### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My daughter possibly has a duplex kidney , she has repeated suspected urine infections, she has regular episodes of temperatures of between 40 and 41. At my GP she tests positive on dipstick, for blood, protien and ketones . I had a referral and she has had an ultra sound scan which suggests a duplex kidney, she is being sent for an x-ray where she will be injected with a dye and then x-rayed while she wees on demand. The doctor thinks that this will be unsuccessful as he thinks she won t do it. We would like to know if there is another way of diagnosing and if she does have this what is the treatment. As she is cureently ill every 10-14 days and has a cousre of antibiotics every time which we feel is not good for her. Should we be sent to a kidney specialist?

### output:

Hi penny, small girls are often prone to urinary infections, but these episodes are usually few and without fever. Your daughter is having repeated upper urinary tract infection which may be due to several causes for e.g. reflux of urine, duplex kidney and ureter due to which urine from one ureter moves back and forth to other ureter (yo-yo reflux), some hold-up in the urinary tract (which may be since birth) or simply a body predisposition to certain bacteria. So one, she needs a thorough evaluation by a urologist or a pediatric urologist to find the cause of infections. If she cants void during the special X-rays, the procedure can be done under anesthesia and gentle pressure applied on lower abdomen to look for reflux. Two, her kidneys need to be protected from further infection related damage, so she may require long-term low dose antibiotics to prevent infection. Go see a urologist early. Good luck.