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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To not send a photo to the Dr?

140 replies

swissrollisntswiss · 19/11/2024 14:52

DS (4) has a rash around his anus. Very red, with a very clear border. He’s had it for a week now, we’ve tried sudacream but it’s not helped. He’s now complaining that it’s itchy and getting sore. I’ve looked for worms but can’t see any so I’m fairly sure it isn’t that.

After calling the surgery all day I finally get through and I’m told that they can’t see him but to email a photo. I’m not comfortable with this, it feels too private. I’ve sent one when he’s had an eye infection previously, I’m fine with the system but not for this. Is it just me? AIBU?

For full context, I’m not in the UK, I’m British though so not sure if I’m being too British!

OP posts:
AndCoronets · 19/11/2024 16:44

ItGhoul · 19/11/2024 15:03

Your surgery and the OP's surgery aren't the same, though. Different surgeries do things in different ways and use different systems. The OP has already asked for her child to be seen in person and they said they didn't have an appointment.

What do people think is actually going to happen to a photo of a kid's itchy bumhole? You know that people who are interested in kids' bums really, really don't need to attempt to hack NHS systems to find photos of them.

If you are auto backing up your photos to a cloud service, then you can find your account suspended over indecent images. There was a spate of ridiculousness a while back around people having innocent pics of their kids naked in the bath etc and then losing their accounts (think it was OneDrive).

C8H10N4O2 · 19/11/2024 16:36

Stravaig · 19/11/2024 15:26

If you're not in the UK, you need to ask some people in the same country as you what is considered normal there! This may be absolutely routine, or it may be a bit weird. Then you can decide how you feel about it.

A hundred people saying their UK GP wouldn't ask for this is of absolutely no relevance if you don't live here.

I assume the important thing is the health of your wee boy, not whether the rest of the world does things in a 'British' approved way, which is where the thread is heading.

Yes they need to understand the local legislation but the UK is far from the only place where simple possession of intimate photos of a minor is illegal.

The scanning for illegal content of this type by mainstream mail providers and most commercial filtering systems (which the GP should have in place) will also identify this and can result in loss of accounts (independent of local geography rules).

If the territory permits the picture in the first place then the GP practice should have a direct upload facility with access restricted to the practitioner (because as pp says - admin staff who pick up most mail should not have to be dealing with intimate photos, especialy of minors).

modgepodge · 19/11/2024 16:35

My daughter had this. I treated for worms but a week later it was much worse. The dr initially said it was fungal and gave a cream, which made no difference. I believe it was strep A and your sons sounds similar (you can google what this looks like, be warned it’s graphic, plenty of people have uploaded photos of their anus to the internet). Dr prescribed antibiotics and it was getting better within 12 hours, and cured within 2 days. Never got the swab results but it must have been something bacterial.

I wouldn’t be happy sending a photo either OP.

Musicaltheatremum · 19/11/2024 16:31

You have to remember these emails have to get through the security in IT. There's a good chance it will be blocked.

Also the emails very often go to the admin staff not directly to the GP. one of our staff was quite traumatised by a photo of genitals sent in by a patient. We hadn't asked him to so it was a shock.

I have seen all parts of the human body in real life as. GP but photos should not be sent. It's not appropriate.

If the GP has time to look at a photo and phone the parent back then they have time to see them. It really doesn't take much longer (grumpy retired GP here!)

borborygmus1 · 19/11/2024 16:23

Haven't read all posts. I deal with econsults and I would never ask for an intimate photo of a child (or adult for that matter). That's a see it in person situation with the parent present as chaperone.

Pinkpurpletulips · 19/11/2024 16:20

Our cat definitely had worms and you couldn't see anything in her droppings or under her tail. She perked up and got better once we wormed her.

I'd stop the sudacream and concentrate on keeping the area clean and dry. My children once got nappy rash and then got a fungal infection on top of that. The doctor prescribed oral antifungal medication and I soemthing or other to put on the actual rash. Plenty of "airing" was recommended.

AllHisCaterpillarFriends · 19/11/2024 16:13

user2848502016 · 19/11/2024 15:28

It's completely safe to send a photo to the GP, they will treat it completely confidentially.

But also you can't necessarily see threadworms, and their eggs are definitely too small to see to a course of threadworm treatment wouldn't do any harm while you wait.

Email is not secure. So it is not 'completely confidential'.

Wonderi · 19/11/2024 16:11

The actual privacy part wouldn’t worry me.

You can get photo of a child’s anus on google easily.

