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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Feeling Thirsty Always And Going To Toilet Frequently Indicates Diabetes Or UTI?

Hi there, I took my 3 yr old daughter to the doc today with symptoms of pain when having a wee, high temp (39+) and very lethargic, she has been like this for about a week. The Dr tested her urine and found sugar and ketones, she was given a finger prick test (4.7) and blood was taken for further testing regarding diabetes, results in a week. Once home I looked online (yes I know bad idea sometimes!) Daisy does always seem thirsty and will always finish a drink straight away rather the sip like her brother. She has also been going to the toilet more frequently, perhaps due to more fluid intake?? Anyway what I would like to know could this be a UTI or more likely be diabetes?
Wed, 8 Jan 2014
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General & Family Physician,  's  Response
HI, thanks for using healthcare magic

I understand your concern.

A urinary tract infection would be associated with some of the following symptoms : frequency and discomfort on urination, fever, abdominal pain, change in colour or odour of the urine, blood in the urine, nausea, vomiting, lethargy
The infection, if confirmed , would be the reason she is going to the bathroom more often.
Your daughter does have some of these symptoms which would point to a UTI, if she is not eating as much as normal, it would cause the ketones in the urine .
Sugar is not normally seen but the blood tests results would be needed to determine if she is a diabetic, some persons have sugar in the urine but their blood sugars are normal.

Normally in a UTI the urine should show leukocytes and nitrites.

Based on her symptoms and the fact that the office blood sugar was normal, it is more likely a UTI.

Her doctor may suggest a course of antibiotics and copious water intake.

I hope this helps
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Does Feeling Thirsty Always And Going To Toilet Frequently Indicates Diabetes Or UTI?

HI, thanks for using healthcare magic I understand your concern. A urinary tract infection would be associated with some of the following symptoms : frequency and discomfort on urination, fever, abdominal pain, change in colour or odour of the urine, blood in the urine, nausea, vomiting, lethargy The infection, if confirmed , would be the reason she is going to the bathroom more often. Your daughter does have some of these symptoms which would point to a UTI, if she is not eating as much as normal, it would cause the ketones in the urine . Sugar is not normally seen but the blood tests results would be needed to determine if she is a diabetic, some persons have sugar in the urine but their blood sugars are normal. Normally in a UTI the urine should show leukocytes and nitrites. Based on her symptoms and the fact that the office blood sugar was normal, it is more likely a UTI. Her doctor may suggest a course of antibiotics and copious water intake. I hope this helps