Unexplained Pain in toddler Please Help!!

[amberlynnesmommy]

On Aug. 16, 08 I took my 3yr old daughter in because she said her pee hurts.  After doing a urinalysis it showed that she had an elevated wbc so they put her on amoxicillen she remained on that for 10 days.  On the 7th day of the amox. she went back to have a repeat urinalysis when those test results came back it showed that the amox. wasn't working.  So the Dr. prescribed Septra on Aug.25th She remained on that for 10 days.  On the fourth day off the Septra the "bad pee" was back.  We went back to the dr. Urinalisys showed slightly elevated wbc and traces of blood. She went back on Septra.  On the 4th day the pain was still there so I took her back and and the urinalisys showed nothing.  So we went home hoping the pain would go away. Day 6&7 her pee was good.   Today is the 8th day and the pain is worse than ever.  She cried for over 15 min. before she went and the pain subsided.  I took her back to the dr.  and another clean urinalisys.  Her dr. put her on nystatin even though she shows no signs of a yeast infection and ditropan for possible spasms. She's taken one dose but the pain is still comes when she's got to go(not sure how ditropan works)  They are trying to get her scheduled for a vcug and a renal ultrasound but the docs are booked.  What can I do to make her feel better?  What could be wrong?
Other History
No fever
the pain subsided on first 2 rounds of antibiotics
Usually pees 6-8 times a day Now pees 2-4 times.  3x today
Drank cranberry and water throughout.
Potty trained for 5months
mild cerebral palsy
dystonia

[ChemPhD]

Does your daughter was in potty training?  My daughter is also 3 yrs old and has similar symptoms.  The pain is before pee and bowel movement.  All started during potty training, she did not want to pee in the potty; so she did hold the pee for over 4 hours.  

[Dr_Veena]

Hi,
   I can understand your situation. Urinary tract infections are common in children. The usual approach is to treat the child first and obtain imaging studies of the urinary tract. Following birth, heavy colonisation with aerobic bacteria normally becomes established in both sexes. Because of the shorter length of the urethra in females there is a greater chance of getting urinary tract infection due to contamination from the anus.

Another important cause of recurrent urinary tract infections is a unstable urinary bladder which causes voiding symptoms like burning sensation, frequency, urgency etc. A girl with voiding symptoms is at increased risk of developing recurrent urinary tract infections because there is reflux of urine with bacteria into the bladder.

As your child's urine examination shows wbc's it is suggestive of infection, so continue with the dose of antibiotics and later get an voiding cystourethrogram done along with an ultrasound. Pain would decrease as the infection subsides. Continue antibiotics, analgesics and adequate hydration.

All the best.