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[pediatric-nephrologist]

Dr. Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service centre for children. Dr. Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology inpatient and outpatient, and provides comprehensive kidney transplant care to children of all ages.

[kidneycaredelhi-blog]

Kidney Specialist Hospital in Delhi- Kidney Care Centre

Come up with the new strength and new thoughts each day by obtaining a treatment for any kidney disease or problem at a right time from a right place. Kidney Care Centre maintain your day-to-day activities with the best kidney treatment. Dr. Rajesh Goel is one of the best and renowned Kidney Specialist in Delhi, who undergo a kidney treatment with the complete diagnosis through his years of experience.

For more details- www.kidneycarecentre.in

[pediatric-nephrologist]

 Dr. Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service centre for children. Dr. Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology inpatient and outpatient, and provides comprehensive kidney transplant care to children of all ages.

[pediatric-nephrologist]

Dr. Sidharth Sethi's Expertise

Dr. Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service centre for children. Dr. Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology inpatient and outpatient, and provides comprehensive kidney transplant care to children of all ages.

Dr. Sethi leads in care of children with the following disorders:

Pediatric Nephrotic syndrome

Complex recurrent urinary tract disorders

Glomerular disorders

Blood or protein in the urine

Glomerulonephritis

Hemolytic uremic syndrome

Hydronephrosis

Hypertension

Rare tubular disorders

Polycystic kidney diseases

Neurogenic bladder

Renal dysplasia

Renal tubular acidosis

Systemic lupus erythematosus

Vesicoureteral reflux

Acute Kidney Injury

Chronic Kidney disease

Kidney Transplantation- Blood group compatible and incompatible; transplantation in complex renal anomalies

TAG- Best Pediatric Nephrologist in India, Child Kidney Doctor in Gurgaon, Child Kidney Specialist in India, Pediatric Dialysis specialist in India, Nephrotic syndrome Specialist in India 

[pediatric-nephrologist]

A UTI occurs when bacteria (germs) invade the urinary tract through infected urine. Overall, UTI is commoner in girls than boys, except in first year of life as structural problems of urinary tract at birth are seen more in boys putting them at a higher risk of UTIs.

Alower UTI involves infection of the bladder (cystitis) or urethra.

Anupper UTIinvolves the kidney (pyelonephritis) and is more serious.

[pediatric-nephrologist]

A UTI occurs when bacteria (germs) invade the urinary tract through infected urine. Overall, UTI is commoner in girls than boys, except in first year of life as structural problems of urinary tract at birth are seen more in boys putting them at a higher risk of UTIs.

Alower UTI involves infection of the bladder (cystitis) or urethra.

Anupper UTIinvolves the kidney (pyelonephritis) and is more serious.

[pediatric-nephrologist]

Understanding Urinary Tract Infections | Some Red Flags To Keep In Mind

This topic is intended to give the parents and caregivers a comprehensive overview of urinary tract infections (UTIs)-causes, signs and symptoms, diagnosis, treatment and potential future complications, so that they can lend a helping hand in building a better kidney health for their children.

What does the urinary tract consist of?

KIDNEYS -These are two bean shaped organs situated on either side of our back. They filter the blood off the wastes and produce urine.

URETERS -These are two tubes through which urine from the kidney travels down.

URINARY BLADDER –It is a bag which stores urine coming in from the ureters.

URETHRA –It is a thin tube from which urine comes out of the body whenever we urinate.

What’s a uti?

A UTI occurs when bacteria (germs) invade the urinary tract through infected urine. Overall, UTI is commoner in girls than boys, except in first year of life as structural problems of urinary tract at birth are seen more in boys putting them at a higher risk of UTIs.

A lower UTI involves infection of the bladder (cystitis) or urethra.

An upper UTI involves the kidney (pyelonephritis) and is more serious.

How would i come to know that my child has a uti?

UTI is common in babies and young kids. It is hard to pick up a UTI in them as they might have just a few non-specific signs like-

Fever(>38°C)

Vomiting

Lethargy(tiredness)

Irritability

Poor feeding

Crying on passage of urine

Frequent bed wetting

Increased thirst, soft sunken spot on head (due to dehydration-lack of enough water in the body)

Older kids may also complain -

Burning/stinging sensation while peeing (dysuria)

Increased frequency of urination

Cloudy urine

Desire to hold on urine to avoid pain

When to suspect a kidney infection?

High fever spikes despite taking paracetamol

Back pain

Red/dark brown urine (hematuria)

Why does my child have recurrent uti?

Most kids adequately treated for UTI do not have a repeated infection. But some kids go on having recurrent UTIs even after complete treatment. It is important to pay attention to it as they might have a structural urinary tract problem like vesicoureteric reflux (VUR).

