Hi,I am Dr. Santosh Kondekar (Pediatrician). I will be looking into your question and guiding you through the process. Please write your question below.
Hi, my 8 year old daughter is a type 1 diabetic and also has Hashimoto s Thyroiditis. She recently had urine tests done that revealed protein levels above 730. She s been very moody, lethargic and her lymph nodes have been swollen to where you re able to see them poking out her neck. Her doctors are not telling me much just maybe a kidney issue. Please help. I pretty much diagnosed her with both conditions after several doctors visits and no results. I began googling her symptoms and ask for specific tests and viola. It makes me uncomfortable when they seem to be sure to even know where to start. What am I looking at here. Possibilities? What should I ask them to do next because it seems nothing is getting done without me asking for the tests.
Thu, 11 Dec 2014
General & Family Physician, Dr. Samarth 's Response
the child is having Type 1 DM, in such cases, child might be going into Diabetic Nephropathy where child's kidneys are going into failure. That is the reason for massive proteinuria. This might later lead to swelling of whole body and worsening of condition. Mood swings are due to hypothyroidism occuring due to Hashimoto's. your next step is to get a KFT done. take child's BP and start the child on tab Enalapril. Get a fundus examination routinely done and get and Ultrasound Doppler done for kidney blood flow.
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What Causes High Protein Levels In Urine?
the child is having Type 1 DM, in such cases, child might be going into Diabetic Nephropathy where child s kidneys are going into failure. That is the reason for massive proteinuria. This might later lead to swelling of whole body and worsening of condition. Mood swings are due to hypothyroidism occuring due to Hashimoto s. your next step is to get a KFT done. take child s BP and start the child on tab Enalapril. Get a fundus examination routinely done and get and Ultrasound Doppler done for kidney blood flow.