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Paediatric kidney ultrasound

22 replies

dinny · 01/02/2006 20:14

Has anybody any experience (Hunker....? Am sure your ds did?)
If so, did your dd/ds have further tests afterwards? ds having his next week/

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QE2 · 01/02/2006 20:19

Yes my dd did when she was 11 months old as she kept getting wee infections. It was my local hospital's policy at the time always to investigate uti's in under one's. They found one of her kidneys to be smaller than the other so did further testing......I think then she had a radioactive dye injected into her whilst she lay still under an imaging machine so they could see more detailed pics of what was going on.

Why is your little one having one?

Lonelymum · 01/02/2006 20:19

My ds3 had a paediatric ultraound on his kidneys, when he was mere weeks old. No abnormality was found. (He passed uric crystals in his nappy for quite a few months after birth). We then saw a paediatrician who made us feel very special because he said our case was so unusual, he had had to look it up in textbooks! Basically, they don't know what caused ds3 to pass these crystals, but he might be susceptible to kidney stones in later life.

Probably not much help to you. What are your ds's symptoms?

hunkermunker · 01/02/2006 20:22

Yes, Dinny, DS1 had one - an ultrasound and a DMSA examination.

He didn't have any further tests - his scans were both clear. Paed we saw said half the clinic were UTI examinations - they take them very seriously because if there is a problem it can be serious - BUT most of the time there's no problem at all, so please don't worry.

Will chat on MSN before the scan x x x x

LIZS · 01/02/2006 20:31

dd had similar to QE2 and Hunker's kids following a uti at 3 months, all in one appointment.

dinny · 01/02/2006 20:35

LM, you just jolted my memory - ds had these a couple of times after he was born (uric crystals) But mw said it was OK.

QE2 - he's having one as he had a UTI at the beginning of Dec. Am v pleased as his orig consultant is overseeing it all.

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dinny · 01/02/2006 20:36

our consltnt just doing the ultrasound for now and seeing what that reveals. does that suggest may not need the invasive one if nothing shows up (fingers crossed).

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dinny · 01/02/2006 20:40

hey, hi, Lizs, btw. dd started ballet classes at the H school in B. Loves them! Any news on the possible house purchase?

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LIZS · 01/02/2006 20:42

The dye test was to check for any reflux of urine into the kidney from the baldder, in case there was a physical problem underlying the uti. Basically they put dye in and waited for her to wee before taking pictures of the flow. She had that even though the ultrasound looked fine but don't know if it would be routine.

beetlejuice73 · 01/02/2006 20:42

DD has had 3 - one at birth, one at 4 months, after a kidney infection, and one at 1 year. Has also had the DMSA and retrograde cystography (the dye one).
Howled her head off for the first and third ultrasounds, but shut up the second it was over - she wasn't in pain at all. How old is your DS?
My DD has kidney reflux, but being managed with prophylactic antibiotics.

QE2 · 01/02/2006 20:43

dinny - how old is your ds?

Unfortunately it turns out that dd was born with a congenital abnormality - "duplex kidney and ectopic ureter." Instead of the ureter going from her kidney to her bladder, it split into two, part going to the bladder and part into her vaginal wall. Kidney function was also severely compromised on that side, she was always poorly and spent much of her first 3 years in and out of hospital.

She was finally examined under GA, they found the problem and within weeks had been booked in for an operation to remove more than half of the affected kidney and the defective ureter. Within 3 days she was back at playgroup! Instantly the dark shadows under her eyes disappeared, she was more alert and lively - the difference in her after the op was amazing.

LIZS · 01/02/2006 20:45

hi , no progress yet, not takers for ours yet either. Pleased your dd likes the ballet . dd hasn't started yet but they can do it at lunchtime next year and if we move closer perhasp she'll do a Saturday too. Have you tried the swimming lessons ? Supposed to be very good. There might be a waiting list but ours may do it in the summer term.

dinny · 01/02/2006 20:46

ds is 17 months. he has been under the consultant since six months as he has had perianal abscesses and fistula-in-ano. now he also has a UTI. of course, first thing I asked paed yesterday was - are they connected? he said no. I asked if they could be 2 symptoms of an underlying condition. he said no.

but can't think how else he's have got a UTI - maybe it is linked...

