Category Archives: Pediatric Issues

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

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

My 26 day old baby have left kidney critical thickness is 3 mm?

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.

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

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.

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

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

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

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

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Pediatric Issues, 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 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

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