Category Archives: Pediatric Issues

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

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

Hi my daughter is 3 she has had kidney hydrophonosis in her left kidney since I was 24 weeks pregnant. It was diagnosed as a common problem and she was put on trimethoprim from the day of birth. I was told every appointment it would go away; as she grew it never did. 4 weeks ago the consultant said to take her off her long term medication because the kidney swelling has been static for most of the 3 years and she has never had a urinary issue ever. When she came off she developed her first kidney infection 2 weeks after being taken off the antibiotics, this was her first ever urinary issue. She was put on co-amoxiclov for 3 days which clears it up within 3 days. She had another infection. She was then put on trimethoprim a higher dose for 3 days which hasn’t cleared the infection. She is in pain and has the doctors again tomorrow. Her urine has been consistently full of blood, protein, nitrates and leukocytes. I have been updating the consultant on how she is doing and that she is now suffering from repeated infections to which he states she needs consecutive infection to move onto any other plan of action. He will give me no answer as to when I have to let this continue to, she is ill and they won’t listen to me. Could you please give me an idea of what to do from here? And what might need to be done now? I’m so, so sorry this is so long but it’s so hard to watch her like this and have no help. Thank you.

I am an adult nephrologist and I have no expertise in the treatment of childhood urological illnesses. The problem that you describe is a urological disease and must be evaluated and treated by a urologist. I recommend that you consult … Continue reading

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

My daughter was born with two kidneys, but lost one after birth. She is very healthy as far as we know with the one kidney life style she is leading. We go see her kidney doctor every year. My concern is that all he wants to check is her blood pressure. He doesn’t ever take a urine sample or a blood test. I was just wondering why? Thank you.

Both I and the National Kidney Foundation would recommend that blood and urine testing for kidney disease to be done annually in anyone at risk for chronic kidney disease (CKD).  If your daughter is still a child, and she has … Continue reading

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

My son, who is 4, has been told that his right kidney had shrunk since last Friday. What could be the cause of that?

I do not believe that a kidney can shrink in a very short time. I am an adult nephrologist and do not see children. In most cases, I would guess that a small kidney in a 4 year old would … Continue reading

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

Hello Dr. Spry, my 5 yo daughter has mild hydronephrosis (right kidney) and vomiting episodes where she quickly becomes acidotic. Her urologist ordered a Mag3 test to be completed soon to find out more. The urologist as well as the hematologist weren’t sure if the hydronephrosis could be contributing to my daughter’s unexplained ongoing normochromic/normocytic anemia, so I wanted to reach out to get your thoughts to see if the two could be possibly connected. Her erythropoietin level was at 8 which was lower than expected for a hemoglobin of 9. Thanks.

I do not know of any association between blockage of the kidney (hydronephrosis) and anemia. If the kidney damage was present in both kidneys and there was associated kidney failure, then anemia related to kidney failure could be present. The … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney Failure, Kidney-Related Health Questions, Pediatric Issues

Dear Dr, my 6 year old daughter has constant nose bleeds and swelling near the ankles. I took her to the Pediatrician and he sent for some lab work. Her BUN/CREAT ratio is 60. Is this high level common? He cannot see her until a few days. Thanks.

The Blood Urea Nitrogen to creatinine ratio (BUN/CREAT ratio) is not commonly used to estimate kidney function. An elevated ratio can suggest dehydration. An elevated BUN/CREAT ratio can also suggest that there is bleeding that is occurring and getting into … Continue reading

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

Dear Sir, My 3 year old son suffered from hydronephrosis. Date of Birth 25 Jan 2015. KIdney [RT 49*25mm LT 62*29mm]. He has suffered in a month 2-3 times.

I am an adult nephrologist and do not see children. I suggest that you consult with a pediatric urologist. A urologist deals with hydronephrosis in children.

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

My 7-year-old daughter had bloodwork done to try to understand why she has constant stomachaches. A CBC was done and her BUN level came back slightly elevated at 19 (ref. range 5-18 mg/dL) but her BUN/creatinine level is significantly elevated (in my opinion) at 63 (ref. range 13-32). All other parameters tested are within normal ranges. Should I be concerned and what further steps would you recommend?

The Blood Urea Nitrogen (BUN) test could be elevated because of dehydration in someone who has a stomach ache.  I do not have much confidence in the BUN to creatinine ratio.  I do not find it a helpful test.  I … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Pediatric Issues, Symptoms and Side Effects