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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurring Renal Pelvis Calculi In A Child

male kid of age 1.5 years having recurrent renal pelvis calculi associated with hearing impairment and autism and branchial fistulae in the neck , he already underwent surgery for stone removal in right kidney now he is having stone in left renal pelvis . want to know why he is having stone forming tendency and how can we find it out and what treatment available for that
Thu, 28 May 2020
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Pediatrician 's  Response
Hi,

Recurrent calculi may form either from an abnormal anatomy of the urinary tract, or due to abnormal handling of salts/electrolytes by the kidney. Since here it happened on both sides, the later cause is more likely.

In such cases, we need a basic metabolic workup including urine pH, urine calcium excretion, serum levels of calcium, phosphorus and arterial blood gas analysis.

Also, given the association of deafness, we have to rule out a condition called RTA(renal tubular acidosis). Kindly discuss with a pediatric nephrologist.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Muhammed Aslam TK
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Suggest Treatment For Recurring Renal Pelvis Calculi In A Child

Hi, Recurrent calculi may form either from an abnormal anatomy of the urinary tract, or due to abnormal handling of salts/electrolytes by the kidney. Since here it happened on both sides, the later cause is more likely. In such cases, we need a basic metabolic workup including urine pH, urine calcium excretion, serum levels of calcium, phosphorus and arterial blood gas analysis. Also, given the association of deafness, we have to rule out a condition called RTA(renal tubular acidosis). Kindly discuss with a pediatric nephrologist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Muhammed Aslam TK