Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Hello. My 5 Year Old Son Has Been Suffering From
Question: Hello. My 5 year old son has been suffering from severe bloating, fullness, loss of appetite etc. He was diagnosed w/ Hashimotos a couple months ago and recently started levothyroxine. He has been tested for other AI diseases and has had bloodwork multiple times that comes back normal. I’ve been really concerned about his symptoms so His doctor ordered an abdominal ultrasound that showed mild fullness in left renal pelvis. I have attached his report below.
-What does this mean?
-How concerned should I be?
-Does this resolve on its own or is medication needed?
-How should I proceed in following up on this?
-I also give him half a cap of miralax daily as per his gastroenterologist to help with his constipation. Could taking this daily possibly affect his kidneys? The bottle warns that people w/ kidney issues should not take it, so that’s why I ask.
Thank you.
ABDOMINAL ULTRASOUND
HISTORY: R14.0 Bloating R10.9 Unspecified abdominal pain
COMPARISON: There are no comparison studies available.
Multiple transverse and longitudinal sonographic images of the abdomen were
obtained.
LIVER: The liver is normal in size. The liver parenchyma is homogeneous. No
focal lesions are identified.
SPLEEN: 7.4 cm in length . There are no focal lesions.
GALLBLADDER: The gallbladder demonstrates no calculi, wall thickening, or
pericholecystic fluid.
BILE DUCTS: The common bile duct measures 2 mm. There is no intrahepatic ductal
dilatation.
PANCREAS: The pancreas demonstrates no focal or diffuse enlargement.
RIGHT KIDNEY: 7.3 cm in length. There is no hydronephrosis, contour deforming
renal mass, or calculus.
LEFT KIDNEY: 7.4 cm and length. There is no hydronephrosis, contour deforming
renal mass, or calculus. There is mild fullness of the renal pelvis.
AORTA AND INFERIOR VENA CAVA: Visualized portions are normal in caliber.
No ascites is noted.
IMPRESSION:
Mild fullness of the left renal pelvis.
Otherwise normal abdominal sonogram.
Signed by: XXXXXXX Badler DO
Signed Date: 2/24/2021 9:01 AM EST
-What does this mean?
-How concerned should I be?
-Does this resolve on its own or is medication needed?
-How should I proceed in following up on this?
-I also give him half a cap of miralax daily as per his gastroenterologist to help with his constipation. Could taking this daily possibly affect his kidneys? The bottle warns that people w/ kidney issues should not take it, so that’s why I ask.
Thank you.
ABDOMINAL ULTRASOUND
HISTORY: R14.0 Bloating R10.9 Unspecified abdominal pain
COMPARISON: There are no comparison studies available.
Multiple transverse and longitudinal sonographic images of the abdomen were
obtained.
LIVER: The liver is normal in size. The liver parenchyma is homogeneous. No
focal lesions are identified.
SPLEEN: 7.4 cm in length . There are no focal lesions.
GALLBLADDER: The gallbladder demonstrates no calculi, wall thickening, or
pericholecystic fluid.
BILE DUCTS: The common bile duct measures 2 mm. There is no intrahepatic ductal
dilatation.
PANCREAS: The pancreas demonstrates no focal or diffuse enlargement.
RIGHT KIDNEY: 7.3 cm in length. There is no hydronephrosis, contour deforming
renal mass, or calculus.
LEFT KIDNEY: 7.4 cm and length. There is no hydronephrosis, contour deforming
renal mass, or calculus. There is mild fullness of the renal pelvis.
AORTA AND INFERIOR VENA CAVA: Visualized portions are normal in caliber.
No ascites is noted.
IMPRESSION:
Mild fullness of the left renal pelvis.
Otherwise normal abdominal sonogram.
Signed by: XXXXXXX Badler DO
Signed Date: 2/24/2021 9:01 AM EST
Hello. My 5 year old son has been suffering from severe bloating, fullness, loss of appetite etc. He was diagnosed w/ Hashimotos a couple months ago and recently started levothyroxine. He has been tested for other AI diseases and has had bloodwork multiple times that comes back normal. I’ve been really concerned about his symptoms so His doctor ordered an abdominal ultrasound that showed mild fullness in left renal pelvis. I have attached his report below.
-What does this mean?
-How concerned should I be?
-Does this resolve on its own or is medication needed?
-How should I proceed in following up on this?
-I also give him half a cap of miralax daily as per his gastroenterologist to help with his constipation. Could taking this daily possibly affect his kidneys? The bottle warns that people w/ kidney issues should not take it, so that’s why I ask.