VUR is due to improper insertion of the ureters into the bladder. This causes backflow of urine from the bladder up towards ureters and sometimes into the kidneys whenever the child pees. It can result in serious kidney infection and irreversible kidney damage (by scarring), if not detected and treated early.

Some red flags to keep in mind-

Any congenital urinary tract problem

Family history of VUR or kidney disease

History of neurogenic bladder (problems in fully emptying the bladder, poor urine flow) and/or chronic constipation

Hypertension (high blood pressure), poor growth

What can i do to save my kid from a uti?

Encourage your child to pee every 3-4 hrs and, prior to bathing and sleeping.

Change your baby’s nappies frequently.

Teach your kid not to hold on his/her urine.

Try to avoid constipation.

Make him/her drink plenty of water and other fluids.

Girls should wipe off their bottoms from front to back after a bowel movement to avoid introduction of any germs from bowel into urethra.

Boys should gently clean the area below their penile foreskin as far as possible without forcing it back. Some boys with recurrent UTIs may need to have their foreskin incised (circumcision).

If your kid has neurogenic bladder, double voiding (going to toilet twice- urinate once standing and then sitting) can help.

Seeking medical advice

If you suspect that your child has a UTI, consult your pediatric nephrologist immediately. The doctor would run the following tests on your kid’s urine sample to detect a UTI.

Urine dipstick- It is a paper strip containing a reagent which changes color when it comes in contact with infected urine.

Urine microscopy-It looks for the germs under a microscope.

Urine culture-It grows and identifies the bacteria causing UTI on a separate medium in a lab and also tells which antibiotic will kill those bacteria.

Some special tests would be needed if your child has recurrent UTIs. These include-

Ultrasound scan- A safe hand-held device emits sound waves and brings up pictures of the urinary tract on the screen.

MCU/MCUG/VCUG-This test detects VUR. A dye is injected into the bladder via the urethra and serial X-rays are taken when your child urinates.

DMSA scan- This test looks for any structural damage (scars) in the kidneys. A chemical is injected in the blood and images of urinary tract are taken by a camera.

Blood urea, Serum creatinine-It is a simple blood test which determines the kidney function by various parameters.

Would my child get well?

Most UTIs get treated with a full course of antibiotics as prescribed by your doctor with no long-term sequelae. Paracetamol can be given to bring down the fever and pain. Avoid Ibuprofen (Brufen) if the child has a kidney problem or asthma. The child would start feeling better in a day or two but you should not stop the treatment at this stage. This is to ensure that all germs get killed to avoid any relapse. Your child can get back to school once he feels better as UTIs are not infectious (others won’t catch it).

Children with serious UTI/pyelonephritis need hospital admission.

Those with structural kidney problems (like VUR) and recurrent UTIs need regular follow-up visits to a pediatric nephrologist. They require prophylactic (for preventing UTI) antibiotics even if they do not have an active infection as repeated unnoticed mild infections can also cause irreversible scarring of the kidneys. This can lead to CKD (chronic kidney disease) wherein the kidney function will decline slowly over years and finally the patient might need dialysis or kidney transplant.

Seeing their own children suffer from chronic kidney disease is a stressful experience for parents. This holds true especially for kids with structural urinary tract problems (like VUR) at birth who remain undiagnosed (unidentified) for a long time, before which severe kidney damage has already set in. Parental awareness on this issue can be a very important prevention tool. We hope that this information helped you understand in depth the prevention, recognition and treatment of UTIs. For any queries or further concerns, please visit this website/consult your pediatric nephrologist today.

TAG- Pediatric Dialysis Specialist in India, Child Kidney Doctor in Gurgaon,  Best Pediatric Nephrologist in India, Child Kidney Specialist in India 

[pediatric-nephrologist]

Understanding Urinary Tract Infections | Some Red Flags To Keep In Mind

This topic is intended to give the parents and caregivers a comprehensive overview of urinary tract infections (UTIs)-causes, signs and symptoms, diagnosis, treatment and potential future complications, so that they can lend a helping hand in building a better kidney health for their children.

What does the urinary tract consist of?

KIDNEYS -These are two bean shaped organs situated on either side of our back. They filter the blood off the wastes and produce urine.

URETERS -These are two tubes through which urine from the kidney travels down.

URINARY BLADDER –It is a bag which stores urine coming in from the ureters.

URETHRA –It is a thin tube from which urine comes out of the body whenever we urinate.

What’s a uti?

A UTI occurs when bacteria (germs) invade the urinary tract through infected urine. Overall, UTI is commoner in girls than boys, except in first year of life as structural problems of urinary tract at birth are seen more in boys putting them at a higher risk of UTIs.

