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Get help for a urinary tract infection

Get help for a urinary tract infection

Section

What is your sex at birth?

This form cannot be used for patients under 13 years of age. Please use the Get help for any other health problem form instead.

Background

When did your urine problem start? *

This form cannot be used for such a long standing issue. Please use the Get help for a long term urine problem form instead.

Have you had 3 or more urine infections in the last month? *
Have you had 2 or more urine infections in the last 6 months? *
Do you have a urinary catheter? *
Are you pregnant? *
Are you allergic to Trimethoprim or Nitrofurantoin? *

Other causes of urine symptoms (apart from urine infection)

Do you have unusual discharge from your vagina? *
Do you have unusual discharge from your penis? *
Have you had sex with a new partner in the last 6 months? *

Please complete this form. However, your discharge means that you might have a sexually-transmitted infection. Please contact iCash as soon as possible. One of our team will contact you.

Since your urine problem came on, have you had any of the following?

Signs of a possible kidney infection or other illness
New pain in your sides or lower back? *
Temperature over 38 degrees? *
Feeling hot and shivery? *
Feeling sick or been sick? *
New diarrhoea? *
Acting confused, slurred speech or not making sense? *
Blue, pale or blotchy skin, lips or tongue? *
New difficulty breathing, breathlessness or breathing very fast? *

Urgent advice: For immediate help:

Due to your above condition we advise you to go to 111.nhs.uk or call 111.

Main signs of a urine infection

Do you have any of the following?

Pain or a burning sensation when peeing? *
New peeing more often at night? *
Cloudy pee? *

Other signs of a urine infection

Do you have any of the following?

Only answer if this is a new problem, otherwise select ‘N/A’.

Peeing much more often than usual? *
Blood in your pee? *
Needing to pee suddenly? *
Pain in your lower tummy? *
New or increased confusion? *
Less mobile than usual? *

Next steps

We have advised you to contact 111. If you choose to wait for our staff to review your form, please drop off a urine sample at the surgery. Please be ready to take a phone call from the practice.

Your discharge means that you might have a sexually-transmitted infection. Please contact iCash as soon as possible. One of our team will contact you.

We will let you know if we need a sample of your urine. We might be able to prescribe antibiotics without needing to talk to you. If so, we will send you an online message.

Please wait for one of our clinicians to contact you by phone or online message. We will let you know if you need to drop off a urine sample.

Please drop off a urine sample at the surgery. We will usually wait for your sample before contacting you again. Once we have tested your sample, we will contact you by phone or online message.

Terms & conditions