Inflammation of the urethra canal in the child's symptoms. Inflammation of the urethra in a child - symptoms and treatment

Date: 01.07.2020

Urethritis - Inflammation of the mucous membrane of the urethra channel (urethra) of infectious and noncommunicable nature. This disease relates to the infections of the lower urinary tract.

It is more common in boys, girls have inflammation quickly turns to the bladder due to the characteristics of the structure of the urethra (short and wide). Therefore, the inflammation of the urethra in girls is customary to be called urethral syndrome, as it is difficult to determine the accurate localization of inflammation.

Causes and types of urethritis

Nonspecific urethritis (bacterial) develops under the action of pathogenic microorganisms (intestinal chopstick, streptococcus, staphylococcus, etc.);
Specific urethritis is most often transmitted by sexually. It causes such microorganisms as gonococcus, mycoplasma, trichomonas, chlamydia, mushrooms of the genus Candida;
Non-infectious (allergic, traumatic, stagnant);
Acute urethritis lasts up to 3 weeks;
Chronic urethritis worries quite a long time, meets more often in teenage boys and develops if the child has sexually transmitted infections, but may be a consequence of a non-coherent bacterial urethritis.

Factors predisposing to development:

Phimosis;
Vaginitis, vulvovaginitis, synechia of small sexes;
Supercooling;
Consumption of saline and acute food, marinades in large quantities;
ORVI;
Urolithiasis disease;
Irregular urination (it is impossible to endure for a long time).

Symptoms of the disease

Ureteritis in a child can manifest as immediately after infection and within a few weeks.

The main symptoms are painful in urination and burning sensation, there may be allocations whose features depend on the type of pathogen. Often, a child because of the premonition of pain is afraid to urinate.

If the disease proceeds without complications, the overall condition of the child does not change, there is no increase in body temperature.

Trichomonaceous urethritis proceeds without pronounced symptoms, similar to the flow of chronic urethritis.

Gonococcal urethritis is characterized by the presence of purulent discharge.

In case of insufficient treatment, it may lead to the development of complications:

Transition of acute urethritis in chronic;
Ascending infection (cystitis, prostatitis, orchitis);
Infertility;
Stricking (narrowing) of urethra.

Diagnostics

The Diagnosis "Uretrit" The doctor may exhibit after the child survey and / or his parents, since the disease has characteristic symptoms.

From laboratory methods, informative is the analysis of the general urine analysis. The urine analysis is carried out in Nechiphenko to clarify the localization of inflammation. To clarify the pathogen and its sensitivity to antibiotics, sowing is carried out on the nutrient media.

In chronic or sluggish the flow, especially in adolescents, conduct blood test for the presence of antibodies to microorganisms (chlamydia, mycoplasma, gonococcus, etc.).

Treatment

Diet. It is necessary to exclude sharp, acid, salty, food, smoked products from the nutrition;
It is necessary to increase the volume of fluid consumed, especially mineral water, which contributes to the washing of microorganisms from the urethra mucosa;
Antibacterial therapy. The choice of antibiotic is based on the form of the pathogen and its sensitivity. With an unknown causative agent, urethritis is treated with a wide spectrum antibiotics: amoxicillin / clavulanate, cefaclor, cefexim. Take preparations for 7 days;
Phytotherapy. Urological collection, chalf decoctions, lilators, tolnicans, hollowing of fields are used. Reducing the pain during urination helps hot chamomile tea.

Treatment should be comprehensive. It is impossible to interrupt treatment even with the improvement of the condition and the absence of symptoms, since the unrealized urethritis leads to the chronization of the process and the development of complications.

Prevention

Prevention of urethritis is reduced to compliance with the rules of hygiene and the urination regime. To clean the children need regularly, girls in front of the front. It is impossible to allow the child with a call to urinate for a long time to endure (which is often practiced in schools).

It is necessary to take care of children from supercooling, especially the region of the urinary organs (not sitting on the cold surface, dress according to the season).

Recently, adolescents in terms of preventing urethritis are relevant to the issue of protected sexual intercourse and the absence of indiscriminate sexual bonds.

The risk of the development of urethritis and its transition into a chronic process is less at the timely beginning of sexual life (not in adolescence).

Not only adults are subject to inflammatory processes, but also. Among the children's diseases of inflammation of the urinary sphere are considered one of the most common.

Ureretrite (inflammation of the mucous membrane of the urethra) in children occurs not often. But its manifestations are more dangerous than in adults, and can lead to relapses. Therefore, it is very important on time to fix the symptoms of urethritis, and go through a qualified treatment.

Causes of the disease

The nature of urethritis in children may be infectious and noncommunicable.

Infectious Sources of the disease:

Staphylococcus;
streptococcus;
intestinal wand;
herpes;
ureaplasm;
trichomonas;
gonococci and others.

Non-infectious The development factors of urethritis:

anatomical anomalies of urinary tract;
supercooling;
violation of personal hygiene rules;
wearing close clothes;
injury to the urethra due by medical manipulations (catheterization), falls, the passage of the concrement, etc.;
allergic reactions to products, medicines, detergents and other substances.

A sedentary lifestyle, which leads to stagnant phenomena in a small pelvis, can also be an impetus for the development of urethritis in children.

Symptoms in boys and girls

The manifestations of inflammation of the urethra can have differences from boys and girls. General symptoms for both sexes can varue depending on the age of the child.