A lower UTI involves infection of the bladder (cystitis) or urethra.

An upper UTI involves the kidney (pyelonephritis) and is more serious.

How would i come to know that my child has a uti?

UTI is common in babies and young kids. It is hard to pick up a UTI in them as they might have just a few non-specific signs like-

Fever(>38°C)

Vomiting

Lethargy(tiredness)

Irritability

Poor feeding

Crying on passage of urine

Frequent bed wetting

Increased thirst, soft sunken spot on head (due to dehydration-lack of enough water in the body)

Older kids may also complain -

Burning/stinging sensation while peeing (dysuria)

Increased frequency of urination

Cloudy urine

Desire to hold on urine to avoid pain

When to suspect a kidney infection?

High fever spikes despite taking paracetamol

Back pain

Red/dark brown urine (hematuria)

Why does my child have recurrent uti?

Most kids adequately treated for UTI do not have a repeated infection. But some kids go on having recurrent UTIs even after complete treatment. It is important to pay attention to it as they might have a structural urinary tract problem like vesicoureteric reflux (VUR).

VUR is due to improper insertion of the ureters into the bladder. This causes backflow of urine from the bladder up towards ureters and sometimes into the kidneys whenever the child pees. It can result in serious kidney infection and irreversible kidney damage (by scarring), if not detected and treated early.

Some red flags to keep in mind-

Any congenital urinary tract problem

Family history of VUR or kidney disease

History of neurogenic bladder (problems in fully emptying the bladder, poor urine flow) and/or chronic constipation

Hypertension (high blood pressure), poor growth

What can i do to save my kid from a uti?

Encourage your child to pee every 3-4 hrs and, prior to bathing and sleeping.

Change your baby’s nappies frequently.

Teach your kid not to hold on his/her urine.

Try to avoid constipation.

Make him/her drink plenty of water and other fluids.

Girls should wipe off their bottoms from front to back after a bowel movement to avoid introduction of any germs from bowel into urethra.

Boys should gently clean the area below their penile foreskin as far as possible without forcing it back. Some boys with recurrent UTIs may need to have their foreskin incised (circumcision).

If your kid has neurogenic bladder, double voiding (going to toilet twice- urinate once standing and then sitting) can help.

Seeking medical advice

If you suspect that your child has a UTI, consult your pediatric nephrologist immediately. The doctor would run the following tests on your kid’s urine sample to detect a UTI.

Urine dipstick- It is a paper strip containing a reagent which changes color when it comes in contact with infected urine.

Urine microscopy-It looks for the germs under a microscope.

Urine culture-It grows and identifies the bacteria causing UTI on a separate medium in a lab and also tells which antibiotic will kill those bacteria.

Some special tests would be needed if your child has recurrent UTIs. These include-

Ultrasound scan- A safe hand-held device emits sound waves and brings up pictures of the urinary tract on the screen.

MCU/MCUG/VCUG-This test detects VUR. A dye is injected into the bladder via the urethra and serial X-rays are taken when your child urinates.

DMSA scan- This test looks for any structural damage (scars) in the kidneys. A chemical is injected in the blood and images of urinary tract are taken by a camera.

Blood urea, Serum creatinine-It is a simple blood test which determines the kidney function by various parameters.

Would my child get well?

Most UTIs get treated with a full course of antibiotics as prescribed by your doctor with no long-term sequelae. Paracetamol can be given to bring down the fever and pain. Avoid Ibuprofen (Brufen) if the child has a kidney problem or asthma. The child would start feeling better in a day or two but you should not stop the treatment at this stage. This is to ensure that all germs get killed to avoid any relapse. Your child can get back to school once he feels better as UTIs are not infectious (others won’t catch it).

Children with serious UTI/pyelonephritis need hospital admission.

Those with structural kidney problems (like VUR) and recurrent UTIs need regular follow-up visits to a pediatric nephrologist. They require prophylactic (for preventing UTI) antibiotics even if they do not have an active infection as repeated unnoticed mild infections can also cause irreversible scarring of the kidneys. This can lead to CKD (chronic kidney disease) wherein the kidney function will decline slowly over years and finally the patient might need dialysis or kidney transplant.

Seeing their own children suffer from chronic kidney disease is a stressful experience for parents. This holds true especially for kids with structural urinary tract problems (like VUR) at birth who remain undiagnosed (unidentified) for a long time, before which severe kidney damage has already set in. Parental awareness on this issue can be a very important prevention tool. We hope that this information helped you understand in depth the prevention, recognition and treatment of UTIs. For any queries or further concerns, please visit this website/consult your pediatric nephrologist today.

