<s>[INST] my 5 year old daughter woke up in the night 2 nights ago with a stabbing pain in her urethra and needing to pee frequently. When taking a sample in the middle of the night I saw 2 little white wiggly things. I took her to docs who prescibed antibiotics and said it was a UTI, he ignored the white things! The next day she is fine and I take samples of her pee throughout the day which show NO white wiggly things. However she woke last night needing a pee but not in much pain and when I made her pee in a pot again I saw a ehite wiggly thing?? She not complaining during the day only at night and is not complaining of any itching!! Can you suggest what it could be? [/INST] HI...by what you quote I feel that she is having worm infestation. While the kid sleeps the worms come out of the anus and travel forward lodging themselves in the urethral region. I feel that this is what you are seeing there. Without fever, I do not feel that this is urinary tract infection. I suggest you deform her. If I were your pediatrician I suggest giving Tablet Albendazole 400 mg once today and another after 10 days. Regards -  </s>