You need to pay attention to the frequency of urination.

In infants, this process is hard to track down due to the fact that they are so often routine, and are mainly in the diaper. The inflammatory process may indicate permanent crying and capriciousness Child. In case of a children's urethrite, the process of urination becomes painful, derived from small portions.

The presence of pain and itching in young children causes crying and anxiety. The child is often touched to the external genital organs. There may be fear of visits to the toilet in children older.

If adult urethrites are susceptible to more female face, then in childhood boys sick more often. This is due to frequent phimosis (narrowing of extreme flesh) in children. With phimosis, the head of the member and the extreme flesh is inflamed. Subsequently, the inflammatory process can cross on the urethra.

Typical manifestations of urethritis Boys:

itching in the sexual penis;
the presence of blood impurities in the urine;
white sections from the urethra can be purulent impurities;
urine.

Manifestations in girls:

itching and redness of external genitals;
pain at the bottom of the abdomen;
frequent urge to urination.

Listed may indicate not only at urethritis, but also to others inflammatory processes urogenital system.

Therefore, you need to show the child to the doctor faster, and spend thorough diagnosis.

It includes clinical and blood, smear from the urethra to identify the causative agent of the disease, ultrasound.

Features and treatment scheme

The treatment tactics of urethritis in children is determined by several factors: the patient's age, the form of the disease, the type of pathogen, the presence of concomitant pathologies, etc.

The approach should be comprehensive, cover all aspects of the child's life. With uncomplicated urethritis treatment is carried out ambulatory.

Hospitalization is required only with severe inflammation and complications.

The basis of therapy is. Their action is aimed at the destruction of inflammation pathogens. Selection of drugs are carried out based on results of bacteriological sowing From the urethra. If the causative agent could not be identified, or it takes a long time to wait for the analysis, antibiotics are prescribed empirically.

Apply broad spectrum preparations actions:

Augmentin;
Zafix;
Cefaclor, etc.

The dosage determines the doctor, based on the age and weight of the child. The course of treatment should be no less than 7 days.

The difficulty of treating young children with antibiotics is that most of them have age limitations. This significantly narrows the choice of effective drugs active in relation to the pathogenic bacteria and the causative agents of urethritis.

Therefore, in addition to children, immunomodulators are prescribed, vitamin complexes, physiothereders who are directed on the correction of immune status patient. As a local therapy, installations of medicinal antiseptic and anti-inflammatory agents are applied.

Mandatory to accelerate recovery is power Correction and Drinking. Must eliminate the use of sharp, salted, smoked, acidic products. More you need to eat fresh vegetables, fruits, porridge.

If the infants becomes sick, the diet should revise the nursing mom.

So that harmful microorganisms are fastened faster from the urethra, the child needs to increase the amount of liquid consumed. It is better to drink clean water without gas, compotes, frost.

If urethritis has allergic natureIt is necessary to receive antihistamine. Preference today is given to preparations 2 and 3 generations. They have a minimum of side effects, suitable for long-term use.

Zoda;
Erius;
Phenyatil;
Zirtek.

Children up to 6 years It is preferable to give medicines in the form of a syrup, at the older age - tablets.

Folk treatments

In addition to drug treatment, inflammation symptoms are used to facilitate funds of traditional medicine.

right and balanced to eat;

to undergo prophylactic examinations on the state of the organs of the urinary sphere;

eat enough liquid, prevent dehydration of the body;

acqualing the child do not tolerate the urge to urinate, go to the toilet in time;

move more (attend sports sections, dancing, swimming pool, etc.).

The attentive attitude of adults to the health of children helps to identify and treat many diseases in a timely manner. If you suspect the inflammation of the urethra channel, you need to show the child to the urologist, which will appreciate its condition, will appoint suitable therapy.

Find out more detailed information by looking at the webinar on the topic "Custit and urethritis in adults and children":

Uretritis - a disease at which the inflammatory process in the field of urethra occurs. It occurs more often in girls when hitting this area of \u200b\u200bmicroorganisms. The disease begins acutely and requires treatment, since there is a risk of transition to a chronic form.

Clinical picture

Ureteritis in children begins with acute pain when urination. Children complain about caring, burning and frequent urge to the toilet.

A sign of urethritis is a painful syndrome in the region of the urethra. The pain is formed sharply, increases when visiting the toilet.

Ureteritis in the child is accompanied by the appearance of pain in the lower abdomen. By nature, this pain pulling, with periodic exacerbations.

With a pronounced inflammatory process, pain syndrome is formed in the zone area. Enhances only at the moment of urination.

With severe flow against the background of severe pain, a normal urination is hampered.

The bladder for this reason may not be fully emptied, which leads to the accumulation of urine residues, and this is a favorable factor for the development of cystitis.

Additionally, the signs of urethritis are as follows:

itching and burning in the region of the urethra;
the presence of selections in the form of white or blood in the urine;
raising temperature, weakness.

The child looks apatically, refuses to go to the toilet. The development of acute urethritis in girls is accompanied by the risk of developing acute cystitis, so the treatment is carried out in a timely manner, with the appearance of the first symptoms of the disease.

Symptoms of chronic flow

In the development of chronic urethritis in children, symptoms are less intensive. Pain sensations become less pronounced or disappear. Urination disorders pass, or remain in the form of frequent urges to the toilet at night.

