Category Archives: Pregnancy / Kids

Hello. My now, 5 year old son, when I was pregnant, he had fluid on his kidneys and was born with hydronephrosis. He had his checkups every 6 months up until we moved to another country in 2016. He was doing OK. No problems up until 2 months ago, he had been complaining of back pain, so I took him to get a sonogram to check fluid and he had little, not as much as he had before, and he had blood and urine tests done. The tests came back that he had a kidney infection. He was put on antibiotics. After he finished his medicine, the pain continued so I took him to a kidney specialist and all he did was tell me to go get him a US renal sonogram and get his urine and blood work. So I took him to get the sonogram. Doctor said he had no fluid on either kidney. The right kidney was 86x33x37mm and 10.6mm, his left was 82x33x39mm and 13mm. Doctor said no fluid on his kidneys, which was a relief but she said his spleen was swollen. She told me a child his age should be 105mm but my son was 116mm and she told me to wait for his blood and urine test results to come back to see if it’s from an infection or if not, then it’s normal. I am still waiting on his results but my question is what should I do next? Who should I take him to next? Should I worry with us being in another country? The health care is not anywhere close to the United States and that has me worried. Do I take the results and sonogram information back to the kidney specialist or should I see someone else? Any and all help and information would be very much appreciated. If you need more information or any questions, please contact me.

I am an adult nephrologist and I have no expertise with children. I would offer two recommendations. In most cases, I would have your son evaluated first by a pediatrician, rather than going directly to a kidney specialist. A pediatrician … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Urological Issues

I have just found out today that my 14 year old son has a dilated renal pelvis and dilated ureter. The Mag-3 study suggests no VUR and it reads as if the kidney has cleared the isotope spontaneously but, says slow perfusion. The previous ultrasound only showed dilated distal ureter. Can you tell me how urgently I should expect to see a pediatric nephrologist? I am worried delay will cause more damage. His left kidney is already scarred and significantly impaired. I just don’t want to sit and wait weeks if its something requiring more urgent care. I hope you can provide some guidance.

The problem that you describe is a urological problem and must be addressed to a urologist. I am an adult nephrologist and I have no expertise in obstructive disease of the urinary tract and no expertise in the surgical management … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Pediatric Issues

What is meant by left kidney small in size measuring 1.6* 1 cm with few small cyst (4 in no) of size 2-4 mm for a 4 month old baby? Is it dangerous?

I am an adult nephrologist and I do not have expertise regarding infants and children. You should discuss this result with your pediatrician or a pediatric Urologist.

Posted in Ask the Doctor, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Pediatric Issues

Hello doctor. I had to terminate my 19 weeks fetus as he was having multicystic kidney dysplasia. The case happened in September 2018. I wanted to know will the problem repeat in my next pregnancies?

This is a difficult question to answer, because it depends on the degree to which a specific diagnosis was made. Multicystic Dysplastic Kidney Disease (MCDKD) is a complex disorder that can sometimes be confused with Autosomal Recessive Polycystic Kidney Disease … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Polycystic Kidney Disease, Pregnancy / Kids

Hello, doctor. I’m a mother with a 2 month old baby. I was diagnosed of IgA nephropathy since 2010. Will it still be okay to breastfeed my baby though I’m drinking prednisone and furosemide? I know it will affect my milk, and if so, will I ever breastfeed her again? Or once I stop my medications can my baby still drink my milk?

Prednisone should not pose any risk to your infant as long as you are not on high doses of prednisone. Furosemide is more of a problem. I suggest that you visit with your pediatrician about this and determine what is … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Function, Nephrologist, Pediatric Issues

Dr., A boy who is 12 years old has kidney issues. One kidney is removed about 2.5 years ago. Now the 2nd kidney has some blockage. The Doctor suggests that if we operate on blockage then he needs dialysis for a lifetime. We are in trouble. Can you suggest? Please, Dr. help us.

Blockage of the kidney is a urological problem and usually evaluated by a Urologist. I am a nephrologist and I have no surgical expertise. You should consult with a urologist about options that might be available for this young boy. … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Urological Issues

How serious for 37 weeks fetal gross hydronephrosis noted on right side? AP diameter of renal pelvis is about 24mm. Mild left hydronephroureter and left hypoplastic left lung.

I am an adult nephrologist and do not have any expertise in children or pre-natal diagnosis of kidney disease. This question should be addressed to a high risk obstetrician or a pediatric urologist.

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Nephrologist, Pregnancy / Kids

I am 6 months pregnant with severe hydronephrosis in right kidney, and mild in the left, bladder is emptying good, but the PAIN from the right side resembles a kidney stone. ( I’ve had one before). I’ve noticed with working (landscaping, hard manual labor) it seems to hurt worse. My legs and feet have begun to swell, which is causing my severe bunions to become excruciating. I have presented to the OB triage twice and both doctors that were on call have completely dismissed my pain. I want to request to be taken out of work due to this, but how, when I’m being brushed off as a whiny patient?

I have no expertise in obstetrics but the hydronephrosis can be seen in a normal pregnancy but it also could mean obstruction from kidney stones. Kidney stones are more common during pregnancy. I suggest that you consult with your obstetrician … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Pregnancy / Kids

A girl after pregnancy diagnosed with both kidney failure. Suggestion please?

It is certainly possible that someone could develop kidney failure after pregnancy. There are a number of kidney diseases that can complicate pregnancy including systemic lupus erythematosis, scleroderma, post partum kidney failure, and other forms of nephritis. In some cases, … Continue reading

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

My 3 year old daughter was diagnosed with extrarenal pelvis. She was seen in the ER in October for a severe UTI, since then she got UTI three more times! She had an ultrasound last week & that was how they discovered it. Her pediatrician said this isn’t a problem & won’t cause her to have more UTI’s? Should I take her to see a specialist? And will this affect her later on in life?

I am an adult nephrologist and do not see children. In this case, I suggest that your daughter see a pediatric urologist. It is true that an extra-renal pelvis does not typically cause any problems, however, if she is young … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Urological Issues