How to prepare for a video visit about Urinary Tract Infection (UTI) in children

Audience: pediatric

A urinary tract infection (UTI) is a common condition in children that may cause symptoms like pain when urinating, frequent urination, or fever. Preparing for a video visit can help you share important information with the healthcare provider and get the best advice for your child's care. During the visit, the provider will ask about symptoms and medical history, and may guide you on next steps such as testing or treatment. Telemedicine can be a convenient way to discuss concerns, but some situations require in-person care. This guide helps you prepare for the video visit, understand what telemedicine can and cannot do for UTIs, and know when to seek urgent help. Remember, this information is for education and does not replace professional medical diagnosis or treatment.

Red flags — go in person / ER

• Child has a high fever (above 39°C or 102°F) with chills or looks very ill — seek urgent medical care.
• Child is vomiting repeatedly or unable to keep fluids down — go to emergency care.
• Child shows signs of dehydration such as dry mouth, no tears when crying, or very little urine — get immediate medical attention.

What telemedicine can do

• Initial symptom discussion and medical history review.
• Guidance on urine sample collection if needed.
• Advice on home care and medication instructions.
• Determining if in-person evaluation is necessary.

What telemedicine cannot do

• Physical examination requiring touch or specialized equipment.
• Immediate treatment for severe symptoms or complications.
• Performing urine tests or imaging studies.
• Emergency care for severe dehydration or systemic infection.

What is a Urinary Tract Infection (UTI) in children?

A UTI is an infection in any part of the urinary system, including the bladder and kidneys. In children, UTIs often cause symptoms like burning during urination, frequent urges to urinate, abdominal pain, or fever. Young children may seem irritable or have poor feeding. UTIs are usually treated with antibiotics to clear the infection.

How to prepare for the video visit

Before the visit, gather information about your child's symptoms: when they started, how severe they are, and any changes. Have a list of your child's medicines and any allergies ready. Find a quiet, well-lit place for the video call. Make sure your device is charged and connected to the internet. Write down any questions you want to ask the healthcare provider.

What to expect during the video visit

The healthcare provider will ask about your child's symptoms and medical history. They may ask you to show your child's behavior or any visible signs. The provider might guide you on whether your child needs urine tests or in-person examination. They will discuss treatment options and how to care for your child at home.

When to seek in-person care

If your child has a high fever, severe pain, vomiting, signs of dehydration, or if symptoms worsen or do not improve after treatment, you should seek in-person medical care. Some UTIs can lead to serious complications if not treated properly.

Tips for after the video visit

Follow the healthcare provider's instructions carefully. Give medicines as prescribed and watch for any side effects. Keep track of your child's symptoms and contact the provider if they worsen. Encourage your child to drink plenty of fluids and rest.

How to prepare for your tele-visit

• Note down your child's symptoms including start time and severity.
• List current medications and allergies.
• Prepare any recent medical records if available.
• Choose a quiet, private space with good lighting for the video call.
• Ensure your device is fully charged and connected to the internet.
• Write down questions or concerns to discuss during the visit.

After your tele-visit

• Administer prescribed antibiotics or medications as directed.
• Encourage your child to drink fluids to help flush the infection.
• Monitor your child's symptoms daily and note any changes.
• Contact the healthcare provider if symptoms worsen or do not improve.
• Attend any recommended follow-up visits or tests.
• Keep a record of your child's response to treatment for future reference.

FAQs

Can a UTI be diagnosed through a video visit?

A healthcare provider can ask about symptoms and medical history during a video visit, which helps assess the likelihood of a UTI. However, confirming a UTI often requires a urine test, which may need to be done in person or at a lab.

What should I do if my child cannot give a urine sample?

The provider may give you instructions on how to collect a urine sample at home, especially for young children. If this is not possible, they might recommend visiting a clinic or lab for proper collection.

Is it safe to start antibiotics based on a video visit?

In many cases, if symptoms strongly suggest a UTI, a provider may prescribe antibiotics during a video visit. It's important to follow their instructions carefully and complete the full course of medication.

When should I call for emergency help?

Seek emergency care if your child has a very high fever, severe pain, persistent vomiting, signs of dehydration, or if they become unusually sleepy or unresponsive.

Can UTIs be prevented in children?

Some ways to reduce UTI risk include encouraging regular bathroom breaks, wiping front to back, ensuring good hydration, and avoiding irritants like bubble baths. Your healthcare provider can give personalized advice.

Sources

1. Urinary Tract Infection (UTI) in Children — MedlinePlus, U.S. National Library of Medicine.
2. Urinary Tract Infection (UTI) — Centers for Disease Control and Prevention (CDC).
3. Urinary Tract Infection (UTI) in Children — American Academy of Pediatrics (AAP).
4. Urinary Tract Infection (UTI) — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care, diagnosis, or treatment. If you have concerns about your child's health, please seek direct medical attention.