Ureretrite in the chronic stage is manifested by the following symptoms:

periodic uncomfortable sensations when urination;
the appearance of pain in the supercool;
the feeling of incomplete emptying of the bladder.

Against the background of constant exacerbation of chronic urethritis, sclerosis of the dysfoloche is occurred.

This leads to a decrease in the lumen and the difficulty of removing urine from the bladder. There is such a condition only with a long chronic process, which is constantly accompanied by exacerbations.

Medical events

Treatment of urethritis in children is carried out with the help of medication therapy. Use the following types of treatment:

etiotropic, aimed at eliminating the cause of the development of urethritis;
symptomatic, aimed at reducing the severity of symptoms.

In severe cases, under the current chronic process, surgical treatment is resorted to surgical treatment. Existence of sclerized fabric is carried out to restore urine passage through the channel. In case of inoperable situations, they put constant drainage in the bladder area.

Antibacterial therapy

Before applying antibacterial drugs, the attending physician conducts the necessary patient surveys.

Draw attention to the external state of the urethra area, laboratory and instrumental research methods are carried out. Based on this, the doctor determines the need to use an antibiotic.

For antibacterial pathology therapy, the child use the following groups of drugs:

Cephalosporins 3 generations. They have pronounced antimicrobial activity, reduce the intensity of the inflammatory process. The duration of the use of drugs is 7 days.
Penicillins. Protected penicillins are used, which are not destroyed by the action of microbial enzymes. Caution is used with a burdened allergological history.
Fluoroquinolones. Used under therapy of urethritis after carrying out a bacteriological study of the smear of the urethra.

For the treatment of urethritis, a number of other antibacterial drugs are used, with severe bactericidal activity. The feasibility of destination of the antibiotic is determined by weight, the prescription of the disease and the severity of the clinical picture.

Symptomatic treatment

With pronounced pain syndrome before visiting the doctor, it is recommended to use anti-inflammatory drugs. These include the following medicinal substances:

NSAID. Apply, "Naz" or "Nurofen". For children, the "Nurofen Children" is produced separately, where there is less than the concentration of the NSAID. Apply such drugs 30 minutes before meals for 7 days. If during one week of using the NSAVS does not occur improves, refer to the doctor.
With increasing temperature and the appearance of weakness, the kids use "paracetamol". Such a drug also relates to the NSAID group, therefore it has an antipyretic and anti-inflammatory effect.

Use means for symptomatic therapy, only until the doctor appeals.

Anti-inflammatory drug compounds will reduce the severity of pain syndrome and promote the improvement of the condition.

If against the background of this imaginary well-being in a state of the child, do not consult a doctor - the sharp process will go into chronic. It is necessary to resort to the help of a doctor and carry out etiotropic therapy.

Therapy of chronic form

The development of chronic form of urethritis requires treatment. The goal of therapy during this period is to achieve the resistant remission, in which the aggravation will not happen.

Due to this, the risk of formation of the sclerosis of fabric in the field of urethra with the resulting consequences is reduced.

Therapy consists of several stages:

formation in children and parents understanding the right lifestyle;
periodic passage of physiotherapy procedures;
spa treatment.

The correct lifestyle is needed to maintain immunity at a normal level. It makes up of full nutrition with vitamins and minerals, and the constant physical activity of children.

Since any pathology of the urinary system indirectly indicates a problem with immunity, such an aspect in the therapy of chronic pathology is on the fore.

Physiotherapy procedures are used to improve immunity, strengthening blood supply in the necessary area, increase hemostasis and metabolic processes.

Use Denas therapy, magnetic therapy. If necessary, resort to electrophoresis using drugs. Procedures are conducted by courses, several times a year.

Sanatorium-resort treatment is carried out only when the resort is reached. Apply such treatment methods such as climatotherapy, balneotherapy.

Treatment of pathology in children is associated with the characteristics of the body, functioning and predisposition to a number of diseases.

Therefore, with the development of pathology, parents need to notice the problem in time and contact the pediatrician.

Video

Traditionally, the following causes of this disease are distinguished:

supercooling;
medical actions - Taking a blades from the urethra, the catheterization of the bladder for certain diagnostic or therapeutic purposes, cystoscopy;
ureretrite may arise against the background of concomitant diseases of the genitourinary system as a consequence of the absence of treatment;
improper diet, which includes food consumption with a pronounced taste (acute, acid, salt), alcohol-containing drinks;
diseases of the urogenital system caused by infectious agents. This refers to cystitis (inflammatory process in the bladder), inflammation of the genital organs in girls (vulvit) and in boys (balanopostitis), pyelonephritis (infection in kidney loyal);
failure to follow personal hygiene.

Clinical forms

Ureretrite in children can manifest itself in two etiological forms - infectious and noncommunicable.

Infectious

The infectious form arises due to the pathological effect of microorganisms - the simplest, viruses and bacteria. This form is divided into two types - specific (implies the presence of pathogens - gonokokkov, Streptococcus, Chlamydia, Trichomonad etc.), and nonspecific (infection that may be caused intestinal wand, staphylococci).

Non-infectious

Non-infectious form of urethritis arises due to allergic reactions or injuries of the urethra. The appearance of noncommunicable form is possible and in the case of internal damage to the walls of the urethra sand with a urolithiasis.

