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Child having Hematuria - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3394 Questions
User :   my five year old daughter has had dark urine brown to red (more red when sick with flu and colds) since she was 2. sometimes it's foamy and foul smelling. The dark urine is constant now -- we've been to urol/nephr found she had urinary reflux low grade and left it as that being the problem. Only now we find she has blood with no infection so not due to reflux. Now they're running other blood tests, but, it's been going on so long I don't know what to do. She's adopted and has kidney issues on both sides of family. Birth mother always had high protein in urine. My daughter get swelling of the lips (they actually blister, peel and sometimes bleed because of this), irritable beyond normal, very tired at times, stomach aches alot, sometimes doesn't have a bowel movement for several days, sometimes her eyes seem sunken in or swollen, scabby itchy sores on scalp, sometimes her body itches, sometimes back pain, she has strabismus, she's very sensitive to sound sometimes it's really bad, she has a slow reaction to pain--i think thats about everything. Please help.
Doctor :   Let me read your query for few minutes to be able to have a good discussion here
Doctor :   ok, How is the mental built up of the child ?
User :   Perfectly normal happy five year old
Doctor :   ok, Have you got her urine routine done , if so can you read me the report?
User :   yes, she's had uti in past but not for 2 years. now blood with no infection
Doctor :   Is the red color of the urine due to blood alone ?
Doctor :   i mean macrohematuria ?
User :   yes, as far as i know. they called it hematuria
Doctor :   ok, Did she ever had loose stools, vomiting during the disease process ?
User :   no
Doctor :   You have mentioned hearing is low, please redefine ?
User :   no--hypersensitive hearing
Doctor :   IS her vision normal ?
User :   like i said she has strabismus and also farsightedness
Doctor :   ok, after all the history i could sum up and come to two possible diagnosis
Doctor :   one would be Renal tubular necrosis and the other glomerulonephritis
Doctor :   both of which can be confirmed by getting a renal biopsy done
User :   glomerulonephritis was something mentioned to us. Okay, is there anything else we should look into as well?
Doctor :   yes, if you could collect some more information into the kidney disease she had in her family it would provide a detailed insight into the problem
Doctor :   and would help to rule out hereditary kidney diseases
User :   we have all the birth mothers paperwork from her doctor for the last 18 years. Is there a reason that wouldn't have been recommended yet? Also, are there any specific blood tests that should also be done?
Doctor :   Renal biopsy will be a start test... it will give an idea as to which blood test are to be done next
Doctor :   i was searching a better one for your child amongst our specialist panel
Doctor :   i am sorry i failed to mention it, and made you wait
Doctor :   here it is
Doctor :   i will recommend you to a specialist , a green pop up will appear at the right of your chat window
Doctor :   ok, i get it
User :   but, if that would be beneficial I will try that too.
Doctor :   but our specialists will give you a more detailed experienced look on the case
User :   great thank you
Doctor :   you can mail them the query and they will answer to it within 24 hours
Doctor :   Is there anything i can help you with ?
Doctor :   you can follow the link
Doctor :   and anyway i will request my CRM team to guide you as wel
User :   okay good bye
Doctor :   Bye
Doctor :   Thanks for consulting me
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