treatment & Therapeutic Protocols

Evidence-based, child-safe management strategies

Culture-directed antibiotic therapy tailored to pediatric renal pharmacokinetics

Low-dose nocturnal prophylactic antibiotic protocols when indicated for high-grade reflux

Management of underlying bowel-bladder dysfunction (constipation is the #1 trigger for recurrent UTIs)

Parent education on proper perineal hygiene and hydration routines

The Pravas Care Guarantee

Protects kidneys against irreversible post-infection scarring and reflux nephropathy
Distinguishes true bacterial infections from benign bag-sample contamination
Structured imaging guideline preventing unnecessary invasive radiation procedures
Integrated urotherapy treating both bladder and bowel concurrently
Physician's Clinical Perspective
“Any infant under 2 years presenting with high fever without an obvious cough or cold focus must have a clean urine sample evaluated immediately.”
Dr. Pratima VermaMBBS, MD Pediatrics • MRCPCH (UK)

Frequently Asked Questions

Why does my child keep getting UTIs?

Recurrent UTIs in children are most frequently caused by a combination of hidden constipation, incomplete bladder emptying, or an anatomical issue like vesicoureteral reflux (urine washing backwards up toward the kidney).

Will a UTI cause permanent kidney harm?

A single simple bladder infection (cystitis) rarely damages the kidneys. However, recurrent high-fever kidney infections (pyelonephritis) can leave permanent renal scars without prompt antibiotic treatment and structural evaluation.

Consultation Desk

Kondapur, Hyderabad

ConsultantDr. Pratima Verma
QualificationsMRCPCH (UK)
Wait TimesSame-Day Priority
Book Appointment OnlineCall 077023 45996

Clinic Location

Shop no 1, above Karachi Bakery, Narsingi, Hyderabad, Telangana 500089.

Hours (Mon - Sat):9:00 AM – 8:00 PM