Do you have problems with urination?
                    
                      
                        Yes
                        Problems with urination
                       
                      
                        No
                        Problems with urination
                       
                     
                   
                  
                    How old are you?
                    
                      
                        11 years or younger
                        11 years or younger
                       
                      
                        12 to 55 years
                        12 to 55 years
                       
                      
                        56 years or older
                        56 years or older
                       
                     
                   
                  
                    Are you male or female?
                    
                    
                      
                      
                        
                        
                          
                            - If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
 
                       
                     
                   
                  
                    Are you pregnant?
                    
                      
                        Yes, you know that you're pregnant.
                        Pregnancy
                       
                      
                        No, you're not pregnant, or you're not sure if you're pregnant.
                        Pregnancy
                       
                     
                   
                  
                    Have you had surgery in the past month?
                    
                      
                        Yes
                        Surgery in the past month
                       
                      
                        No
                        Surgery in the past month
                       
                     
                   
                  
                    Did the urinary symptoms begin after an injury?
                    An injury could be from a blow to the belly, groin, or lower back (the kidney area).
                    
                      
                        Yes
                        Symptoms began after an injury
                       
                      
                        No
                        Symptoms began after an injury
                       
                     
                   
                  
                    Did the injury happen within the past 2 weeks?
                    
                      
                        Yes
                        Injury within past 2 weeks
                       
                      
                        No
                        Injury within past 2 weeks
                       
                     
                   
                  
                    Is there any blood in your urine?
                    
                   
                  
                    Are you having trouble urinating?
                    
                   
                  
                    Are you able to urinate at all?
                    
                   
                  
                    On a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine, 
how bad is the pain that comes from not being able to urinate?
                      
                        8 to 10: Severe pain
                        Severe pain
                       
                      
                        5 to 7: Moderate pain
                        Moderate pain
                       
                      
                        1 to 4: Mild pain
                        Mild pain
                       
                     
                   
                  
                    Has it been more than 12 hours since you were last able to urinate?
                    
                      
                        Yes
                        More than 12 hours since last able to urinate
                       
                      
                        No
                        More than 12 hours since last able to urinate
                       
                     
                   
                  
                    Do you have pain on one side of your back, just below your rib cage? 
                    This is called flank pain. It sometimes is a symptom of a problem with the kidneys.
                    
                   
                  
                    
                      How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?
 
                    
                      
                        8 to 10: Severe pain
                        Severe pain
                       
                      
                        5 to 7: Moderate pain
                        Moderate pain
                       
                      
                        1 to 4: Mild pain
                        Mild pain
                       
                     
                   
                  
                    Have you recently started having new or worsening pain when you urinate?
                    
                   
                  
                    
                      How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?
 
                    
                      
                        8 to 10: Severe pain
                        Severe pain
                       
                      
                        5 to 7: Moderate pain
                        Moderate pain
                       
                      
                        1 to 4: Mild pain
                        Mild pain
                       
                     
                   
                  
                    Have you had pain while urinating that has lasted more than a day?
                    
                      
                        Yes
                        Pain when urinating has lasted more than 1 day
                       
                      
                        No
                        Pain when urinating has lasted more than 1 day
                       
                     
                   
                  
                    Within the past couple of weeks, have you started having a more frequent urge to urinate?
                    You may notice that even though you have the urge to urinate, there's not much urine when you try to urinate.
                    
                   
                  
                    
                    
                      
                        Severe (very uncomfortable)
                        Urinary urgency is severe and very uncomfortable
                       
                      
                        Moderate to mild (somewhat uncomfortable)
                        Urinary urgency is noticeable but not severe
                       
                     
                   
                  
                    Has this frequent urge to urinate lasted more than a day?
                    
                      
                        Yes
                        Urinary urgency for more than 1 day
                       
                      
                        No
                        Urinary urgency for more than 1 day
                       
                     
                   
                  
                    Are you nauseated or vomiting?
                    Nauseated means you feel sick to your stomach, like you are going to vomit.
                    
                   
                  
                    Do you have only one kidney or a Foley catheter in place?
                    
                      
                        Yes
                        One kidney or a Foley catheter
                       
                      
                        No
                        One kidney or a Foley catheter
                       
                     
                   
                  
                    Do you think that the urinary problem may have been caused by abuse?
                    
                      
                        Yes
                        Urinary problem may have been caused by abuse
                       
                      
                        No
                        Urinary problem may have been caused by abuse
                       
                     
                   
                  
                  
                    Is your diabetes getting 
out of control because you are sick?
                      
                        Yes
                        Diabetes is affected by illness
                       
                      
                        No
                        Diabetes is affected by illness
                       
                     
                   
                  
                  
                    Is the plan helping get your blood sugar under control?
                    
                      
                        Yes
                        Diabetes illness plan working
                       
                      
                        No
                        Diabetes illness plan not working
                       
                     
                   
                  
                    How fast is it getting out of control?
                    
