Conversation: The conversation between human and AI assistant.
[|Human|] my daughter is 9 years old. she is seeing a pediatric urologist for interstitial cystitis. we have been in and out of the ER and after hours clinic with an increase in her urinary symptoms. she has had dysuria, pelvic and low back pain. this past week her symptoms have worsened. she did not urinate for over 24 hours. i took her into the ER and she did eventually urinate but had to strain to urinate and has ever since then. this has been going on for 4 days now. her urine came back clear under urinalysis as it always does due to being on a daily antibiotic, macrodantin 50 mg. she is now having more severe back pain and i am unsure of what i should do. can you please help me. Casey- concerned mother
[|AI|]  Greetings... Firstly recurrent UTI is concerning. Please look into the hygiene and into the habits of handling private parts.Also, constipation has to be avoided. She has to be on prophylactic antibiotics which I think she is on, but that should be chosen after proper culture and sensitivity reports. To get hold of the cause of recurrent UTI certain investigations are required like ultrasonography PUB, X-ray PUB, maturating cystourethrography, DMS scan.