Thank you.
ABDOMINAL ULTRASOUND
HISTORY: R14.0 Bloating R10.9 Unspecified abdominal pain
COMPARISON: There are no comparison studies available.
Multiple transverse and longitudinal sonographic images of the abdomen were
obtained.
LIVER: The liver is normal in size. The liver parenchyma is homogeneous. No
focal lesions are identified.
SPLEEN: 7.4 cm in length . There are no focal lesions.
GALLBLADDER: The gallbladder demonstrates no calculi, wall thickening, or
pericholecystic fluid.
BILE DUCTS: The common bile duct measures 2 mm. There is no intrahepatic ductal
dilatation.
PANCREAS: The pancreas demonstrates no focal or diffuse enlargement.
RIGHT KIDNEY: 7.3 cm in length. There is no hydronephrosis, contour deforming
renal mass, or calculus.
LEFT KIDNEY: 7.4 cm and length. There is no hydronephrosis, contour deforming
renal mass, or calculus. There is mild fullness of the renal pelvis.
AORTA AND INFERIOR VENA CAVA: Visualized portions are normal in caliber.
No ascites is noted.
IMPRESSION:
Mild fullness of the left renal pelvis.
Otherwise normal abdominal sonogram.
Signed by: XXXXXXX Badler DO
Signed Date: 2/24/2021 9:01 AM EST
-What does this mean?
-How concerned should I be?
-Does this resolve on its own or is medication needed?
-How should I proceed in following up on this?
-I also give him half a cap of miralax daily as per his gastroenterologist to help with his constipation. Could taking this daily possibly affect his kidneys? The bottle warns that people w/ kidney issues should not take it, so that’s why I ask.
Thank you.
ABDOMINAL ULTRASOUND
HISTORY: R14.0 Bloating R10.9 Unspecified abdominal pain
COMPARISON: There are no comparison studies available.
Multiple transverse and longitudinal sonographic images of the abdomen were
obtained.
LIVER: The liver is normal in size. The liver parenchyma is homogeneous. No
focal lesions are identified.
SPLEEN: 7.4 cm in length . There are no focal lesions.
GALLBLADDER: The gallbladder demonstrates no calculi, wall thickening, or
pericholecystic fluid.
BILE DUCTS: The common bile duct measures 2 mm. There is no intrahepatic ductal
dilatation.
PANCREAS: The pancreas demonstrates no focal or diffuse enlargement.
RIGHT KIDNEY: 7.3 cm in length. There is no hydronephrosis, contour deforming
renal mass, or calculus.
LEFT KIDNEY: 7.4 cm and length. There is no hydronephrosis, contour deforming
renal mass, or calculus. There is mild fullness of the renal pelvis.
AORTA AND INFERIOR VENA CAVA: Visualized portions are normal in caliber.
No ascites is noted.
IMPRESSION:
Mild fullness of the left renal pelvis.
Otherwise normal abdominal sonogram.
Signed by: XXXXXXX Badler DO
Signed Date: 2/24/2021 9:01 AM EST
Brief Answer:
Further studies are needed
Detailed Answer:
Hi Josorio90,
I am sorry to hear about your son's troubles. Altogether, the ultrasound is normal and the fullnes of the renal pelvis sounds like an incidental finding. To me, your son's symptoms sounds like a type of malabsorption, e.g. celiac disease or lactose intolerance. I suggest your son is referred to a pediatric gastroenterologist for further exam, e.g. blood tests and possibly an esophago-gastro-duodenoscopy (EGD) in general anesthesia.
Hope this helps. Please let me know if you have further questions.
Further studies are needed
Detailed Answer:
Hi Josorio90,
I am sorry to hear about your son's troubles. Altogether, the ultrasound is normal and the fullnes of the renal pelvis sounds like an incidental finding. To me, your son's symptoms sounds like a type of malabsorption, e.g. celiac disease or lactose intolerance. I suggest your son is referred to a pediatric gastroenterologist for further exam, e.g. blood tests and possibly an esophago-gastro-duodenoscopy (EGD) in general anesthesia.
Hope this helps. Please let me know if you have further questions.
Above answer was peer-reviewed by :
Dr. Dr. Prasad
Brief Answer:
Further studies are needed
Detailed Answer:
Hi Josorio90,
I am sorry to hear about your son's troubles. Altogether, the ultrasound is normal and the fullnes of the renal pelvis sounds like an incidental finding. To me, your son's symptoms sounds like a type of malabsorption, e.g. celiac disease or lactose intolerance. I suggest your son is referred to a pediatric gastroenterologist for further exam, e.g. blood tests and possibly an esophago-gastro-duodenoscopy (EGD) in general anesthesia.
