Calling on call OB

[herbavein]

Call.

[bendherova]

When in doubt, call. It's their job.

[stinybean]

I agree with PP, definitely call.

[kemdupuis]

Yeah, I'd just call if I were you. Its best for you and for LO to get checked out before anything could possibly get more serious. Feel better!

[flbabychin]

I would definitely call, especially if you're worried about symptoms getting worse or there being an infection.

[missjenniebean]

When in doubt, call. It is no bother to them.

[tiffbot]

Add me to the call when in doubt list. Hope you feel better soon!

[tiffbot]

Jan 24, 2015 16:15:51 GMT -5 @demanda88 said:

When you call the on call doctor, does it automatically connect you to their cell phone or does it route you to a messaging system and they call you back?

I called my office when my water broke last time (because it was early and I didn't believe that's what it could be) and it connected me to a receptionist who had a dr call me right back. I also just go to my family doctor (who does low risk prenatal) and not an OB and I'm sure it's different at different offices.

[bendherova]

Jan 24, 2015 16:15:51 GMT -5 @demanda88 said:

When you call the on call doctor, does it automatically connect you to their cell phone or does it route you to a messaging system and they call you back?

Depends on how the office is set up. 

When my husband is paged, he only gets a phone number.  Typically it's a nurse or resident in the hospital calling him from a hospital phone.  Usually when he speaks with patients on the phone from home, the patient has called into the nurse/resident, and then the number gets relayed to my husband.

[leenziepops]

Hope you feel better soon.

[stinybean]

GL that the doc calls back soon

[pickles]

Jan 24, 2015 15:57:14 GMT -5 @demanda88 said:

Thanks for the replies, everyone. I think I'll wait and see if it gets worse and call then. Right now, it's just very mild and there's no real pain to speak of so I'm not concerned about a kidney infection or anything at this point. I'm still on the antibiotic and taking it and drinking a lot of water. I'm just so annoyed that there seems to be possibility that the antibiotic didn't work well. The doctor said they always treat this kind of UTI with amoxicillin so I don't even know what they would switch it to.

That type of infection is very rarely resistant to amoxicillin (strep is kind of a wimpy bacteria). Are you drinking enough water? 

amoxicillin can cause yeast infections. It may be best to have your urine tested again and be checked for yeast infection. As a PA I'm pretty sure that's something most PA's can handle.

[pickles]

Jan 24, 2015 19:18:46 GMT -5 @demanda88 said:

Jan 24, 2015 19:13:26 GMT -5 pickles said:

That type of infection is very rarely resistant to amoxicillin (strep is kind of a wimpy bacteria). Are you drinking enough water? 

I know, that's what has me scratching my head. I've researched the shit out of this and nearly everything I've found has said that strep is highly sensitive to the penicillin class of drugs. Maybe I need a higher dosage? It sounds like amoxicillin is even more effective than just straight penicillin, so I genuinely don't know what they would switch me to. Around Tuesday evening (24 hours on the antibiotic) I noticed that I felt much better and then yesterday, after they called with the news that it was strep, I started feeling like it was coming back but wrote it off as being hypersensitive because I was worried about the strep component. Then all day today, I've just felt super uncomfortable and have that typical UTI "burny" feeling. The only other thing I could think of is maybe it could be a yeast infection but I'm not really seeing any of the normal signs for that. 

Hopefully your ob will be able to help. could be a YI could be that you needed 10 days of the amox instead of 5. There are OTC urine test kits for UTIs and I think there's one for YI too, made by AZO.

[pickles]

Jan 24, 2015 19:20:25 GMT -5 @demanda88 said:

Jan 24, 2015 19:13:26 GMT -5 pickles said:

That type of infection is very rarely resistant to amoxicillin (strep is kind of a wimpy bacteria). Are you drinking enough water? 

amoxicillin can cause yeast infections. It may be best to have your urine tested again and be checked for yeast infection. As a PA I'm pretty sure that's something most PA's can handle.

It this something that can be done at an urgent care clinic or would it have to be done at my OBs office? I've never had one before.

urgent care can totally handle it. 

[pickles]

Jan 24, 2015 19:20:25 GMT -5 @demanda88 said:

Jan 24, 2015 19:13:26 GMT -5 pickles said:

That type of infection is very rarely resistant to amoxicillin (strep is kind of a wimpy bacteria). Are you drinking enough water? 

amoxicillin can cause yeast infections. It may be best to have your urine tested again and be checked for yeast infection. As a PA I'm pretty sure that's something most PA's can handle.

It this something that can be done at an urgent care clinic or would it have to be done at my OBs office? I've never had one before.

just be very clear about symptoms and history 

[pickles]

Jan 24, 2015 20:15:54 GMT -5 @demanda88 said:

Welp, they checked the urine sample under a microscope and used the dipstick and there was nothing. They're sending it off to be cultured. He said he's never seen a case where strep has been resistant to amoxicillin so I'm starting to think I'm maybe just losing it a little. That or maybe I'm just freaking out over normal pregnancy symptoms.

did they check you for a YI?