By type of pathogen

By type of pathogen allocate honory and Negonoreny Ureretr. In the first case, the disease is caused by a gonococcus, in the second - many varieties of microorganisms are possible - candidomic, bacterial, or trichomonaceous nature.

Be sure to read: Gonorrhea in children

Localization

On the localization of the inflammatory process, urethritis is divided into front (front wall of the canal), rear and total. By the course of leakage - acute urethritis (duration - up to 2 weeks), and chronic (more than 2x).

Symptoms

Depending on age, gender, duration of the disease or type of lesion, the symptoms of urethritis are different, however, there is a common clinical picture of the disease characteristic of children.

The following symptoms are observed:

in the process of urination, discomfort is felt, which accompanied by painful sensations, itching, irritation;
the selection is possible. Depending on the form, separation of mucous membranes, purulent, with blood impurities or without such, with a sharp or unpleasant odor;
characteristic symptoms of reflex delays in the process of urination;
frequent urge to urination - A day can be up to a tent.

Other symptoms may also be present, but general inflammatory symptoms in children are not observed - there is no increase in temperature, there is no weakness and other similar phenomena.

Treatment

The treatment of urethritis in a child depends on the form of the disease and the cause of the development of pathology in the body. In most cases doctors prescribe antibacterial therapywhich comes down to receiving special drug for a certain time.

Also applies tools that increase the ability of immunity to resist the disease. Local procedures can be assigned ( drying, the use of special baths and local preparations). The use of local treatment is contraindicated in the acute form of the disease.

Preparations

Antibiotic drugs are prescribed based on the type of pathogen and the form of urethritis. The portability of the drug components, as well as the presence of concomitant diseases, is taken into account. In case it is difficult to determine the cause of urethritis, appointed cefexim, amoxicillin, cefaclor or flowervulanate.

In addition to antibiotics, immunocorrectors are accepted, such as Echinacea, Kameton, and others. General anti-inflammatory drugs (Uriasan, Tsister) can be appointed.

Phytoscience

It implies the use of local and total means. Special can be used urological fees, including horsetails, sage, tolnican and chamomile. To increase immunity, you can take chamomile beams, aloe with ferrous currant and cranberry juice.

Helps the use of seating baths, which add 1-2 liters of Bahar Aira, Hypericum, juniper or mint. The duration of the procedure is not more than 20 minutes a day, three times a week.

Analysis on urethritis in children

In the event of the above symptoms, it is necessary to refer to the children's profile specialist - urologist or gynecologist. He will conduct a diagnosis that includes:

Collecting anamnesis by means of a conversation with parents or a child. The doctor is interested in the main symptoms, the presence of chronic diseases, transferred infections and the operations carried out.
The visual inspection of the genital organs will allow to understand the degree of flow of urethritis.
Blood test and urine on nichiporenko, as well as bacterial sowing Soskob.
Ultrasound examination of the kidneys and bladder.
With urethrography, the urethra is studied using X-ray, after completing it by contrast. Such a survey is carried out only in the chronic course of the disease.

Based on the results of the analysis, the doctor will appoint therapy.

A complex of diagnostic procedures

Comprehensive medical examination for the accurate diagnosis of children's urethritis includes such items:

The attending physician prescribes a number of laboratory studies to identify pathogenesis and true causes of the development of the inflammatory process in the urethra:

general and detailed blood test;
laboratory study of urin;
bacteriological sowing urine;
smears: from the vagina in the girl, from the urethra of the boy.

To determine the accurate location of the inflammation, the contents of the bladder in Nechiphenko are examined. When there are suspicions for the progressive complication or presence of "parallel" ailments, ultrasound diagnostics are carried out.

Possible complications

Ureteritis in boys must necessarily require proper treatment. If timely not consult a doctor, the development of a number of complications of urethritis is possible:

prostatitis;
chronic genital diseases;

Diagnostics

The Diagnosis "Uretrit" The doctor may exhibit after the child survey and / or his parents, since the disease has characteristic symptoms.

In chronic or sluggish the flow, especially in adolescents, conduct blood test for the presence of antibodies to microorganisms (chlamydia, mycoplasma, gonococcus, etc.).

Folk treatments

In addition to drug treatment, inflammation symptoms are used to facilitate funds of traditional medicine.

It is impossible to give them to children without prior consultation and approval of the doctor.

With urinary tract infections, usually take info and decoction such plants:

toloknyanka;
sage;
st. John's wort;
leaves Lamberry;
corn silk;
rosehip;
currant leaves;
roots drinking.

How to be treated with folk remedies with pyelonephritis read in our article.

The first symptoms of urethritis in boys and girls

Signs of the disease are always specific and not to notice them is quite difficult. The presence of the inflammatory process in the urethra is reflected, both at the local level and on the overall health of the child. At the initial stage of development of the disease, the symptoms of urethritis is as follows:

the child constantly complains of pain in the field of genital organs;
during the outflow of urine, there is a strong burning in connection with this, children begin to capricious, and if the baby only turned 2 years old, or he is still much younger, then in that case he cries after each urination;
the body temperature increases, which reaches 37 degrees Celsius and higher (it all depends on which reason the occurrence of urethritis caused);
on the inside of the hip joints, lymphatic nodes increase (their palpation gives children a strong pain, and the diameter of the inflamed lymph node is within 5 mm and directly depends on the age of the child);
the mucous membrane of the blade acquires a saturated red color and becomes edema, which makes it difficult for the unimpeded passage of urine;
epithelial fabrics located at the entrance to the urethra are also red and besides this, the formation of rash, or bubbles with liquid content, if the urethritis is caused by viral microorganisms and flows in an exacerbated form.