Hope this helps. Please let me know if you have further questions.
Further studies are needed
Detailed Answer:
Hi Josorio90,
I am sorry to hear about your son's troubles. Altogether, the ultrasound is normal and the fullnes of the renal pelvis sounds like an incidental finding. To me, your son's symptoms sounds like a type of malabsorption, e.g. celiac disease or lactose intolerance. I suggest your son is referred to a pediatric gastroenterologist for further exam, e.g. blood tests and possibly an esophago-gastro-duodenoscopy (EGD) in general anesthesia.
Hope this helps. Please let me know if you have further questions.
Above answer was peer-reviewed by :
Dr. Dr. Prasad
Thank you for your response. My son's gastroenterologist was the one that ordered this ultrasound. He tested negative for celiac disease. His vitamin levels are also ok and i am very on top of giving him his vitamin supplements. He is also scheduled for a lactose breath test in a couple of weeks.
-Is there a specific test for malabsorption or would it show up as vitamin deficiencies?
-Regarding the renal pelvis fullness, is there any symptoms i should look out for with him?
-If the fullness stays the same or gets fuller, what are some possible causes?
-If his lactose breath test comes back normal, should push for him to have an EGD? as his severe bloating has continued.
Thank you.
-Is there a specific test for malabsorption or would it show up as vitamin deficiencies?
-Regarding the renal pelvis fullness, is there any symptoms i should look out for with him?
-If the fullness stays the same or gets fuller, what are some possible causes?
-If his lactose breath test comes back normal, should push for him to have an EGD? as his severe bloating has continued.
Thank you.
Thank you for your response. My son's gastroenterologist was the one that ordered this ultrasound. He tested negative for celiac disease. His vitamin levels are also ok and i am very on top of giving him his vitamin supplements. He is also scheduled for a lactose breath test in a couple of weeks.
-Is there a specific test for malabsorption or would it show up as vitamin deficiencies?
-Regarding the renal pelvis fullness, is there any symptoms i should look out for with him?
-If the fullness stays the same or gets fuller, what are some possible causes?
-If his lactose breath test comes back normal, should push for him to have an EGD? as his severe bloating has continued.
Thank you.
-Is there a specific test for malabsorption or would it show up as vitamin deficiencies?
-Regarding the renal pelvis fullness, is there any symptoms i should look out for with him?
-If the fullness stays the same or gets fuller, what are some possible causes?
-If his lactose breath test comes back normal, should push for him to have an EGD? as his severe bloating has continued.
Thank you.
Brief Answer:
See below
Detailed Answer:
Hi again,
If the lactose test comes back negative, he should an EGD with duodenal biopsies. The fullness could apply be checked by ultrasound in a few month's time to make sure it doesn't get worse. There are typically no associated symptoms, although worsening nausea or flank pain could ensue. It could be a normal anatomic variation in his ureter or s congenital malformation.
Hope this helps. Feel free to contact me again if you have any questions.
See below
Detailed Answer:
Hi again,
If the lactose test comes back negative, he should an EGD with duodenal biopsies. The fullness could apply be checked by ultrasound in a few month's time to make sure it doesn't get worse. There are typically no associated symptoms, although worsening nausea or flank pain could ensue. It could be a normal anatomic variation in his ureter or s congenital malformation.
Hope this helps. Feel free to contact me again if you have any questions.
Above answer was peer-reviewed by :
Dr. Dr. Prasad
Brief Answer:
See below
Detailed Answer:
Hi again,
If the lactose test comes back negative, he should an EGD with duodenal biopsies. The fullness could apply be checked by ultrasound in a few month's time to make sure it doesn't get worse. There are typically no associated symptoms, although worsening nausea or flank pain could ensue. It could be a normal anatomic variation in his ureter or s congenital malformation.
Hope this helps. Feel free to contact me again if you have any questions.
See below
Detailed Answer:
Hi again,
If the lactose test comes back negative, he should an EGD with duodenal biopsies. The fullness could apply be checked by ultrasound in a few month's time to make sure it doesn't get worse. There are typically no associated symptoms, although worsening nausea or flank pain could ensue. It could be a normal anatomic variation in his ureter or s congenital malformation.
Hope this helps. Feel free to contact me again if you have any questions.
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
