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Urinary tract infection assessment

Urinary Tract Infection Assessment

Section

Initial questions

Do you feel very unwell? *

Arrange a GP appointment or get help from NHS 111 if you feel very unwell

Do you have a high temperature or fever? *
Do you have severe loin or flank pain? *
How would you describe the severity of your symptoms?

Stop completing this form and get help now if:

  • you feel very unwell
  • your symptoms feel severe, such as severe loin or flank pain
  • you have a high or low temperature, feel hot or cold, or are shivering

Contact the surgery to arrange a GP appointment. If you need medical help now, use NHS 111 online or call 111.

In an emergency, call 999 or go to A&E.

Background questions

Are you prone to urine infections? *
Could you be pregnant? *
Have you had a change in your vaginal discharge?
Have you had any new sexual partners in the last 6 months?
Have you tried any treatments so far?
Are you allergic or sensitive to antibiotics?

Key symptoms and signs

Do you have pain or burning when you urinate? *
Are you having to urinate in the night now and is this a new symptom for you?
Is your urine cloudy? *

Other symptoms and signs

When you want to pass urine, do you have an overwhelming urge to do so immediately?
Are you passing urine more frequently? *
Is there blood seen in your urine? *
Do you have lower abdominal pain? *

Expectations

E.g. Us to prescribe you antibiotics, just do a urine test, appointment with a GP, etc.
Terms and conditions