Parents of young children should follow the state of the health of the genital organs of their kids and in case of detection of the described signs, immediately apply for medical care to a pediatrician.

Moreover, if a child under 5 years old and can not always correctly explain what it hurts.

How to diagnose the disease in children?

A specialist working with the pathologies of the urogenital system is a urologist or gynecologist, depending on the floor of the child. When diagnosing the disease, he primarily clarifies the patient's complaints, collects anamnesis. The lifestyle of the victim is very important, with a survey, it is necessary to determine the presence of chronic diseases, possible inflammatory processes, previously suffered infection of the urogenital system and operational interventions.

After the selection of the scraping from the urethra, its composition is studied using a microscope.
Urethroscopy allows you to explore the urethral channel, but this method is not used for the disease in the acute stage.
With urethrography, the urethra is studied using X-ray, after completing it by contrast. The use of such substances is unacceptable at the acute stage of pathology.
Bacteriological sowing of urine, smear, the main purpose of the procedure is the study of the material of the material, the assessment of the growth of microorganisms and determination of the level of susceptibility of the pathogen to drugs.
The ultrasound is necessary for the prostate surveys in boys, in the girls of a small pelvis.
Regardless of the sexuality, the functionality and state of the kidneys and the bladder is necessary.
If the chronic stage of pathology is suggested, blood test is needed - it allows you to identify the presence of antibodies to pathogens.

Only after receiving the results of all analyzes, the specialist gives a final conclusion and begins to treat the patient, prescribing the required pharmaceutical preparations, mostly antibacterial. The main task of therapy is the destruction of the virus provoking the development of the disease.

Medical events

Treatment of urethritis in children is carried out with the help of medication therapy. Use the following types of treatment:

etiotropic, aimed at eliminating the cause of the development of urethritis;
symptomatic, aimed at reducing the severity of symptoms.

Antibacterial therapy

Before applying antibacterial drugs, the attending physician conducts the necessary patient surveys.

Draw attention to the external state of the urethra area, laboratory and instrumental research methods are carried out. Based on this, the doctor determines the need to use an antibiotic.

For antibacterial pathology therapy, the child use the following groups of drugs:

Cephalosporins 3 generations. They have pronounced antimicrobial activity, reduce the intensity of the inflammatory process. The duration of the use of drugs is 7 days.
Penicillins. Protected penicillins are used, which are not destroyed by the action of microbial enzymes. Caution is used with a burdened allergological history.
Fluoroquinolones. Used under therapy of urethritis after carrying out a bacteriological study of the smear of the urethra.

For the treatment of urethritis, a number of other antibacterial drugs are used, with severe bactericidal activity. The feasibility of destination of the antibiotic is determined by weight, the prescription of the disease and the severity of the clinical picture.

Symptomatic treatment

With pronounced pain syndrome before visiting the doctor, it is recommended to use anti-inflammatory drugs. These include the following medicinal substances:

NSAID. Apply "Ibuprofen", "Naz" or "Nurofen". For children, the "Nurofen Children" is produced separately, where there is less than the concentration of the NSAID. Apply such drugs 30 minutes before meals for 7 days. If during one week of using the NSAVS does not occur improves, refer to the doctor.
With increasing temperature and the appearance of weakness, the kids use "paracetamol". Such a drug also relates to the NSAID group, therefore it has an antipyretic and anti-inflammatory effect.

Use means for symptomatic therapy, only until the doctor appeals.

Anti-inflammatory drug compounds will reduce the severity of pain syndrome and promote the improvement of the condition.

Therapy of chronic form

The development of chronic form of urethritis requires treatment. The goal of therapy during this period is to achieve the resistant remission, in which the aggravation will not happen.

Due to this, the risk of formation of the sclerosis of fabric in the field of urethra with the resulting consequences is reduced.

Therapy consists of several stages:

formation in children and parents understanding the right lifestyle;
periodic passage of physiotherapy procedures;
spa treatment.

The correct lifestyle is needed to maintain immunity at a normal level. It makes up of full nutrition with vitamins and minerals, and the constant physical activity of children.

Since any pathology of the urinary system indirectly indicates a problem with immunity, such an aspect in the therapy of chronic pathology is on the fore.

Physiotherapy procedures are used to improve immunity, strengthening blood supply in the necessary area, increase hemostasis and metabolic processes.

Use Denas therapy, magnetic therapy. If necessary, resort to electrophoresis using drugs. Procedures are conducted by courses, several times a year.

Sanatorium-resort treatment is carried out only when the resort is reached. Apply such treatment methods such as climatotherapy, balneotherapy.

Treatment of pathology in children is associated with the characteristics of the body, functioning and predisposition to a number of diseases.

Therefore, with the development of pathology, parents need to notice the problem in time and contact the pediatrician.

Principles of urethriter therapy

In the treatment of urethritis, three most important tasks are solved:

restoration of the vaginal microflora (urethritis cannot be cured if there is a focus of infection, which will activate re-infection);
restoration of the properties of the urethra (this is the condition for the cessation of pain syndrome in the launched forms of the disease);
normalization of the immunological reactivity of the body.

