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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hydronephrosis In Infant

Hello Dr .my 9months old baby Boy has moderate left sided hydronephrosis .(1.3cm) we did dtpa scan at the age of 3 month .recently he had two episodes of severe loose stool , one was antamoeba histolitica infection and had treated with antibiotic .now the urine cultures shown that plenty of ecoli . dr my doubts is that for hydronephosis,what all are the follow up tests we need to do ..how can we avoid utis
Mon, 14 Sep 2015
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Urologist,  's  Response
Hello
Thanks for query .
The hydronephrosis on left side that your son has is likely due to one of the following two conditions
1) Congenital Primary Vesico Ureteral Reflux .
2) Congenital PUJ .(Pelvi Ureteric Junction).obstruction.

Normally it gets resolved within 2-3 years as the child grows .

The only confirmative test is to do Intra Venous Pyelography and Micturating Cysto Urothrogram .

You need to give him small doses of prophylactic antibiotics like Nitrofurantoin as per advise of Pediatrician for a period of 3 years ..

Get his urine test (Routine )done at frequent intervals of every three months.

Dr.Patil. .
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Suggest Treatment For Hydronephrosis In Infant

Hello Thanks for query . The hydronephrosis on left side that your son has is likely due to one of the following two conditions 1) Congenital Primary Vesico Ureteral Reflux . 2) Congenital PUJ .(Pelvi Ureteric Junction).obstruction. Normally it gets resolved within 2-3 years as the child grows . The only confirmative test is to do Intra Venous Pyelography and Micturating Cysto Urothrogram . You need to give him small doses of prophylactic antibiotics like Nitrofurantoin as per advise of Pediatrician for a period of 3 years .. Get his urine test (Routine )done at frequent intervals of every three months. Dr.Patil. .