                      
                        Quickly (over several hours)
                        Blood sugar quickly worsening
                       
                      
                        Slowly (over days)
                        Blood sugar slowly worsening
                       
                     
                   
                  
                    Do you think you may have a fever?
                    
                   
                  
                    Did you take your temperature?
                    
                   
                  
                    How high is the fever? The answer may depend on 
how you took the temperature.
                      NOTE: Most people have an average body temperature of about 98.6°F (37°C). But it can vary by a degree or more and still be considered normal. If a low body temperature is your only symptom, it’s usually not something to worry about. But be sure to watch for other symptoms.
                    
                      
                        High: 104°F (40°C) or higher, oral
                        High fever: 104°F (40°C) or higher, oral
                       
                      
                        Moderate: 100.4°F (38°C)  to 103.9°F (39.9°C), oral
                        Moderate fever: 100.4°F (38°C) to 103.9°F (39.9°C), oral
                       
                      
                        Mild: 100.3°F (37.9°C) or lower, oral
                        Mild fever: 100.3°F (37.9°C) or lower, oral
                       
                     
                   
                  
                    
                      How high do you think the fever is?
 
                    
                      
                      
                        Moderate
                        Feels fever is moderate
                       
                      
                        Mild or low
                        Feels fever is mild
                       
                     
                   
                  
                    How long have you had a fever?
                    
                      
                        Less than 2 days (48 hours)
                        Fever for less than 2 days
                       
                      
                        At least 2 days but less than 1 week
                        Fever for at least 2 days but less than 1 week
                       
                      
                        1 week or more
                        Fever for 1 week or more
                       
                     
                   
                  
                    Do you have a health problem or take medicine that 
weakens your immune system?
                      
                        Yes
                        Disease or medicine that causes immune system problems
                       
                      
                        No
                        Disease or medicine that causes immune system problems
                       
                     
                   
                  
                    Do you have shaking chills or very heavy sweating?
                    Shaking chills are a severe, intense form of shivering. Heavy sweating means that sweat is pouring off you or soaking through your clothes.
                    
                      
                        Yes
                        Shaking chills or heavy sweating
                       
                      
                        No
                        Shaking chills or heavy sweating
                       
                     
                   
                  
                    Have you been urinating a lot more than usual for no clear reason?
                    An unexplained increase in urination can be an early symptom of diabetes.
                    
                      
                        Yes
                        Unexplained increase in urination
                       
                      
                        No
                        Unexplained increase in urination
                       
                     
                   
                  
                    
                    
                      
                        Yes
                        Other diabetes symptoms
                       
                      
                        No
                        Other diabetes symptoms
                       
                     
                   
                  
                    Do you think that a 
medicine may be causing the urinary problems?
Think about whether the problems started after you began using a new medicine or a higher dose of a medicine.
                    
                      
                        Yes
                        Medicine may be causing urinary symptoms
                       
                      
                        No
                        Medicine may be causing urinary symptoms
                       
                     
                   
                  
                    Are you having new or worsening problems with bladder control or leaking urine for longer than 1 week?
                    
                      
                        Yes
                        Urinary incontinence for longer than 1 week
                       
                      
                        No
                        Urinary incontinence for longer than 1 week
                       
                     
                   
                  
                    Have the urinary problems lasted for more than a week?
                    
                      
                        Yes
                        Urinary problems for more than 1 week
                       
                      
                        No
                        Urinary problems for more than 1 week
                       
                     
                   
                  
                    Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
                    
                      - 
                        Your age. Babies and older adults tend to get sicker quicker.
- 
                        Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- 
                        Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- 
                        Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- 
                        Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
 
                  
                    Try Home Treatment
                    
                      You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
                     
                    
                      
                        - Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
 
                    
                   
                  
                    Temperature varies a little depending on how you measure it. For adults and children age 12 and older, these are the ranges for high, moderate, and mild, according to how you took the temperature.
                    
                      Oral (by mouth) temperature
                    
                      - High: 104°F (40°C) and higher
- Moderate: 100.4°F (38°C) to 103.9°F (39.9°C)
- Mild: 100.3°F (37.9°C) and lower
A forehead (temporal) scanner is usually 0.5°F (0.3°C) to 1°F (0.6°C) lower than an oral temperature.
                    
                      Ear temperature
                    
                      - High: 105°F (40.6°C) and higher
- Moderate: 101.4°F (38.6°C) to 104.9°F (40.5°C)
- Mild: 101.3°F (38.5°C) and lower
                      Armpit (axillary) temperature
                    
                      - High: 103°F (39.5°C) and higher
- Moderate: 99.4°F (37.4°C) to 102.9°F (39.4°C)
- Mild: 99.3°F (37.3°C) and lower
 
                  
                    Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:
                    
                      - Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
- Long-term alcohol and drug problems.
- Steroid medicines, which may be used to treat a variety of conditions.
- Chemotherapy and radiation therapy for cancer.
- Other medicines used to treat autoimmune disease.
- Medicines taken after organ transplant.
- Not having a spleen.
 