TAG- Pediatric Dialysis Specialist in India, Child Kidney Doctor in Gurgaon,  Best Pediatric Nephrologist in India, Child Kidney Specialist in India 

[pediatric-nephrologist]

Did you know that kidney diseases can start young? Literally. Unlike in the case of grown-ups, children can develop kidney diseases due to congenital defect, prematurity, or past hospitalization. "Also, children with a high-risk birth and early childhood history should be watched closely in order to help detect early signs of kidney disease in time to provide effective prevention or treatment. Needless to say that the sooner the issue is diagnosed, better can be the results," adds Dr Sidharth Kumar Sethi, Consultant, Pediatric Nephrology, Medanta, The Medicity, Gurgaon.

[pediatric-nephrologist]

Did you know that kidney diseases can start young? Literally. Unlike in the case of grown-ups, children can develop kidney diseases due to congenital defect, prematurity, or past hospitalization. "Also, children with a high-risk birth and early childhood history should be watched closely in order to help detect early signs of kidney disease in time to provide effective prevention or treatment. Needless to say that the sooner the issue is diagnosed, better can be the results," adds Dr Sidharth Kumar Sethi, Consultant, Pediatric Nephrology, Medanta, The Medicity, Gurgaon.

[pediatric-nephrologist]

Healthy Kidneys For Healthy Kids - Dr. Sidharth Sethi

Better kidney health for kids: What you should know!

Did you know that kidney diseases can start young? Literally. Unlike in the case of grown-ups, children can develop kidney diseases due to congenital defect, prematurity, or past hospitalization. "Also, children with a high-risk birth and early childhood history should be watched closely in order to help detect early signs of kidney disease in time to provide effective prevention or treatment. Needless to say that the sooner the issue is diagnosed, better can be the results," adds Dr Sidharth Kumar Sethi, Consultant, Pediatric Nephrology, Medanta, The Medicity, Gurgaon.

Early signs of kidney disease in kids

Early diagnose of kidney problem can help treat the ailment in time. Here are some signs that you should watch out for:

- Swelling around the eyes-face -feet- abdomen- whole body - Bed wetting (5 years or older) can be since birth or if the problem recurs after the child had stopped bed wetting for some time -Frequent urination - Crying during urination (in infants) - Painful urination (in older kids) - Unpleasant-smelling urine -Unexplained low-grade fever or recurrent fever episodes - Urine that is cloudy, bloody or dark brown - Persistent abdominal pain - Childhood renal stones - Frequent severe headaches - High blood pressure - Producing less urine -Producing more than 2 litre urine/ day -Poor appetite (in older children) - Poor eating habits, vomiting (in newborns & infants) - Slow growth or weight gain -Weak urinary stream, dribbling of urine stream - Weakness, excessive tiredness or loss of energy - Pale skin appearance

Protection plan

Have lots of water: To keep kidneys healthy, kids should stay hydrated- mostly by drinking water. Their pee should be pale in color, and they should drink more than usual when exercising especially under a hot sun. Kids should avoid nutrient-spiked drinks. Enough water is still the best and safest bet to meet their fluid needs.

Avoid sports drinks and processed: Today's diets are so extreme and unhealthy. Vitamin waters, sports or energy drinks, processed 'super-foods' are not nutritious and add to the risk of obesity in children.

Avoid too much protein: Protein intake should be in adequate amount. It is advisable to not make your kids indulge in too much protein.

Excess salt is bad: Too much sodium (in junk food, burgers, chips and street food) can contribute to high blood pressure. Eating more whole foods, choosing fewer processed foods- emphasizing those with made without added salt or sauce can help lower sodium intake. Cooking more at home can also help families slash sodium. Cut back on table salt and salty snacks.

Regular exercise: Increasing physical activity not only helps to reduce blood pressure, but it can help a child who is overweight reach and maintain a healthy weight. Sports and exercise programs at school may be good ways to increase the child's activity level.

Who should be screened?

Following children should be screened by a specialist for blood and urine test; growth and blood pressure:

Family history of kidney disease

Children born early or small-for-date

Obese children; or those not growing well

Abnormal antenatal ultrasound

History of urine infection

Abnormal urine examination

It is also extremely important for the health community to encourage pregnant females to undergo antenatal ultasonography. With the growing cases of kidney issues in children, it is crucial that we encourage and facilitate education, early detection and a healthy life style in children, starting at birth and continuing through to old age, to combat the increase of preventable kidney damage and to treat children early.

TAG- Best Pediatric Nephrologist in India, Child Kidney Doctor in Gurgaon, Child Kidney Specialist in Gurgaon