The treatment scheme of urethritis includes:

- the antibiotics of a wide range of action, the main condition for effective therapy is the determination of the pathogen (by smear from the urethra mucosa) with the determination of its sensitivity to antibacterial drugs;

- introduction of intrafinal tampons with medicinal solutions and ointments;

- installation of solutions of ferry in urethra (chlorhexidine, miramistin);

- physiotherapy;

- the purpose of polyvitamins and mineral complexes, immunostimulants and immunomodulators;

- Diet with the exception of salty and acute food, marinades and smoked meals and abundant drinks.

Features and treatment scheme

The treatment tactics of urethritis in children is determined by several factors: the patient's age, the form of the disease, the type of pathogen, the presence of concomitant pathologies, etc.

The approach should be comprehensive, cover all aspects of the child's life. With uncomplicated urethritis treatment is carried out ambulatory.

Hospitalization is required only with severe inflammation and complications.

The basis of therapy is antibiotics. Their action is aimed at the destruction of inflammation pathogens. Selection of drugs are carried out based on results of bacteriological sowing From the urethra. If the causative agent could not be identified, or it takes a long time to wait for the analysis, antibiotics are prescribed empirically.

Apply broad spectrum preparations actions:

Augmentin;
Zafix;
Cefaclor, etc.

The dosage determines the doctor, based on the age and weight of the child. The course of treatment should be no less than 7 days.

Mandatory to accelerate recovery is power Correction and Drinking. Dietary food should eliminate the use of sharp, salt, smoked, acidic products. More you need to eat fresh vegetables, fruits, porridge.

If the infants becomes sick, the diet should revise the nursing mom.

So that harmful microorganisms are fastened faster from the urethra, the child needs to increase the amount of liquid consumed. It is better to drink clean water without gas, compotes, frost.

Zoda;
Erius;
Phenyatil;
Zirtek.

Children up to 6 years It is preferable to give medicines in the form of a syrup, at the older age - tablets.

Symptoms of inflammation of urethra

The main symptoms of inflammation of the urethra canal in women are painful syndrome when urinating in the course of the urethra, which first have a weak intensity, and as the inflammatory process, the inflammatory process becomes a permanent character in the form of permanenting pains, cutting, burning, itching urethra. They manifest themselves periodically (only during periods of exacerbations) or constantly, disturbing the well-being of a woman and depriving her full-fledged life.

Often, the symptoms of urethritis appear a few hours after sexual intercourse, and with pronounced inflammation, women feel discomfort and pain during sexual intercourse, so they refuse intimate proximity.

Signs of urethritis and concomitant inflammatory diseases

Urethritis is often accompanied by the development of related inflammation

In the bladder, kidneys and genital organs, and these diseases are accompanied by spastic, mining or swinging pain at the bottom of the abdomen (with urolithiasis, pyelonephritis).

The symptoms of urethritis in women are difficult, it is practically no impossible, to distinguish from symptoms of cystitis.

The inflammation of the urethra is often associated with cystitis:

urethritis and cystitis can develop at the same time;
characterized by the downward distribution of infection - the inflammation of the bladder is primary;
uretritis develops first and affects the bladder as rising by infection.

The main manifestation of urethritis in combination with cystitis are:

frequent urges for urination;
there is a persistent soreness at the bottom of the abdomen;
rise at the end of the urination act.

Symptoms of chronic flow

Ureretrite in the chronic stage is manifested by the following symptoms:

periodic uncomfortable sensations when urination;
the appearance of pain in the supercool;
the feeling of incomplete emptying of the bladder.

Against the background of constant exacerbation of chronic urethritis, sclerosis of the dysfoloche is occurred.

Description of the medical process

Modern pediatrics has a variety of methods of getting rid of urinary infections. The method of treatment of urethritis in children depends on the variety of disease. In acute symptoms, antibacterial therapy is commonly used. In the overwhelming majority of cases, the home mode of recovery is assumed. Hospitalization is relevant only with serious forms of pathology. The chronic development of the infection requires direct introduction to the hole of the urethra of medical solutions, it is also not superfluous to take drugs that restore the body's immune forces.

In addition to the medication rate, the sick child must adhere to a special diet. It is impossible to use fatty food, sharp, salty, smoked foods. It is necessary to drink an impressive volume of fluid that helps the speedy elimination of microorganisms from damaged organs. Compliance with the beddown, a decrease in physical activity - factors that have a positive effect on the process of recovery. Sitting warm baths have contradictory patient reviews. Therefore, before treating a child with this method, consultation of the attending physician is necessary.

Preparations for children

If the causative agent of infection is difficult to establish, the doctor prescribes antibiotics of a wide healing spectrum of exposure.

This table indicates the most applied medicines and their "strengths".

Antibacterial agent characteristics. Continuation

"Zefisim"	Disrupts the synthesis of the cell wall of bacteria. It has an extensive "sphere of defeat."	Renal failure, pseudommable colitis. It is impossible to use older people and babies up to 6 months.
"Amoxicillin"	Penicillin preparation of semi-synthetic origin. It has good absorption from the GTS, has a high bioavailability.	Need a consultation of a specialist if there are kidney diseases, liver. Pregnancy, breastfeeding of a baby, age up to 3 years, the presence of an allergic reaction - factors under which this medicine is not prescribed.
"Cefaclor"	Release form - white or yellowish powder. After mixing with water turns into a suspension with an aroma of orange.	Leukopenia, hemorrhagic syndrome, increased sensitivity to constituent elements.

