Blog

Signs of a Pediatric UTI

A urinary tract infection isn’t just something that happens to adults. Children can also develop UTIs. Since children are more likely to suffer from kidney damage as a result of a UTI you must see your pediatric doctor right away if you suspect that your child may be dealing with a urinary tract infection. Signs and symptoms include,

  • Increased urgency to urinate, even if there is no output
  • Cloudy or strong-smelling urine
  • A decreased output of urine
  • Children may complain of a burning sensation when urinating
  • Older children may complain of lower stomach or back pain
  • Younger children may cry when urinating
  • Wetting the bed

We know that infants and young children can’t tell us what hurts and where, so we have to look for other signs that they could be dealing with a urinary tract infection. Young children may have a fever, loose stools, refuse to eat, and be more irritable than usual. When they wet their diaper, you may notice that the urine smells strong or bad.

Diagnosing UTIs in Children

If your child is showing symptoms of a UTI you must see your pediatrician right away. A simple urine sample is all that’s needed to be able to detect the presence of bacteria. We can examine the urine sample under the microscope and provide results in a matter of minutes. The kind of bacteria that’s present will help us determine the type of antibiotics we will prescribe.

Treating Childhood UTIs

It’s important to seek treatment right away, as untreated UTIs can lead to more serious problems including kidney infections, abscesses, and sepsis. Your pediatrician can prescribe antibiotics. Your child should also be getting plenty of fluids during the course of their treatment to help flush out bacteria.

It’s also important that your child continues to take their medication even if they start to feel better (do not stop the medication). If symptoms do not improve within three days, or if they get worse, you must call your pediatrician immediately.

Our pediatrics team is here to make sure that your child gets the care they need, whenever they are dealing with everything from a fever or stomach upset to a UTI. If your child develops a UTI, talk to your pediatrician right away.

Cathy Alvarez, MSN, CPNP-PC

Family Practice

Cathy Alvarez, MSN, CPNP-PC, is a board-certified Pediatric Nurse Practitioner with over two decades of experience dedicated to nurturing the health and well-being of children from birth through adolescence. Known for her warm, individualized approach to care, Cathy is passionate about building lasting relationships with her patients and their families—many of whom she’s supported through every milestone of childhood.

Cathy began her nursing career after earning her Bachelor of Science in Nursing from the University of Illinois at Chicago in 1999. She gained valuable experience working on the inpatient pediatric unit at Advocate Lutheran Children’s Hospital in Aurora. Driven to deepen her impact, she returned to UIC to complete the Pediatric Nurse Practitioner program, earning her Master of Science in Nursing in 2005. She is certified by the Pediatric Nursing Certification Board (PNCB) and has since devoted her career to providing expert care to diverse pediatric populations.

She is an active member of the National Association of Pediatric Nurse Practitioners and the American Cleft Palate-Craniofacial Association, always staying at the forefront of pediatric healthcare.
Fluent in English and Polish, with conversational Spanish skills, Cathy connects seamlessly with families from many cultural backgrounds.

Outside of work, you can find her cheering on her son at soccer games, exploring new destinations, and enjoying quality time with her family. Her caring spirit and clinical excellence make her a trusted partner in every child’s healthcare journey.” 

Marixa Alvarez, ARN, MSN, FNP-BC

Family Practice

Marixa Alvarez, ARN, MSN, FNP-BC, is a dedicated and compassionate Family Nurse Practitioner, board certified by the American Nurses Credentialing Center. She earned her Master of Science in Nursing from Lewis University, where she cultivated her passion for holistic, patient-centered care.

Fluent in both English and Spanish, Marixa connects deeply with diverse communities, ensuring every patient feels heard and supported. Outside of the clinic, you’ll likely find her in the kitchen—cooking, baking, and bringing people together over a homemade meal. A fun fact? Marixa has a knack for solving puzzles and putting things together—whether it’s a 1,000-piece jigsaw or helping patients piece together their path to better health.

Carlos Sian, PA

Physician Assistant

Carlos is a board-certified Physician Assistant who joined the IWS Family Health team in January 2024. He was born and raised in Antigua, Guatemala and is fluent in both English and Spanish.

His academic journey began at Saint Michael’s College, where he earned a Bachelor of Science in Biology alongside minors in Chemistry and Religious Studies. Driven by a commitment to service, he devoted a year to volunteering as a medical assistant at a health clinic in Albuquerque, NM, through the Jesuit Volunteer Corps. This experience solidified his interest in medicine, inspiring him to delve deeper into healthcare and ultimately leading Carlos to pursue a Master of Public Health in Community Health Sciences and Infectious Diseases from Boston University School of Public Health.

Following his MPH, Carlos dedicated several years to the public health sector, primarily serving as a linkage to care coordinator,  clinical research coordinator, and COVID-19 contact tracer. Moved by a need to help his community during the 2020 pandemic, he secured admission to and completed the Northwestern University Feinberg School of Medicine PA program, earning his Master of Medical Science degree.

Carlos aims to integrate his public health training with his medical practice to bring culturally competent and inclusive medical services to all his patients, but specially the Hispanic/Latino and LGTBQ+ communities he serves. In his downtime, Carlos enjoys cooking, collecting plants, fostering dogs, playing video games, watching reality TV shows, and adding more stamps to his passport!

Dr. Tara Ioffe

Family Practice

Dr. Tara Ioffe is a dedicated and compassionate Board-Certified Family Medicine physician with a strong commitment to providing excellent care to her patients. She obtained her medical degree from Avalon University in Curacao and went on to complete her Family Medicine Residency at the University of Oklahoma. She has worked at the University of Chicago and most recently NorthShore University. She has since returned to Chicago and is thrilled to join the IWS Family Health team in 2023, where she will continue to provide excellent care to her patients.

Throughout her career, Dr. Ioffe has gained experience in diverse medical fields, such as immediate and urgent care medicine while working at NorthShore Immediate Care. She did clinical research at the University of Chicago. Dr. Ioffe strives to foster a secure and inclusive environment for all her patients. She believes in an integrated approach to medicine, dedicating her time to understand each patient’s unique needs.

During her leisure time, Dr. Ioffe indulges in reading a variety of books for pleasure, plays boardgames, and loves to explore Chicago with her spouse and young child.