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Infant With Bilateral Hydronephrosis. Frequent Urinary Infections. High Urea Levels In The Blood, High Blood Pressure. Suggestions?
Hi, my 15 month old son has bilateral hydronaphrosis. He has had 9 urine infections since birth. He has had autos blood tests. Some times his creatinine levels are raised. He also sometimes has high blood pressure and the latest blood test shows raised urea levels. Our dr said its because he is dehydrated but I find that hard to believe. What would you suggest?
Wed, 15 May 2013
Hi,
Thank you for your query on Healthcare Magic.
Bilateral hydronephrosis, repeated urinary tract infections, raising creatinine levels, and high blood pressures are all suggestive of progressing kidney disease and dysfunction.
The present kidney function should be assessed by nuclear kidney scan and if there is remaining function, the cause for hydronephrosis to be looked for.
As there is bilateral hydronephrosis in a male child I would like to rule out any bladder outlet obstruction and posterior urethral valves first.
Blood urea is elevated in dehydration and in kidney disease.
I advise you to consult pediatrician, nephrologist, and urologist for further management.
Hope I have answered your query.
Regards.
Thank you for your query on Healthcare Magic.
Bilateral hydronephrosis, repeated urinary tract infections, raising creatinine levels, and high blood pressures are all suggestive of progressing kidney disease and dysfunction.
The present kidney function should be assessed by nuclear kidney scan and if there is remaining function, the cause for hydronephrosis to be looked for.
As there is bilateral hydronephrosis in a male child I would like to rule out any bladder outlet obstruction and posterior urethral valves first.
Blood urea is elevated in dehydration and in kidney disease.
I advise you to consult pediatrician, nephrologist, and urologist for further management.
Hope I have answered your query.
Regards.
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