Herbal therapy

Fitotherapy is an effective means of getting rid of many symptomatic manifestations. When uretrite, urological fees in the form of informants are often used in boys and girls for treatment. Here are the most popular folk recipes:

Herbal ingredients can be prepared independently or purchase ready-made vegetable collection in any pharmacy.

Causes of urethritis

The main reason for the development of the inflammation of the urethra in women is an infectious factor, and the causative agents of infection are considered both specific pathogens (chlamydia, trichomonade, ureaplasm, gonococci, mycoplasma and gardnerell) and non-specific flora (pathogenic and conditionally pathogenic bacteria, mushrooms, viruses).

In most cases, the cause of the development of infectious urethritis is a combination of several pathogens, as well as the layering of concomitant diseases and complicated during the inflammatory process of the urethra, which is associated with the peculiarities of the structure of the urinary system in women and its close connection with the reproductive system.

Pre-providing and provoking factors of urethritis

The following factors can provoke the development and progression of the inflammatory process of urethra in women and girls:

supercooling;
gynecological diseases (with exacerbation or latent flow of chronic forms or with the development of acute inflammatory processes of small pelvis organs);
infections that are transmitted during sexual contacts whose pathogens may cause urethritis or to activate their own conditionally pathogenic or pathogenic microflora of the urethra;
urolithiasis (traumatization of urethra with the disintegration of small stones from the kidneys and bladder)
injuries of the urethral canal with various gynecological and other medical manipulations (cystoscopy, urinary bubble catheterization);
pregnancy, childbirth, violations of the hormonal background of a teenage girl or woman;
development of acute or aggravation of chronic cystitis;
the beginning of sexual life (with the first sexual contact in the female body, the "alien" flora falls, provoking the appearance of signs of infection), a stormy sexual life;
errors in the diet (with frequent admission to food of sharp, acidic, salty, spicy, fried, pickled and bitter dishes, as well as alcoholic beverages);
frequent stress.

How and what to treat urethritis in children?

Depending on the severity of the flow of urethritis, the following types of medicines are used to cure a child from a given illness:

antibiotics from urethritis (selected individually depending on the strain of bacteria, which caused a disease and age of the child, can be used in the form of tablets and intramuscular injections);
anti-inflammatory creams and ointments that contribute to the elimination of the inflammatory process of tissues located around the entrance to the urethra;
baths from dilutors of medicinal herbs and a weakly concentrated solution of manganese (with the help of this medication, a child is arranged with a thorough kneading of external genital organs).

Signs of inflammation of urethra

Despite the fact that the signs of urethritis in the younger generation are manifested more clearly and intensively, it is sufficient to problematicly determine the cause of the concern of a little child, which is not able to communicate their own feelings. Therefore, in this case, the risk does not notice the initial symptoms. It is necessary to understand that signs of the disease can be different and largely depend on the age group of the affected, its gender, the duration of the disease and the type of defeat.

It is noted the presence of general symptoms of urethritis in children, including:

Discomfort appearing when urination, soreness, itching and irritation.
The appearance of the seals from the urethral channel, which can be mucous, purulent, with blood inclusions, accompanied by an unpleasant intense odor.
A reflex delay occurs during urination against the background of fear of the process pain.
The urinary is studied for the selection of urine - the child can visit the toilet to ten times. This symptom should alert parents first.

Symptoms are not excluded, normal for viral infection - elevated temperature, fast fatigue. Little male patients have white discharge, children complain about burning, itching in a penis. Water can become less transparent, there is a blood in it. In addition to pain and frequent trips to the toilet, pain in the lower section of the abdomen and itching appears in the outdoor genital organs.

When signs of urethritis appear contraindicated with self-treatment, because erroneously applied therapy is able to cause aggravation and lead to the flow of pathology into a chronic form.

As for complications, the ignored symptoms and treatment carried out in a non-time consumption are capable of leading not only to chronic urethritis, but also to the development of pyelonephritis, cystitis, epididiment, orchita in boys and vulvita in girls. The risk of pathological changes affecting the urinary channel, in the future, is not excluded in infertility. Another danger is the Reiter syndrome, in which not only the urogenic organs, but also large joints, eyes are affected.

Types and forms of children's urethritis

Treatment of trichomonaceous urethritis: drugs

Two types of urethritis are distinguished: specific and nonspecific. The first is infectious and provoked by gonocons, streptococci, mycoplasmas, etc.

Non-specific urethritis is divided into several categories:

infectious;
non-infectious;
allergic.

Infectious urethritis cause viruses and infections other than those relating to a specific group. Such a separation is important when choosing a method for treating a child. Since specific urethritis can be cured only after getting rid of the main disease.

The noncommunicable form of urethritis is considered frequent in children, since the likely the likelihood of injury, pollution or other external irritation of the genital organs is high.

Allergic urethritis can occur not only with an external contact with an allergen, but also when taking drugs. If the body has intolerance of individual medication components, that is, the probability that, when entering the urethra or urethra, these substances can cause a reaction.

Uretritis is divided not only to infectious and non-infectious forms, but also distinguish it according to the degree of localization and the duration of the flow.

