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Do doctors usuallty treat a suspected UTI ??

10 replies

alibobins · 07/01/2009 12:32

Took Dd 8 to the docs this morning as she's conplaining of pain when she wee's and tummy pains
Gp said its very unusual for children this age to get UTI's and won't treat untill sample comes back monday.
Dd had one last year and they treated staight away and sent sample off to confirm.
I just don't want Dd in pain all week
He also said if she has got another then she will need referring to hospital for tests. Anyone know what this woul involve. Thanks

OP posts:
Are your children’s vaccines up to date?
HuwEdwards · 07/01/2009 14:17

Our docs would od a urine test

luvaduck · 07/01/2009 14:29

they should have dipped the urine then and there - if it was positive for white cells blood and nitrites then treat then and there. if only postive for one of those things then reasonable to send off to lab. it takes about 48 hours from the sample reaching the lab to see if there is a UTi so you should know by friday afternooon.

if i were you i would call GP fri and ask for result - if its not back ask them to call the lab for result ( i do this all the time, I'm a gp)

if she becomes more unwell - temp, pains going to her back, vomiting, etc then take her back sooner.

you need to find out if they dipped the urine before sendng it away and if it was positive or negaitve

if she was referred for tests it would be probably be for a simple ultrasound. it is unlikely to be anything serious as it would have revealed it self when she was much younger if so.

HTH

(sorry about typing)

alibobins · 07/01/2009 14:53

Thankyou that does help
I've phoned the docs and the urine was sent at lunch time and no dipstick was done
She says it makes her feel sick when she needs the toilet and it hurts her to wee.
I was suprised they didn't give her anything.

OP posts:
luvaduck · 07/01/2009 17:46

hmmm difficult

i would get another one done and dipped and if positive ask for treatment

can you phone and get a urine dipped before - or by out of ours doctors?

the rationale is that you don't want to start antibiotics BEFORE a sample is sent to the lab as it will mask the true results.

what iw ould do is this

get her to do another sample - needs to be in a sterile bottle and preferably mid stream (you'll prob need to pick up bottle from docs before they close)

then call out of hours docs if you can't sort it out with yours, and ask them to dip it in front of you. if positive then start antibiotics.

good luck!
if you think shes getting better then you can wait until tomorrow but if she has got a UTI I would want her on antibis sooner rather than later

you can get UTIs at any age

alibobins · 07/01/2009 20:15

Just got back from uni and dh says she has been quite uncomfortable so waiting for nhs direct to ring me back.

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luvaduck · 07/01/2009 20:51

sounds like a good plan
don't get fobbed off!

CarGirl · 07/01/2009 20:53

it is normal to get referred to the hospital as they like to rule out kidney problems/damage to kidneys or something like that - dd was referred immediately as she was only 2 at the time.

alibobins · 07/01/2009 21:38

Just back they asked for a sample and dipped it and its got blood and something else in. They have given antibiotics but said to still get results off gp as they will be more specific
She did say its unusual for gp to send you away with nothing especially as Dd is old enough to explain symptoms.
Hey ho you live and learn.
Thanks luvaduck I would prob have left her if it wasn't for your advice.

OP posts:
luvaduck · 07/01/2009 22:10

no probs and agree entirely with the management

prob worth a chat with another gp in practice at some point

get well soon dd

WilfSell · 07/01/2009 22:24

Meant to post this earlier but got interrupted at work - sorry. I sympathise enormously with your D - I am very prone to UTIs and they are awful.

I have some ideas for managing symptoms if your GPs haven't been too helpful...

First thing is, if she is really prone (and my limited understanding is, once you are prone, you can get scarring which can make you more prone IYSWIM) then it's a good idea to have some sample jars AND a supply of ABs at home. This way, at first symptoms, you can take a clean sample but give that first dose. My UTIs go from twinge to agony in about 2 hours so I have to take the ABs immediately. I always have a couple of Cephalexin at home for this - which my GP willingly overprescribes.

I also have ibuprofen and co-codamol but not sure what kids could take (Medised?)

At first symptoms, it is really important to drink lots of water in the first hour or two - half pint every half hour. Some suggest adding a bit of bicarb of soda or cystitis salts to the first pint but I've never found these make a different. Lemon barley water is also believed by some to make the wee less acidic. you would need to discuss with GP what is OK for kids...

After the first couple of hours, she needs to drink a little every hour or two.

Emptying bladder fully is really important and this is really difficult as it is so painful and in spasm. Using a gentle shower downward (or bottle of warm water) over the vulva or getting her to wee in the bath will help.

While things are not too painful, tipping the bladder is helpful - when finished weeing, count to 20 tip forwards to tilt pelvis, squeeze a bit more wee out. Do this backwards too and left and right.

Hot water bottle might soothe things too.

I hope she is feeling better once the ABs kick in.

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