Category Archives: Pediatric Issues

My 2 Year old Nephew has some problem in his left kidney. Please suggest on what kind of medication or operation can help for this. Mentioning the result of the latest diagnosis done: Left Kidney: appears bulky. It shows normal in size, shape and outline. It shows slightly faint contrast opacification and s/o persistent dense nephrogram in delayed image. Pelvicalyceal system is overfilled with clubbing of calyces. Left renal pelvis is dilated. Left Ureter is not well seen even on delayed scans. Delayed films after lasix IV injection shows washout of contrast post lasix 15 minutes image. IMPRESSION: Hydronephrosis Left Kidney with Dilated Pelvis With Persistent Dense Nephrogram with Washout of Contrast After Lasix S/O PUJ Obstruction(Partial) Normal Right Kidney and Urinary Bladder.

The problem that you describe is a urological problem. This should be evaluated by a urologist and preferably a pediatric urologist. I am a nephrologist and have no expertise in the evaluation and treatment of ureteropelvic junction obstruction (UPJ obstruction). … Continue reading

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

My son is nine years old. His creatinine is 0.42, his Bun is 55 and his serum urea is 117. Is there any risk for his life? He is a CP child. Please advise.

I am not able to make a specific diagnosis based on the information that you provide. I suggest that you discuss these results with your son’s pediatrician. I am unable to interpret these laboratory results without performing a complete history … Continue reading

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

Hi Sir, My son at age 2.8 year, before a week did sonography. They got to know, left kidney larger than right kidney. Left kidney size (92 MM) & Right kidney size (72 MM) and when born his left portion big as compare right side. Please give any suggestion, is there any future problem will face ? Any treatment require?

I am an adult nephrologist and do not see children or infants. I suggest that you consult with your pediatrician and ask for an interpretation of the ultrasound.  In most individuals, the right kidney is slightly larger than the left. … Continue reading

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

My daugther has had lower left back pain for a month now. She’s had numerous urine and blood tests. She had a renal ultrasound that showed mild pelviclitsis in both kidneys. She’s having off and on pain that goes from her lower back to side with a low grade fever. She’s had blood in her urine via urine tests and urinalysis. We’ve seen a urologist and nephrologist- none of them are taking this seriously. Her pediatrician has now ordered an MRI to rule out a mass. Wouldn’t the renal ultrasound shown a mass or any type of cyst? My daughter has numerous food intolerances – could this have played a role in it? She’s had the mild pelviclisis since September 2017, but just started to have symptoms for the last month.

I am not familiar with the term “pelviclitsis.”  I am also not familiar with “pelviclisis.”  These are not standard medical terms.  I am not aware of any food intolerances associated with kidney disease.  The ultrasound examination should show any masses … Continue reading

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

My son is 13 years old and he just hit the puberty! I see his urine is bubbly and the upper part of his eyes are slightly swollen in mornings. But gradually they come to normal. I checked him with the doctor and the doctor did a small urine analysis. It was absolutely normal. I even checked his blood pressure too, and it’s normal. He doesn’t have any symptoms of fatigue, nausea or swelling in any other parts of his body.  My two siblings are the victims of CKD, so I’m always worried about my kids. Please tell me what would be the cause of swollen eyes in the morning for my son. 

I am unable to make a specific diagnosis based on the information that you present.  Swollen tissues around the eyes have a number of causes including allergies, sinusitis, eye disease, and many other problems.  I suggest that you consult with … Continue reading

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

My son (8 yr old) has CKD (stage 1), and bilateral vesicorectal reflux and a weak bladder; diagnosed at 6 months old. (He also has ADHD but that’s not really related to this but wanted to add that in there). What I am trying to search for info on is that I have an opportunity to move to Denver CO. Currently live in Charlotte NC. I worry about the altitude change and affects it may have on my son. I want to make the best decision on moving or not if there’s any negative affects for my son then of course the move would be negated. 

Altitude should not have any effects on your son’s kidney or bladder function.  I do not think should be a factor in your decision.

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

My son is 13. He is on blood pressure medications for a week now. His blood pressure is over 130. What should his blood pressure be while his nephrotic syndrome is active?

This question must be answered by your son’s pediatric nephrologist.  I am an adult nephrologist and do not regularly treat children with nephrotic syndrome.  You son’s pediatric nephrologist should be able to provide proper parameters for control of your son’s … Continue reading

Posted in Ask the Doctor, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrotic Syndrome, Pediatric Issues

My grandson, age 2, has CKD stage 3 after having 3 viruses with multiple organ failure at 7 weeks of age. Are there any suggestions regarding food or treatment to preserve the function he has? We are told he will eventually need a transplant.

For children, a healthy diet is most important.  I would not usually recommend any restrictions in a diet for a child with Stage 3 chronic kidney disease (CKD).  His pediatrician is the best person to consult in regards to treatment … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Pediatric Issues

My son was diagnosed with pre-natal bilateral hydronephrosis. After his birth, had bilateral pyeloplasty for PUJO obstruction within 3 months. There are never an UTI after both pyeloplasties. After 1.5 yrs , grade 4 and 5 reflux (VUR) was identified in both kidneys. However no UTI since then. Currently his serum creatinine is 0.7 mg/dl and eGFR of 63 mL/min/1.73 as per Schwartz Formula. His height is 105 CM. Can his condition considered stage 2 mild CKD ? If it possible to improve the GFR from current level to Stage 1? 

I am an adult nephrologist and have no expertise in children.  The problem that you describe is a urological problem.  It is best to discuss your concerns with a pediatric nephrologist or a pediatric urologist.

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

K/C/O right ectopic ureter S/P right open ureteric reimplantation was done to my daughter at 4 months of age (April 2016). MCU done on Jan 2018 shows right grade V vesicoureteric reflux. Is it common to get a grade V reflux for the surgical procedure stated above. After 1 year of her operation her DTPA suggested both kidneys were functioning normally. But now MCU shows grade V reflux. What should we do next. They have advised to do DMSA test. Doctor, please advise what to do next.

The problem that you describe is a urological problem. I am a nephrologist and have no surgical expertise.  You should address your question to a urologist. Since your daughter is very young, you may need to ask this question of … Continue reading

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