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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Diagnosed With Left Duplex Kidney. Had A Double Uretic Reimplant. Frequent Urinary Infections. Remedy?

Hi, I have a three year who has a left duplex kidney , she was diagnosed at about 13 months if age. She then had a double uretic reinplant, and has continued to have infections, she is currently in hospital on I V antibiotics , once again fever of 40.6, vomiting , lethargy, I m worried about her future and het kidney... What does this mean for her kidneys? Why does she continue to have uti s? Frustrated mum Nat;) Thanks!
Fri, 2 Aug 2013
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Nephrologist 's  Response
Abnormal urine drainge is a risk for urine infection. there are few things you can do -
1. Make her pass stools once daily. Kids with constipation have abnormal bladder function which predisposes to back flow of urine and urine infection.
2. Complete longer course of antibiotics [3-4 weeks] instead of 1-2 weeks of antibiotics.
3. Antibiotic prophylaxis for 3-6 months at bedtime after emptying bladder.
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Child Diagnosed With Left Duplex Kidney. Had A Double Uretic Reimplant. Frequent Urinary Infections. Remedy?

Abnormal urine drainge is a risk for urine infection. there are few things you can do - 1. Make her pass stools once daily. Kids with constipation have abnormal bladder function which predisposes to back flow of urine and urine infection. 2. Complete longer course of antibiotics [3-4 weeks] instead of 1-2 weeks of antibiotics. 3. Antibiotic prophylaxis for 3-6 months at bedtime after emptying bladder.