Preparing for your appointmentBy Mayo Clinic staff
Because most people with hemolytic uremic syndrome are admitted to the hospital after a trip to the emergency room or following a brief phone call or visit with their doctors, it's not likely that you or your child will have a routine office visit.
However, if you or your child is experiencing symptoms of hemolytic uremic syndrome after several days of diarrhea, call your doctor immediately and be prepared to answer these questions:
- Have you noticed blood in your or your child's diarrhea?
- What other signs and symptoms — such as fever, swelling or decreased urine output — have you or your child experienced?
- How long have you or your child been experiencing these symptoms?
- How long has it been since you or your child urinated?
What you can do in the meantime
If you or your child has an illness that causes vomiting or diarrhea, it's a good idea to try to replace the fluids that have been lost with an oral rehydrating solution, such as CeraLyte, Pedialyte or Oralyte. Don't give yourself or your child any medication to stop diarrhea if you see any evidence of blood in the stool. These medications, such as bismuth subsalicylate (Kaopectate, Pepto-Bismol) and loperamide (Immodium), may increase the risk of hemolytic uremic syndrome.
- Niaudet P. Clinical manifestations and diagnosis of Shiga toxin associated (typical) hemolytic uremic syndrome in children. http://www.uptodate.com/home. Accessed May 26, 2013.
- Tintinalli JE, et al. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York, N.Y.: The McGraw-Hill Companies; 2011. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=40. Accessed May 26, 2013.
- Bavaro MF. E. coli O157:H7 and other toxigenic strains: The curse of global food distribution. Current Gastroenterology Reports. 2012;14:317.
- Thrombotic thrombocytopenic purpura (TTP) and hemolytic-uremic syndrome. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec11/ch133/ch133g.html. Accessed May 26, 2013.
- Hemolytic uremic syndrome in children. National Kidney and Urologic Diseases Information Clearinghouse . http://kidney.niddk.nih.gov/KUDiseases/pubs/childkidneydiseases/hemolytic_uremic_syndrome/. Accessed May 21, 2013.
- Bielaszewska M, et al. Enterohemorrhagic escherichia coli O26:H11/H-: A new virulent clone emerges in Europe. Clinical Infectious Diseases. 2013;56:1373.
- George JN. Causes of thrombotic thrombocytopenic purpura-hemolytic uremic syndrome in adults. http://www.uptodate.com/home. Accessed May 26, 2013.
- Elliott MM, et al. Interventions for haemolytic uraemic syndrome and thrombotic thrombocytopenic purpura. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003595.pub2/abstract. Accessed May 26, 2013.
- Food safety. Centers for Disease Control and Prevention. http://www.cdc.gov/foodsafety/facts.html. Accessed May 26, 2013.
- Niaudet P. Treatment and prognosis of Shiga toxin associated (typical) hemolytic uremic syndrome in children. http://www.uptodate.com/home. Accessed May 26, 2013.
- Niaudet P. Atypical hemolytic uremic syndrome in children. http://www.uptodate.com/home. Accessed May 26, 2013.
- Nester CM, et al. Atypical hemolytic uremic syndrome: What is it, how is it diagnosed, and how is it treated? Hematology. 2012;2012:617.
- Ground beef and food safety. U.S. Department of Agriculture. http://www.fsis.usda.gov/factsheets/ground_beef_and_food_safety/. Accessed May 28, 2013.
- Hunt JM. Shiga toxin-producing Escherichia coli (STEC). Clinics in Laboratory Medicine. 2010;30:21.