Category Archives: Pregnancy / Kids

My son is 12 and evidently was born with a blockage to one kidney, which is now only functioning 3%. He had one UTI when he was 6, which was treated with antibiotics, but other than an annual urinalysis at check-ups, no tests were ever done to detect the problem. He felt good up until a year ago, when he started having a lot of headaches and nausea a couple of times a week. His pediatrician misdiagnosed him with migraines in January and no testing was done until he ended up in the e.r. several weeks ago and they (thankfully) ran many tests on him. What would be considered to be “standard” care for a 6 year old boy with a UTI that seems to respond to antibiotics but he has no other symptoms? Would a renal ultrasound be considered to be “standard?” Or for a 12 year old boy with migraine- like symptoms and a history of 1 UTI? For the time being he’s stable with the help of blood pressure meds. as we wait for his surgery and he’s actually feeling better than he has in a year. His other kidney is thankfully “fantastic,” according to the two specialists who read his scans. They are very well-respected and I trust their judgement. My son has to have a laparoscopic nephrectomy. What is the typical recovery from a laparoscopic nephrectomy like? I’ve been told there’s a 4 day recovery but that it will take quite a while after that for him to get back to 100%. I’m trying to figure out how much support he might need from his school after his surgery. Will he be able to walk from class to class? Carry a backpack?

The questions that you ask are surgical questions that come under the expertise of a pediatric urologist.  I am a nephrologist and do not see children.  Hence, the questions that you ask need to be addressed by a urologist and … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Kidney-Related Health Questions, Laboratory Testing, Pediatric Issues, Pregnancy / Kids, Symptoms and Side Effects, Treatments

My three year old son is in remission with Stage II WILMS FH. He had a left radical nephrectomy. He is currently being followed by oncology. Recent test have shown that his GFR was a 38, according to the pediatric calculator. His BUN was 13 and Creatinine ranged from .40 to .45. The pediatrician and oncologist do not seem to be worried. We would like to be seen by a nephrologist but they do not seem to think it is necessary. What is your thoughts?

Wilm’s tumors are treated by a urologist.  Removing one kidney should cause a reduction in the overall kidney function.  That is an expected result from removing one kidney.  I suggest that your son continue to consult with his pediatrician.  Referral … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Pregnancy / Kids, Symptoms and Side Effects, Treatments

Hi, My boyfriend used to do dialysis but has not in two years or taken medicine and has told me he can’t have kids because of that, but I am pretty sure I’m pregnant. Is it possible?

Men with chronic kidney disease (CKD) can father children.  Men commonly have low sperm counts, but can still father children.  

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Pregnancy / Kids, Treatments

My son, now 5 years old was diagnosed with Hydronephrosis in both kidneys before birth. He was monitored for 2 years and was released of urology and nephrologist but the past few weeks he’s showed high blood pressure, very metallic smelling hair and breath. He has been wetting his bed at night and cannot seem to stop sweating and drinking excessive water. Should I get a lab work up?

I suggest that you consult with your son’s pediatrician for an examination.  Laboratory testing may be needed but a good examination by his pediatrician will be important to make sure the proper tests are performed. For more information on children’s … Continue reading

Posted in Ask the Doctor, Bed-Wetting, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Pediatric Issues, Pregnancy / Kids, Symptoms and Side Effects, Treatments

My daughter has been on dialysis for nearly 17 years with several different complications. She is 35. We never thought she could get pregnant. That seems the possibility now. I can’t find any data on that for her time in ESRD. I’m in shock. What are her chances of survival? The baby’s?

The chances of successful pregnancy for a patient on chronic hemodialysis treatments is very poor.  Successful pregnancy has been reported but dialysis treatments must be increased.  Dialysis treatment times may have to be increased to more the 30 hours per … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Dialysis, Kidney-Related Health Questions, Nephrologist, Pregnancy / Kids, Symptoms and Side Effects, Treatments

Hi Doctor, My partner was diagnosed 5 years ago, at the age of 26, with a rare Kidney disease called mesangial capillary glomerulonephritis. He has been on steroid treatment and also cholesterol, blood pressure and other pills. He has suffered with many side effects including depression, mood swings, frequency of urination, dizziness, blurred vision and most recently the beginnings of osteoporosis. I have heard of Chinese Medicine Osmotherapy and read about some studies on www.ncbi.nlm.nih.gov and it seems very effective in treating patients with IgA nephropathy. I was wondering if you think this might work for my partner too? and whether it could be used in conjunction with his current medications? My second question is how likely do you think it would be for us to pass this disease down to a child? Thank you for any help you might give us… I worry about our future family and hope that someone will find a cure soon.

Mesangiocapillary glomerulonephritis (MCGN) is an uncommon kidney disease.  There are many different forms of MCGN that have been described.  Chinese medical osmotherapy is of no benefit in any kidney disease that I am aware. I cannot comment on whether you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Glomerulonephritis, Hypertension/High Blood Pressure, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Nephrologist, Pregnancy / Kids, Symptoms and Side Effects, Treatments

Hello sir. I am from India. I am kidney transplant patient 3.5 yrs completed. But my pressure is always high like 150/100. I am taking antihypertensive medicine from beginning after transplant. Creatinine is 1.5. Can I marry now? and can after marriage can take issue?

Kidney transplant patients may be married at any time and have children.  As your transplanted kidney appears to be stable for more than 3 years, it should be safe to consider having children.  It is necessary that you discuss marriage … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Pregnancy / Kids, Transplantation

Is rituximab safe to treat Nephrotic syndrome in a 12 year old

I am an adult nephrologist and have never used Rituximab (Rituxan) in children.  I suggest that you consult with a pediatric nephrologist. For more information on Children’s health click here:

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Pregnancy / Kids, Treatments

Hello, My 9 year old son recently had an renal ultrasound to look for kidney stones, etc. We don’t follow up with the nephrologist for over a month, and I’m curious about ultrasound report. The nurse told me on the phone that he didn’t have kidney stones, and this is what the report actually says: 1. Mild right pelviectasis in the prone position only (7 mm). 2. Otherwise normal sonographic appearance of the kidneys. No definite calcifications are seen. In the prone position only, there is mild right pelviectasis (SFU grade 1 bordering on 2) with AP diameter of the pelvis measuring 7 mm. I assume the pelviectasis isn’t serious since the nurse didn’t bring it up on the phone, but never having heard the term before, I tried to research it. The only references I can find refer to fetal pelviectasis, and I can’t find anything about this condition in a 9 year old child. I’m also curious about it only being seen in the prone position. Does this point to the possibility of some sort of blockage, or is it likely just a physiological finding? Is it unusual in a child his age?

Pelviectasis (also called pelvocaliectasis) merely means a separation of the collecting system or pelvis of the kidney detected by the ultrasound device.  It does not suggest any disease, unless there are symptoms or signs of blockage and none are described. … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Pediatric Issues, Pregnancy / Kids

My son is 2.5 years old and we are in Romania. I am American and my husband is British. My son is being treated here for Nephrotic Syndrome but we would like to take him to England or America for further treatment. Do you have advice about traveling by plane. Perhaps you need to know more about his condition but if you have general advice it would still be helpful.

Traveling by airplane should not pose a risk to anyone with nephrotic syndrome.  The long travel time in an airplane with inactivity could result in blood clots in the legs.  Forming blood clots in the legs of patients with chronic … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Nephrotic Syndrome, Pediatric Issues