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Suggest Treatment For Moderate Right Hydronephrosis In Infant

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Posted on Tue, 31 Mar 2015
Question: Infant 8 months old is diagnosed with moderate right hydro nephrosis? PUJ obstruction.Attached here the report , kindly review and detailed reply that what needs to be done. Is the situation very serious?
doctor
Answered by Dr. Diptanshu Das (53 minutes later)
Brief Answer:
Visit a pediatric urologist and get the cause of obstruction evaluated.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through the attached report. As such, hydronephrosis is not a very serious condition. Rather the cause of hydronephrosis needs to be dealt with caution. An obstruction anywhere in between the kidney and the outlet through which the urine comes out, leads backpressure on the kidneys leading to hydronephrosis which in turn may lead to inability of the kidneys to do what it is supposed to do. So, unless the obstruction is removed, the situation may become critical indeed.

You need to visit a pediatric urologist and get the cause of obstruction evaluated and managed. A DMSA scan might be required. Proceed as per the guidelines of the urologist. After the obstruction is taken care of, you need not worry about the hydronephrosis that has already occurred.

Hope that helps.

Regards
Dr. Diptanshu Das
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Diptanshu Das (2 hours later)
DMSA Scan-Could you explain how this is will work? Like any other scan or different
doctor
Answered by Dr. Diptanshu Das (6 minutes later)
Brief Answer:
DMSA scan is a radioisotope scan specific for the renal system.

Detailed Answer:
I would request you not to get technical. First visit a urologist and let him assess whether it is required. It is a radioisotope scan. The kidney and the related structures take up the isotope and become radiologically distinct from the rest of the structures of the body. If there is any abnormality in the isotope uptake, problems are suspected.

Hope that helps.

In case you found my answer to be helpful, please close the thread with a positive review and a 5 star rating.

Regards
Dr. Diptanshu Das
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3877 Questions

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Suggest Treatment For Moderate Right Hydronephrosis In Infant

Brief Answer: Visit a pediatric urologist and get the cause of obstruction evaluated. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through the attached report. As such, hydronephrosis is not a very serious condition. Rather the cause of hydronephrosis needs to be dealt with caution. An obstruction anywhere in between the kidney and the outlet through which the urine comes out, leads backpressure on the kidneys leading to hydronephrosis which in turn may lead to inability of the kidneys to do what it is supposed to do. So, unless the obstruction is removed, the situation may become critical indeed. You need to visit a pediatric urologist and get the cause of obstruction evaluated and managed. A DMSA scan might be required. Proceed as per the guidelines of the urologist. After the obstruction is taken care of, you need not worry about the hydronephrosis that has already occurred. Hope that helps. Regards Dr. Diptanshu Das