[nchauhan]

I'm sorry you're feeling the burning symptoms! That sucks. Hopefully they can figure it out soon. It is odd that they dipped your urine and it came back clean but I doubt you're just being hypersensitive. Are you allowed to take those AZO over the counter pills to help the burning? The ones that turn your pee orange? Ask your dr to see if they're safe to take so you're not uncomfortable all weekend.

[teenybird]

FWIW, the few times I've actually had a YI, I didn't really have any of the "classic" symptoms - but totally had major burnination when I tried to pee. When not pregnant, I would just do a pre-emptive course of Monistat before it got any worse, but I would check with OB before trying anything OTC (even just cranberry supplements or that med that's supposed to help numb things up a bit and turn your pee bright reddish orange).

Antibiotics can totally kill good gut/vaginal flora and leave you with a YI/thrush, even if the UTI is quelled.

I hope the discomfort goes away soon, mama. I'm also of the camp that it's always, always better to call the doc to ask more questions or check-in. Your peace of mind is important!!

[pickles]

Jan 25, 2015 14:41:54 GMT -5 @demanda88 said:

Jan 25, 2015 14:14:27 GMT -5 teenybird said:

FWIW, the few times I've actually had a YI, I didn't really have any of the "classic" symptoms - but totally had major burnination when I tried to pee. When not pregnant, I would just do a pre-emptive course of Monistat before it got any worse, but I would check with OB before trying anything OTC (even just cranberry supplements or that med that's supposed to help numb things up a bit and turn your pee bright reddish orange).

Antibiotics can totally kill good gut/vaginal flora and leave you with a YI/thrush, even if the UTI is quelled.

I hope the discomfort goes away soon, mama. I'm also of the camp that it's always, always better to call the doc to ask more questions or check-in. Your peace of mind is important!!

Aww, geez. Well, I guess I would rather have it be a YI rather than a recurrent UTI, tbh. I plan on giving the doctor a call tomorrow to see if I can swing by and have them check it out. I do feel a little better though because the urgent care doctor assured me that there's nothing to be concerned about because I don't have a fever or any other signs of a serious UTI or kidney infection and from what I can see, if it is a YI, it's more uncomfortable than actually dangerous. I tend to get really freaked out about stuff like this and worry about the "what ifs" so at the very least it was a relief to have a doctor say that it wasn't a big deal.

to check for a YI, they would have needed to to a vaginal swab. 

[holliberry28]

I'm sorry you're dealing with this! Are you still having burning when you pee?

In addition to lots of water, I'd buy some kefir ( liquid sour yogurt) and up your probiotic intake b/c the antibiotics could've depleted your good bacteria, and you're feeling irritation left over from the infection??

If it doesn't go away, ask your ob if maybe macrobid or Bactrim ( I forget which of the two is safe for pregnant women) would be worth a shot.

Hope you feel better soon!

[mmo2112]

Wth. Is your OB getting the results, too? And can you talk to him/her about them?

I had a positive early on, but my OB wasn't concerned because the levels weren't elevated, E. Coli is present in the digestive tract and sometimes contaminates samples, etc. (Sounds about right if you weren't given wipes or anything.) Still, it would be nice to hear from a doctor and not from this lady.

[gingerbabe]

Jan 28, 2015 21:57:36 GMT -5 @demanda88 said:

sooo, what the fuck? I finally got a call from the urgent care place that sent off the sample to be cultured and its positive for e.coli now but "nothing bad" she assured me. She then tells me that the amoxicillin that I finished on Monday took care of it. Why the hell would the culture show e.coli bacteria when I'd been on the antibiotics for 5 full days at that point, yet they say that two more days on it would take care of it completely? I don't have any symptoms anymore but it still doesnt make sense to me, that it would have showed up on the culture in the first place if amoxicillin was effective at treating it.

Also, I swear to god, I hate urgent care centers. First, she hands me the cup to do the sample and sends me off to a tiny bathroom, with only a toilet. No wipes or anything to do a proper urine sample and then I spent two full minutes looking for a way to flush the toilet and it turns out, she put me in a drug screening bathroom so they have to flush it from the outside. Then, she goes through the questions they always asks and when she gets to the "when was your last period?" question, I was all ".....um, September?" and she was like, wow you're so lucky! I then had to say, I wrote on the form when I got here that I'm 18 weeks pregnant...

Today, I call and she's the one who answers the phone and she goes "oh you're that pregnant girl, right?". Jesus Christ, almighty.

Wow what a winner.

[mmo2112]

Well she has just been *super* helpful. I normally have very little patience for incompetence, but I swear, pregnancy has caused that already low tolerance level to plummet even further.

Maybe your OB received the results, but decided not to call you if the levels didn't give them concern? Mine didn't bring mine up until I asked. Sucks to be stuck in limbo, but hopefully it's nothing and you never have to urinate in the drug testing restroom again.