Hidden causes such as urinary tract infections linked to phimosis may affect a child’s weight gain—here’s what parents need to know.
Many parents feel concerned when their child’s weight is difficult to increase, even when they are given nutritious food. One often overlooked underlying cause is a urinary tract infection (UTI), particularly in boys who experience phimosis. The incidence of UTIs in boys with phimosis is estimated to be around 20%.
What is a Urinary Tract Infection (UTI)?
A urinary tract infection (UTI) is an infection that occurs within the urinary system, which is responsible for carrying urine out of the body. It develops when bacteria or other microbes grow and multiply in parts of the urinary tract, including the urethra, bladder, ureters, and kidneys.
What is Phimosis?
Phimosis is a condition in which the foreskin of the penis is too tight and cannot be retracted to clean the head of the penis. This condition is common in male infants and toddlers. In many cases, it is normal and may resolve naturally as the child grows. However, if the foreskin remains too tight or frequently causes problems, it can trap dirt and residual urine beneath it, increasing the risk of infection.
How Does Phimosis Cause a UTI?
A tight foreskin can trap residual urine and dirt, creating a moist environment that is ideal for bacterial growth. These bacteria can then travel up the urinary tract, leading to infection.
What Are the Symptoms of a UTI Caused by Phimosis?
In children, UTIs often present without typical symptoms. However, when associated with phimosis, signs may include:
- Fever without a clear cause
- The child becoming irritable or crying during urination
- Urine with a strong odour or cloudy appearance
- Increased frequency of urination or holding in urine
- Difficulty gaining weight, or even weight loss
- The child appearing weak or frequently unwell
“If a child repeatedly experiences infections, the body uses energy to fight the infection rather than to support growth. This can make it difficult for the child to gain weight, or may even lead to weight loss,” explained dr Nur Latifah Amilda, Sp.A, Paediatrician at Bethsaida Hospital Serang.
What Can Parents Do?
Parents are advised to:
- Observe the signs mentioned above, particularly if a boy experiences difficulty urinating, frequent unexplained fever, or poor weight gain
- Maintain good hygiene of the child’s genital area, especially during nappy changes or after urination
- Consult a paediatrician if concerning symptoms appear; a urine test can help detect a UTI
The risk of UTIs in uncircumcised children is estimated to be four to eight times higher than in circumcised children. If phimosis leads to recurrent UTIs, doctors may recommend circumcision as a long-term solution.
At Bethsaida Hospital Serang, children’s health is regarded as the foundation of a happy family. The Women & Children Centre provides dedicated services supported by experienced doctors and a child-friendly environment to ensure comfort throughout the treatment process.
“We understand how anxious parents can feel when their child’s growth is not optimal, especially when the cause is not immediately apparent, such as a UTI caused by phimosis. At Bethsaida Hospital Serang, we are committed to supporting every family through a holistic and empathetic approach—not only through medical treatment, but also through proper education and a comfortable environment for both children and parents,” said dr Tirtamulya Juandy, Director of Bethsaida Hospital Serang.