QuestionsCategory: QuestionsHYDRONEPHROSIS
APOLLO BISWAS Staff asked 3 years ago

My boy is 21 months old. He has been diagnosed with mild hydronephrosis at his left kidney PRENATALLY. The doctor said it will resolve automatically after his birth. We wait until his birth. Then we did USG 2 times but the problem persisted and did not resolved. We did not observe any abnormality while urinating in the mean time. He never had UTI. His birth weight 2.6kg. now it is 12kg. Last april when he was 19 month old we have visited calcutta. We consulted with Dr. Rajiv sinha (Peadiatric nephrologist). We said him in detail and he asked to perform a series of investigation to understand his condition. First of all an USG of KUB and Urine CS. The USG kub show hydronephrosis al left kidney with Pelvis diameter 18mm. The doctor said 18mm is significant so he need further evaluation. His Urine CS shows no infection. The third test we have done is MCUG. the report says 1. No vesico-ureteric reflux noted  2. significant post void residue. The doctor said it was not a problem. Then he asked to do renal EC scan. The report was 1. Split function 49.88(left) and 50.12(Right) kidney. 2. normal global renal function 3.Normally functioning non obstructed Left kidney with functional stasis at pelvis. 4. Normally functioning non obstructed Right kidney. taking all the report in consideration the doctor said, he was ok. and do not required further treatment right now. He instructed to do USG and URINE CS after 4 months. Now 1.5 months passed. My baby suddenly cried while urinating at yesterday morning. We became worried and have collected sample for analysis. today afternoon i noticed his body temperature was 99 degree Fahrenheit. we have given him a dose of Napa. We have consulted here with Dr. Jhulan Das Sharma (Ex. Head of Dept,CMC) at chittagong. He suggested to start antibiotic Cefixime DS. Just now we have received his URINE RE report in our hand where PUS cell was 40-50 HPF. which means significant amount of infection (UTI). Please note that he has constipation since last one month and stools was very hard. Is it the cause of his current UTI or else? Please help me to find out future course of action. I am very feeling very nervous right now. Regards Dr. Happy Biswas BCS Health(33rd BCS)

** Exclusively breastfeed your baby up to six months. **Continue breast feeding up to two years. ** Nothing is substitute for or equivalent or superior to breast milk. ** Feeding bottle is the source of infection, use cup and spoon. **Start weaning food at six months of age. ** Home made food is the best food for weaning. ** Vaccinate your child. ** During diarrhoea treat your baby with saline (ORS) and zinc in addition to breast milk. ** Do not restrict usual food during diarrhoea. ** Random use of antibiotics in diarrhoea is harmful. ** Do not receive treatment for your baby through telephone. ** Donate blood and save life of a child. ** Do not give your child junk food. ** Chocolate, icecream reduce your child's appetite. ** Give your child adequate protein diet during chicken pox. ** Do not restrict food during illness. ** Wash hands with soap before you touch your newborn. ** Do not kiss your newborn's face. ** Do not hug your baby immediately after coming from outside. ** Do not give your kids sharp and small toys.