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dinny · 01/02/2006 20:47

is your dd at H? am v envious if so - it's fab.

yes, thinking of swimming next term

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dinny · 01/02/2006 20:48

QE2 - so glad your dd had such a turnaround after surgery.

ds seems so well and eats well...have my fingers crosse he won't need surgery, but if he does, then am grateful to live in the age and place we do!

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LIZS · 01/02/2006 20:49

yes they both are !!

dinny · 01/02/2006 20:50

hey, must meet up - half term? we're away the last bit of the week tho...

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LIZS · 01/02/2006 20:53

Would love to but we're also away Monday to Friday that week ! We will meet soon , I'm sure !

chapsmum · 01/02/2006 22:24

Dinny my we chap had a renal ultrasound as I have chronic pylonephritus. All that an ultrasound will show is if the stucture and fuction of the kidneys is normal, It will not show reflux, it will show up inflamation or strucutural abnormality.
If the ultrasound is normal, they will prob keep an eye on things, however if they suspect reflux the may want to do a renogram or an IVU. both of these involve a fairly high dose of radiation and so will only be done if their is strong evidence to suggest reflux.
My ds had and ultrasound everything was normal and havent had any probs since.
HTH

beetlejuice73 · 07/02/2006 21:56

Hi Chapsmum, interested (and sorry) to hear about your condition. My DD was diagnosed with pyelonephritis at 5 months and is now being managed medically, until she is continent and can have more tests. Can I ask when yours was diagnosed, and how it has affected you? I won't be offended if you tell me to b**r off and mind my own business.

chapsmum · 08/02/2006 00:31

No problem, I was only diagnosed as having chrOnic pylonephritus very within the last few year.
Pylonephritus alone just means that one or both kidneys are inflammed.
Chronic pylonephritus is the permenant scarring of the kidneys due to infection or congenital abnormaility.
I lost the function of one kidney and the other is scarred, but my function is 100%
I have to get my urine tested regulaly for infection. My mum made the choice that I shouldn't have prophelactic antibiotics as a child.
I have futher scarring because of repeated infections. I am older and wiser now and made the decision I did not want to be on prophelactic antics and so I test my urine every month.

I have no limitations infact before my ds was born I did a 9 day marathon through the brazilian jungle, as well as adventure races which lasted for days etc.

Hope you dont think I'm showing off, but Iknow its a scarry thought your wee one not being perfect. My renal consultant told me it was possible for a person to lead a normal life with the function of 25 % of one Kidney.
hope I've explained this ok if I can help in any other way just let me know.
HTH,

beetlejuice73 · 08/02/2006 08:35

I don't think you're showing off at all, and I really appreciate the reassurance. TBH I don't worry that much about her - it's not really in my nature - and I tend to follow the doc's instructions a bit blindly (i.e. the prophylactic antibiotics), but it's interesting to hear that there are other ways. Also good to hear that such low kidney function can still be enough.

CKMUM · 10/02/2006 11:20

When I was pregnant with my youngest daughter a 20 week scan showed a polycystic kidney. A follow up a few weeks later showed there may be two ureters or one enlarged one which could mean a blockage of urine. Obstetrician had a fit, implying if I had a home birth baby would probably die in 3 hours. I was worried i wouldn't get to hospital in time as midwife hadn't made it for the first birth!

Luckily paeds less worried, said have a home birth, but when baby is a week or two old we will scan the kidneys.

However, the scans after birth showed no kidney at all on the affected side. They did a bladder x ray with dye which showed there was no reflux of urine back to the kidney.

She has just had a DMSA scan ( was meant to have it earlier on but very long wait so can't have been too worried!). DMSA scan showed there is only one kidney and she has a condition called multicystic dysplastic kidney, if a kidney is just cysts, the cysts shrink and eventually disappear so the kidney disappears too! She is fine though, we just have to make sure the kidney she has got stays okay and she has to have her blood pressure checked every 6 months initially, then every year if it is ok

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