But I don’t think this sort of thing can be diagnosed over a photo.

If you are uncomfortable then don’t send it.
Put some sudocrem on it for now and try and get an appointment tomorrow.

ChristmasisinManchester · 19/11/2024 16:09

I probably would send it but absolutely no judgement if you wouldn't!

Our doctors specifically requests you don't send digital images of genitals. Your GP surgery would have to have spectacularly robust security settings to feel confident about a data hack.

I don't see any problem replying and saying you don't feel comfortable and visually describing it.

Is it wet/dry/shiny/spotty/flakey/raised/lumpy/cracked/bleeding/oozing etc etc.

They might need an appointment in person but c'est la vie.

Willjac123 · 19/11/2024 16:07

Late at night, keep bedroom dark, check child's anus by the light of a torch. If the itching is caused by worms, this is the most likely time to see them

Peony15 · 19/11/2024 16:01

A week is a long time,.
You can't always see worms. I'd get some treatment locally anyway and maybe also some antifungal cream.
Make sure only wears pure cotton pants too.
Ask a pharmacist about it, they should be able to advise too.

LBFseBrom · 19/11/2024 15:54

Don't send it. Try another cream or ointment, one specifically for itches, it might contain antihistamine,, and see how they goes. I use itch relief cream sometimes but have never had an itch around my anus that I can remember. My cousin did and she put some itch cream around there which worked.

If that doesn't work, insist a doctor sees him. Poor kid.

wordler · 19/11/2024 15:53

My DD had that when little once and it ended up being Strep! Which I didn’t know you could get on your butt! You need an in-person appointment.

Nanny0gg · 19/11/2024 15:48

swissrollisntswiss · 19/11/2024 14:59

It is standard email. As I said, I’m not in the UK. Our patient files are on paper, they definitely don’t have anything more than email.

That would probably be illegal in this country

I wouldn't do it for many, many reasons

Amyknows · 19/11/2024 15:48

howsthehair · 19/11/2024 14:54

Our online GP practice specifically says not to send photos of private areas so I think you're well within your rights to refuse

Same op. Don't send it. Ask for an appointment and the Gp can see it then.

category12 · 19/11/2024 15:47

I'd treat for worms anyway, as they're difficult to spot.

Don't send a photo. Whoever has asked that hasn't thought it through properly.

category12 · 19/11/2024 15:47

I'd treat for worms anyway, as they're difficult to spot.

Don't send a photo. Whoever has asked that hasn't thought it through properly.

Swissrollover · 19/11/2024 15:44

Amarige · 19/11/2024 15:40

Sudocrem is vicious stuff if you are allergic or sensitive to the ingredients and can cause burning. I bought it and used it on my son and he has never been allergic to anything else before or since and the sudocrem made his skin very sore.

My baby was also allergic, with a similar result.

Amarige · 19/11/2024 15:40

Sudocrem is vicious stuff if you are allergic or sensitive to the ingredients and can cause burning. I bought it and used it on my son and he has never been allergic to anything else before or since and the sudocrem made his skin very sore.

WrongWrongWrongAgain · 19/11/2024 15:39

I wouldn't send a photo either.

Could you speak to a pharmacist?

ImSue · 19/11/2024 15:39

My son had a bad rash and pain on his privates during lockdown. He was about 5 at the time and I was asked to send in a photo of the area on a secure system. I refused. I don't care how secure they say the system is, I'm not having images of his genitals sent anywhere! We all know systems fail and data breaches are common. We did end up getting a face to face appt in the end. Mind boggling. Def stick to your guns OP!

Ariela · 19/11/2024 15:38

Crop the photo to show just the rash, no other features, if possible. Then send.

Survivingnotthriving24 · 19/11/2024 15:38

Not a chance would I take or send that photo, you absolutely do not want to rationalise photos of intimate areas to your child nor lose control of those images.

PuppiesProzacProsecco · 19/11/2024 15:31

Dear god. The number of people who don't realize that photographing and emailing an image of a child's intimate parts is hugely problematic (legally, morally and from a safeguarding POV) is literally terrifying. Trust your own gut here OP - it was steering you entirely correctly.

HaudYerWheeshtYaWeeBellend · 19/11/2024 15:30

Absolutely not!

As a parent is a clear safeguarding concern, has it just been asked via an automated reply or has someone asked you to send a photo of your child’s anus?

i’d be making a formal complaint either way as sending this photo could put you in a potential situation legally as would come under distribution of child sexual images.