I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided. Contact me on Practo or WhatsApp chat. Contact number: 97012307 two nine Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology

Hai , if it is urine problem , ur son get cry during day time too , observe clear why he crying, is it during urination or diaper wet or cloth wet .

Dear Parent, Your 10-month-old baby boy has had ballooning of the foreskin during urination since early infancy, and recently he has been crying more at night. You are worried if this could be due to phimosis. Let me explain in simple terms: • In almost all baby boys under 1 year of age, the foreskin is naturally tight and cannot be pulled back. This is called physiological phimosis and is completely normal. It improves on its own with time, usually between 3–7 years or sometimes later. • Ballooning (the foreskin puffing up while passing urine) is very common in these babies and is normal as long as there is no pain, good urine stream, no redness, and no difficulty in passing urine. • Since the ballooning has been present since early months and there is no mention of pain during urination, redness, swelling, or repeated infections, it is most likely the normal physiological type. Regarding the nighttime crying: • Night crying in infants, especially if it started around 1 month and occurs mainly at night, is usually related to sleep patterns, teething, hunger, gas, or other common baby discomforts rather than the foreskin. • Unless the crying clearly happens during or just before urination with signs of pain, it is unlikely to be due to phimosis. What we recommend: • No treatment is needed at this age for physiological phimosis and painless ballooning. We prefer to observe and wait. • Topical steroid creams (like betamethasone) can sometimes help in older children with persistent tight foreskin, but we do not routinely use them in babies under 1 year. • Never try to forcibly pull back the foreskin — this can cause injury and scarring. • Gentle cleaning of the outside with plain water during bath time is sufficient. Severe (pathological) phimosis that needs early treatment is very rare in infants. However, to give you complete reassurance, consult paediatrician/ pediatric surgen/ urologist physically/ online Most babies with this presentation do very well without any intervention. Please feel free to ask any more questions. Warm regards,

Consult with Pediatriciafurther and treatment n physically for

Hi You should Rule out urinary tract infection by doing a Urine r/m and urine culture sensitivity. Phimosis with ballooning if causing UTI, might need intervention. Hope it helps Regards

You should rule out urinary tract infection. Get a urine routine microscopy and culture. May need a course of antibiotics. Also consider consulting a pediatric surgeon, your baby may be having issues with stream of urine.

ballooning can be due to a tight foreskin (phimosis), which is often normal in infants. Crying before urination, however, warrants a medical evaluation to rule out a urinary tract infection or obstruction. Kindly consult doctor