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Category Archives: Pregnancy / Kids
My child, 3 yr old boy, is loosing protein for last 10 days. Dipstick test 1+ proteinuria. Protein creatinine ratio is 4.25. Serum albumin 2.3 g/dl. Cholesterol 250mg/dl. No edema at present. What to do next?
Further testing is needed to determine the cause of the protein loss into the urine. I suggest that you consult with your physician and see if referral to a pediatric nephrologist is possible. In some cases, treatment may be needed … Continue reading →
I am an adult nephrologist and do not have any experience with newborns, infants or young children. I am not able to provide a diagnosis and suggest that this be evaluated by a pediatrician or a pediatric nephrologist.
My son Nahiyan, age 4 years. He is suffering kidney disease since 2 month, his renal biopsy report is compatible with mesangial proliferative glomerulonephritis. KUB is relatively larger swollen & mildly ecogenic kidneys. RBC 40-50/HPF, Albumin (++), S.Creatinine 0.55 mg/dl, S.Albumin 2.6 g/dl, ANA (-), HBsAg (-), IgE 227.7 IU/dl, IgA 2.45 g/l, Cholesterol 306.0 mg/dl, ESR 60 mm at end 1st hour, Blood group (o+). What kind of treatment is needed for his proper treatment? Please sir, kindly advise.
I am an adult nephrologist and do not see children. I recommend that you consult with a pediatric nephrologist. Treatment of children is often very much different from adult treatment.
Good day… I have a question about my daughter she is 7 years old. She was confined in the hospital last September because she was diagnosed with acute glomerulonephritis. What does acute glomerulonephritis mean?
Glomerulonephritis is inflammation of the filters of the kidney known as glomeruli. The inflammation may destroy the little filters and this will cause a reduction in kidney function. It is common for glomerulonephritis to cause blood and protein to spill … Continue reading →
I was born with only one kidney. Doctors told my parents if I wanted a kid, I would have to adopt because I would likely die. Is this true? I don’t want kids, but just want to know how seriously I need to avoid getting pregnant, because countless people have told me this is untrue, although none were doctors.
Ladies with a single kidney can have children as long as their current kidney function testing is normal. It is not uncommon for someone to be born with a single kidney. In most situations, the remaining kidney functions normally and … Continue reading →
I have a 4 year old daughter that was diagnosed with HSP. She is starting to have elevated blood pressure 115/90 as well as blood and protein in her urine. They did a renal panel on her and it came back the her phosphorus level is 6.1 . I guess my question is are her kidneys going bad? Will she need to start seeing a kidney specialist? Will she have to get a kidney biopsy?
Henoch Schoenlein Purpura (HSP) is a type of blood vessel inflammation (vasculitis) that can be seen at any age, but is commonly a short-lived disease in children and resolves without much concern. It can cause severe abdominal pain, diarrhea, skin … Continue reading →
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 →
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 →
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.
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 →