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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Right Kidney In A Child

My son & daughter in law just had their 2nd baby a week ago & the baby was diagnosed with a swollen right kidney & he is being monitored by a kidney doctor . How does this happen & what are the risks for him ? Is this something that he may grow out of or is it more serious ? My son states they were told when the baby pees it backs up a little . How serious is this ? Future kidney infections etc? He is a week old today . My son said this was dx in utero.
Mon, 14 Sep 2015
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Urologist,  's  Response
Hello
Thanks for query .
Your one week old grandson has been diagnosed to have his one kidney enlarged which was detected in intrauterine life .

This could be either of the two reasons
1) The child has what is called as primary Vesico Ureteral Reflux (VUR) where urine goes backwards in ureter and kidney while the child passes urine
2) Congenital Pelvi Ureteric Junction obstruction .(PUJ obstruction ).

Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Ultrasound Scanning of abdomen
2) Micturating Cysto Urothrogram (MCU)
3) DMSA scan

VUR leads to repeated episodes of UTI hence child has to be under care of Pediatrician and has to be given prophylactic antibiotics for 3-4 years .
Dr.Patil.

.
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Suggest Treatment For Swollen Right Kidney In A Child

Hello Thanks for query . Your one week old grandson has been diagnosed to have his one kidney enlarged which was detected in intrauterine life . This could be either of the two reasons 1) The child has what is called as primary Vesico Ureteral Reflux (VUR) where urine goes backwards in ureter and kidney while the child passes urine 2) Congenital Pelvi Ureteric Junction obstruction .(PUJ obstruction ). Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Ultrasound Scanning of abdomen 2) Micturating Cysto Urothrogram (MCU) 3) DMSA scan VUR leads to repeated episodes of UTI hence child has to be under care of Pediatrician and has to be given prophylactic antibiotics for 3-4 years . Dr.Patil. .