The disease can be propagated by the front or rear wall of the urethra or have a total form.

The duration of the course of the disease reveals:

Acute urethritis - if it is observed less than two weeks, and the symptoms are clear and deliver pain.
The subacute urethritis is characterized by weak symptoms, which does not cause strong discomfort or may disappear after a short time.
Chronic - if symptoms appear more than two weeks. Also may sneak and reappear after provoking factors.

Clinical manifestations

Pain at the bottom of the abdomen in children

Inflammation of the mucous membrane of the walls of the urethra in children of various age groups is considered a dangerous disease that affects the ducts that provide a stable outflow of urine outside the body, and can also carry a threat to other organs of the urogenital system, both girls and boys. Treatment of this disease provides an integrated approach with the use of antibacterial drugs, if the disease is caused by pathogenic bacterial microflora, as well as other funds that the doctor considers it appropriate to use, in order to get rid of urethritis as soon as possible.

Causes of development

Given the specifics and vulnerability of a children's body before various kinds of inflammatory diseases, there are a large number of factors contributing to the development of urethritis at its earlier age. Based on the current medical practice, the following causes of the disease are distinguished.

Supercooling

In order for the children's body to be healthy, and the urinary system of the child functioned in the usual mode without failures, follow the body temperature of the baby. Children should always be dressed in the weather, no overheating or long staying on the street in light clothes is allowed, the body is transferred and in the case of a further drop in temperature or the presence of a draft of the blade.

Low hygiene

Pampers, diapers and personal belongings of a child who are in contact with the surface of the genitals daily should always be clean. After each campaign to the toilet, the baby must be fed up so that there is no development of the focus of bacterial microflora and further infection of the urethra with its inflammation. If these simple compliance rules are not met, then in 85% of cases of young children, the first signs of this disease begin to appear.

Intrauterine infection

In medical practice there are clinical cases when urethritis is diagnosed in infants who lived only a few days of independent life. This is due to the fact that the child is infected with the pathogenic microflora still being in the womb of the mother, as the pathogenic microorganisms.

Weak immunity

In children under 3 years old, the immune system is still at the stage of formation and formation, so quite often urethritis develops due to the low activity of blood cells that ensure the protection of the body from microbes affecting the urinary system. In this case, the child can cause inflammation of the blade any bacterium, which usually does not provoke the pathoral state of the urethra.

Chronic foci of infection

In children who have a permanent source of sluggish microbial inflammation in the body, also quite often diagnose urethritis, since bacteria together with blood flow are distributed over all organs and systems, and may fall into urinary tracts, which will further entail the urethritis of varying severity .

The first symptoms of urethritis in boys and girls

the child constantly complains of pain in the field of genital organs;
during the outflow of urine, there is a strong burning in connection with this, children begin to capricious, and if the baby only turned 2 years old, or he is still much younger, then in that case he cries after each urination;
the body temperature increases, which reaches 37 degrees Celsius and higher (it all depends on which reason the occurrence of urethritis caused);
the lymph nodes are increasing from the inside of the hip joints (their palpation increases with severe pain, and the diameter is within 5 mm and directly depends on the age of the child);
the mucous membrane of the blade acquires a saturated red color and becomes edema, which makes it difficult for the unimpeded passage of urine;
epithelial fabrics located at the entrance to the urethra are also red and besides this, it is possible to form a rash, or if the urethritis is caused by viral microorganisms and proceeds in an exacerbated form.

Parents of young children should follow the state of the health of the genital organs of their kids and in case of detection of the described signs, immediately apply for medical care to a pediatrician.

Moreover, if a child under 5 years old and can not always correctly explain what it hurts.

Diagnosis and tests

In order to determine the presence of a young patient, it is urethritis, a pediatrician prescribes the following types of tests to delivery:

After receiving the results of analyzes and diagnostics, the pediatrician is developing a course of treatment for a child, consisting of traditional medicines of a wide range of action, as well as other means aimed at removing painful symptoms and eliminating signs of inflammation of the urethra.

How and what to treat urethritis in children?

Depending on the severity of the flow of urethritis, the following types of medicines are used to cure a child from a given illness:

(they are selected individually depending on the strain of bacteria, which caused the disease and age of the child, can be used in the form of tablets and intramuscular injections);
anti-inflammatory creams and ointments that contribute to the elimination of the inflammatory process of tissues located around the entrance to the urethra;
and a weakly concentrated solution of manganese (with the help of this medication, a child is carried out with a thorough kneading of external genital organs).

Possible complications in a child

In the absence of adequate treatment, or the use of incorrectly selected medicines, the child is possible in the following complications of urethritis:

the transition of the disease in the chronic flow form, when most of the time inflammation is in the latent stage, and as soon as the immune system of the child will weaken, the disease immediately makes itself felt by the corresponding symptomatics;
the occurrence of cystitis, pyelonephritis, chronic and acute prostatitis in boys and vaginitis in girls;
urinary incontinence caused by the inflammatory process of muscle fibers responsible for reducing the sphincter of the bladder;
problems with the conception of a child in the future, if the infection that caused urethritis penetrated the seed bubbles in boys and ovaries in girls.

In most cases, as the child grows, the consequences of the suffered disease are gradually leveled, and its urinary system develops completely healthy. All the same parents should not forget about constant control over the state of the urethra mucosa, since the ailment has the ability to manifest recurrence.