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

### input:
Hello, I have a two year old daughter who was born with Spinal Bifida and for the last past year she has been in and out of the hospital every other month with bad UTI s, high fevers up to 105.6 and her heart rate ends up going up to 220. about a month ago we were told that she has spinal tethering and fluid on the bottom of her brain pushing on her spinal cord and that she needed to have surgery soon. first they said within a couple weeks now they say they want to wait till the end of next month. well now she is in the hospital again with another UTI and High fever of 103-105 and her heart rate went way up to 220 and had hard time getting fever and heart rate down. We also had to start last month doing a cathider on her every four hours because her reflex doesn t work right and her urine flushes back into her kidneys. My big concern is can them waiting to do the surgery hurt her more or could her keep having these high heart rates and high fevers damage her brain and heart more? should I be worried and go get a second opinion?

### output:

Hi sir, thanks for contacting us...first, plz don't be sad... I can understand what stress you would be going through...it's not easy to see our loved ones in so much trouble, n worrying s a part of it... 1. Your baby has spine problems which would be the primary reason for UTI, coz that causes abnormal bladder reflexes, leading to recurrent Otis..... (vicious cycle) actually 2. When ever there is fever, heart rate goes up and It's directly proportional.... Fever of 105 worries me, but jam not so worried the high heart rate now...so next time if you feel your baby is febrile (> 101 *f) I want u to do supportive measures like tepid sponging and paracetamol suppository (per rectal) 200 mg every 8 hrs and aim to KP fever down(high fever can affect the brain and trigger febrile fits, though not affect the heart usually)3. Uti here needs to be treated and so the doctors are right to wait, bcoz these are elective surgeries usually when it presents in this age and a month or so should be ok to wait.  4. High heart rates are worrisome if the child has a primary high rate problems without other associated issues like fever, infection etc.....we call it SVT (supra ventricular tachycardia) because that's the commonest, but your child has fever leading to high heart rate, so there is nothing to worry..., continue your care with same doctor and any further queries get back to us.  Regards, Chat Doctor. 