Any medics out there? I'm worried about my husband

[TR888]

He's 50. Had a urine infection with quite a lot of blood in Uribe about 12 days ago. Got antibiotics and the infection resolved, only to come back a three days later: very I'll this time, unable to leave bed even for the toilet. Passing urine ok although with less flow.

New antibiotics, seemed to be working and yesterday went out of the house and ate normally. but awful, awful shivering fits the night before and again last night, then profuse sweating. He's up now but we both sense something is very wrong.

He's under GP care and has some prostate test on Wednesday. I'm worried this could be sepsis or some form of organ failure. I think it's time for hospital but he's reluctant.

does he have to increase his fluids?

Shivering and sweating? Those are signs of sepsis!

@TR888 The uncontrollable shivering and racing heartrate (mine is 120 resting) are signs of sepsis. GPs and even doctors in A&E are often reluctant to initially prescribe sufficiently strong antibiotics.
In A&E, patient exhibiting confused thinking is often the symptom that triggers treatment - despite there apparently being national guidance that patients with multiple symptoms should be seen within an hour.
https://sepsistrust.org/ have resources to explain what is going on.
Different hospitals treat it differently, in a different county to my own, I was put on a drip quickly, in two local hospitals I have had a four-hour wait and what would have been a similar wait before a passing doctor panicked at me losing consciousness with a grey pallor.
It's not something to be taken lightly and he needs to take his health seriously and honestly going forward - lots of men are keen to minimise the significance of illness. Good luck.

If your worried about sepsis it’s better to be safe than sorry.

some antibiotics are also pretty awful and alongside the infection his shivering etc could all be completely related to his infection and antibiotics.

but yes if you have concerns about sepsis best to be safe than sorry in my opinion .

Sepsis is when an infection has overwhelmed the body's ability to fight it and organs start shutting down. It is a combination of things. Signs of sepsis: patient looks unwell, drowsy, confused, pale or mottled skin, cool to touch in lower limbs, high breathing rate, high heart rate, low blood pressure, low urine output, may or may not have fever or be cold.

There is no "one test" but different signs and tests together give you information to build a picture. Treated with IV fluids, IV antibiotics and close monitoring in first instance, may need more specialised treatment for the infection (like surgery, depending on what the infection source is) or ICU in certain cases.

And I doubt the GP is as blasé as your DH is implying. They will be taking his symptoms seriously.

Take care and keep an eye on him, check his heart rate and temp, take him back of you are worried. Or call 111.

Please don’t phone an ambulance for this reason 😫😫

What do you mean please?

Do they have GPs in A&E?
Are you sure your H went?

Could your husband have decided to leave A&E without being seen?

Our large regional hospital does.

@Orangesandlemons77 if the OP can get him to A&E, that is more appropriate. Ab ambulance is not a taxi.

My hospital also has GP's in A&E.

My experience of UTIs is that GPs often only give 3 days of ABs for good reason but it doesn’t clear and comes back with a vengeance. The progression from UTI to kidney infection (and worse) is very quick.

Hope the results from the tests are good.

Why are men like this? Because it's easy for men to sire children, the effort for them is wooing the mothers, for which they have to avoid showing weakness.

Whereas women have to stay healthy -ish to raise their precious children (and grandchildren) to adulthood.

If you have any doubts don't hesitate to strongarm him back to the medics by the way. Lost a very healthy friend to sepsis this year. Nasty scary stuff.

So if he was seen by a GP - then he didn't actually see the doctors in A & E - He saw the OOH's GP cover which just happens to be in a hospital ( at least it is in our local Hospital)?

Are you sure he actually did go into A & E itself?

A GP is likely more qualified and experienced than the junior doctors who see most of the patients in A+E.

He definitely went to A&E and is still there now.

Hope he gets sorted op, it did sound like the start of urosepsis (my dad has had it 3 times since december.)

A kidney infection can give those symptoms.

I had these exact same symptoms and it was a kidney stone, I was admitted to A&E from the Walk in Clinic. I was still passing urine but only one kidney was working, the other not as it was blocked by the stone.
I was very I’ll and in hospital for a week.
DH had the same symptoms and it was acute prostatitis. We required IV antibiotics.

Virtually the same happened to me five weeks ago: UTI with blood loss, ABs, relapse, shivering in 35C conservatory. I was (reluctantly) hospitalised with pneumonia and received exceptional care.
Your DH is in the best place.

Last year I had exactly the same symptoms as your husband and I became very unwell really quickly.
Long story short I had Urosepsis and very nearly died. I hope your husband gets treated promptly.
If you want to message me feel free as I learnt a lot about sepsis during my 3 week hospital stay

Yes, lots of A & E departments have a GP there for people who need one.