Your child might have a urinary tract infection if they are:1
- Feeling sick for more than a day without having a runny nose or other obvious signs of an illness
- Having a fever
- Feeling irritable or not eating
- Feeling sick to their stomach, vomiting or having diarrhea
- Having urine that smells unusual or looks cloudy
- Urinating often.
- Cry or say it hurts to urinate
- Produce a few drops of urine at a time
- Not be able to control their urine, which can leak onto clothing or bedding.
Older children might also complain of pain in their abdomen.2
If your child is seriously ill, they could have a kidney infection, known as pyelonephritis.2 Their symptoms would include high fever, vomiting, and pain and tenderness in their abdomen. This is the most severe type of urinary tract infection and might need treatment in the hospital right away.
You can find out for certain whether your child has a urinary tract infection only by seeing your doctor.1 If your doctor thinks your child might have a urinary tract infection, they will probably test a sample of your child's urine for bacteria.
How your doctor will collect a sample of urine depends on how old your child is. Older children can easily urinate into a container. But if your child isn't toilet-trained, a nurse can attach a plastic collection bag over their genital area using adhesive tape. You can then put on their diaper as normal. Occasionally, the doctor or nurse will put a small tube into your child's urethra and collect urine directly from their bladder.
If your child has had a kidney infection, your doctor might order tests using ultrasound scans and X-rays to check for an abnormality in the urinary tract. This causes urine to flow back toward their kidneys (a problem called reflux).
- National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health Urinary tract infections in children. Available at http://kidney.niddk.nih.gov/kudiseases/pubs/utichildren/ (accessed on 10 June 2008).
- Bloomfield P, Hodson EM, Craig JC. Antibiotics for acute pyelonephritis in children (Cochrane review). In: The Cochrane Library, Issue 1, 2004. Wiley, Chichester, UK.
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This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment. ©BMJ Publishing Group Limited 2008. All rights reserved. |











