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What Causes Fluid Around The Kidney?

Posted on Fri, 4 Jul 2014

Question: What does it mean when a 2 month old has fluid around her kidneys, originally at birth she just had it around 1 kidney, now she has it around both. Causes of this? Is there a treatment? What to look for that would indicate this condition is worsening?

Answered by Dr. Deepak Kishore Kaltari (2 hours later)

Brief Answer:
Get back with scan reports please

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the Day

Dear Ms,

Fluid around he kidney is perinephric collection. In a female child its likely to be due to Vesico-ureteric Reflux(reflux of urine back into the ureter from urinary bladder causing back pressure).
It would be very helpful if you could get back to me with following detailed reports

1. Was any antenatal scan done? did it reveal any abnormality in the kidney of fetus?
2. How was the mode of delivery? normal or caesarean section?
3. What was the report of ultrasound?
when was it done, how often was the follow up scans done? get back to me with all the reports
4. What are the symptoms the baby is having

Kindly get back to me with the details

Take Care

Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Pediatric Surgeon

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

Follow up: Dr. Deepak Kishore Kaltari (11 hours later)

There were scans done throughout the pregnancy which detected the fluid around the kidney. I do not know the scan results other then what I've told you. It was a vaginal delivery and the baby has no symptoms. What symptoms should we look for? She will be seeing a nephrologist in the next month. The mother was taking the drug suboxone during the pregnancy. To my knowledge the scan only showed the fluid, no abnormalities of the kidneys. I just need to know what to look for and if this is a treatable condition, complications that may arise from this. I'm her grandmother

Answered by Dr. Deepak Kishore Kaltari (15 minutes later)

Brief Answer:
Explained below

Detailed Answer:
Hi
Greetings
Dear Madam,
Going by your description alone, it appears to be Peri Nephric collection.
I would suggest you to look for the following pints while consulting nephrologist

ULTRASOUND INDICES
1. Degree of Hydronephrosis if present: Hydronephrosis is enlargement of Pelvis and calyces of kidney
2. Measurement of Pelvis Antero-posterior diameter on Ultrasound
3. Renal Cortico-medullary differentiation
4. Presence of Hydro-UReter that is dilatation of Ureter
5. Bladder thickening
6. To rule out Polcystic kidney

BIOCHEMICAL INDICES

1.Serum Creatinine level
2. Blood Urea Nitrogen (BUN)
3. Serum Electrolytes

If the baby is passing urine normally, gaining weight adequately, absence of fever then there is no urgency or threat.
Further decision and management will depend on exact Ultrasound report

Discuss it with Physician. You can keep me informed about developments.

Take Care

Regards
Dr Deepak

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. Raju A.T