                  
                    
                      Symptoms of diabetes may include:
                    
                      - Increased thirst and more frequent urination, especially at night.
- An increase in how hungry you are.
- Losing or gaining weight for no clear reason.
- Unexplained fatigue.
- Blurred vision.
 
                  
                    A severe urgency problem means that:
                    
                      - You are uncomfortable most of the time.
- You get the urge to go again right after you have just urinated.
- The problem interferes with your daily activities.
- The urge keeps you from sleeping at night.
A moderate or mild urgency problem means that:
                    
                      - The urge to urinate comes more often than you are used to, but it is not constant.
- It does not interfere much with your daily activities.
- It usually does not keep you from sleeping.
 
                  
                    Pain in adults and older children
                    
                      - 
                        Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
- 
                        Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
- 
                        Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.
 
                  
                    If you're not sure if a fever is high, moderate, or mild, think about these issues:
                    With a high fever:
                    
                      - You feel very hot.
- It is likely one of the highest fevers you've ever had. High fevers are not that common, especially in adults.
With a moderate fever:
                    
                      - You feel warm or hot.
- You know you have a fever.
With a mild fever:
                    
                      - You may feel a little warm.
- You think you might have a fever, but you're not sure.
 
                  
                    Many prescription and nonprescription medicines can cause urinary symptoms. A few examples include:
                    
                      - Antihistamines.
- Blood thinners (anticoagulants).
- Decongestants.
- Opioid pain medicines.
- Tricyclic antidepressants.
 
                  
                    It is easy for your diabetes to become out of control when you are sick. Because of an illness:
                    
                      - Your blood sugar may be too high or too low.
- You may not be able take your diabetes medicine (if you are vomiting or having trouble keeping food or fluids down).
- You may not know how to adjust the timing or dose of your diabetes medicine.
- You may not be eating enough or drinking enough fluids.
 
                  
                    An illness plan for people with diabetes usually covers things like:
                    
                      - How often to test blood sugar and what the target range is.
- Whether and how to adjust the dose and timing of insulin or other diabetes medicines.
- What to do if you have trouble keeping food or fluids down.
- When to call your doctor.
The plan is designed to help keep your diabetes in control even though you are sick. When you have diabetes, even a minor illness can cause problems.
                   
                  
                    Seek Care Today
                    
                      Based on your answers, you may need care soon. The problem probably will not get better without medical care.
                     
                    
                      
                        - Call your doctor or telehealth provider today to discuss the symptoms and arrange for care. 
- If you cannot reach your doctor or telehealth provider or you don't have one, seek care today. 
- If it is evening, watch the symptoms and seek care in the morning. 
- If the symptoms get worse, seek care sooner. 
                        What are your options for medical care?
                      
                      Today your options for where to get your medical care are greater than ever before. You may not even have to leave your home to get the care you want and need. You can choose based on what your health problem is and what works best for you. 
                      
                        - 
                          Telehealth is a video call with a health care provider. It can be a convenient way to get medical advice or treatment. Some insurers provide access to telehealth that may be available 24 hours a day. Telehealth for less serious problems may cost less and be faster than in-person clinic visits. 
- 
                          Urgent care and retail clinics are options if you don't have a doctor, you can't or don't want to wait to see your own doctor, or a telehealth visit can’t treat the problem. 
- 
                          Virtual care from your primary provider or a telehealth service can be delivered through your smartphone, computer, or tablet. 
 
                    
                   
                  
                    Seek Care Now
                    
                      Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
                     
                    
                      
                        - Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless: - You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
 
 
                   
                  
                    Make an Appointment
                    
                      Based on your answers, the problem may not improve without medical care.
                     
                    
                      
                        - Make an appointment to see your doctor in the next 1 to 2 weeks, or contact your telehealth provider. 
- If appropriate, try home treatment while you are waiting for the appointment. 
- If symptoms get worse or you have any concerns, call your doctor or telehealth provider. You may need care sooner. 
                        What are your options for medical care?
                      
                      Today your options for where to get your medical care are greater than ever before. You may not even have to leave your home to get the care you want and need. You can choose based on what your health problem is and what works best for you. 
                      
                        - 
                          Telehealth is a video call with a health care provider. It can be a convenient way to get medical advice or treatment. Some insurers provide access to telehealth that may be available 24 hours a day. Telehealth for less serious problems may cost less and be faster than in-person clinic visits. 
- 
                          Urgent care and retail clinics are options if you don't have a doctor, you can't or don't want to wait to see your own doctor, or a telehealth visit can’t treat the problem. 
- 
                          Virtual care from your primary provider or a telehealth service can be delivered through your smartphone, computer, or tablet. 
 
                    
                   
                  Postoperative Problems
                  Pregnancy-Related Problems
                  Urinary Problems and Injuries, Age 11 and Younger