#symptoms of Vesicoureteral Reflux

[drprashantjain1]

Vesicoureteric Reflux

What Is Vesicoureteric Reflux?

Vesicoureteric reflux is the condition in which the urine flows back from the bladder to the ureter. This condition is also known as vesicoureteral reflux. There is a progressive flow of urine from the kidney to the bladder through ureters. The uni-directional flow of urine from kidney to urinary bladder is ensured by the flaps situated between the ureter and urinary bladder (vesico-ureteric junction). This condition is commonly diagnosed in infants and young children.

In this condition, the urine may flow back form one or both the ureters. Based on the severity of symptoms and extent of disease, the urologist generally grades this condition from Grade 1 to Grade 5 with Grade 1 mildest form and Grade 5, a severe form. Fortunately, most children recover from this condition as they get older. The vesicoureteric reflux is divided into primary and secondary.

What Are The Causes Of Vesicoureteric Reflux?

The causes of vesicoureteric reflux are different for primary vesicoureteric reflux and secondary vesicoureteric reflux.

Primary vesicoureteric reflux: In this type of vesicoureteric reflux, the valve between the ureter and urinary bladder does not work properly. This results in backflow of urine. This is the most common cause of this condition in children. However, as the age increases, the ureter and bladder become mature, and the valve regains functioning. If the urine flows back from only one ureter, it is termed as vesicoureteric unilateral reflux, and if both the ureters are involved in the backflow of urine, the condition is termed as vesicoureteric bilateral reflux.

Secondary vesicoureteric reflux:There are various causes of secondary vesicoureteric reflux. In some cases, there is a blockage of urine due to abnormal tissue fold in the urethra (posterior urethral valve) and in conditions like neurogenic bladder . Obstruction in bladder outlet prevents the voiding of complete urine from the bladder. In cases of neurogenic bladder, the child may also have damaged nerves that control contraction and relaxation of the bladder resulting in reflux.

What Are The Symptoms Of Vesicoureteric Reflux?

Symptoms of vesicoureteric reflux depend upon the severity and complications of the disease. The patients with vesicoureteric reflux may experience the following symptoms:

Recurrent urinary tract infection

The excessive urge to urinate

Fever

Cloudy urine

Frequent urination

Pain during urination

Bedwetting

Urinary retention

Loss of appetite

Irritability

Presence of protein in the urine

High blood pressure

How Vesicoureteric Reflux Is Diagnosed?

The vesicoureteric reflux can be diagnosed both before and after birth. Before birth, the condition can be diagnosed through the ultrasound, which reveals swelling in kidneys (hydronephrosis). Various techniques that are used to diagnose the condition are:

Laboratory workup: Many children have the recurrent urinary infection as the primary symptom of this condition. Thus, urinalysis is done to determine the presence of urinary tract infection.

Imaging techniques: Kidney, bladder, and ureter ultrasound is done to determine the presence of any structural abnormalities.

Micturating cystourethrogram (MCUG):It is a specialized X-ray of the urinary tract. During this procedure, the doctor places a small catheter in the bladder and fill the bladder with a special dye. The X-ray is taken before and after urination. The doctor, by evaluating the flow of dye, determines if the urine flows back in the ureter.

Nuclear scan:During this procedure, the doctor uses a radioisotope. The detector detects the isotope and determines any damages in kidney.

How Vesicoureteric Reflux Is Treated?

The following are the management options available for vesicoureteric reflux:

Medications: Low dose of antibiotics is provided to the children to prevent urinary tract infection. However, regular monitoring is required to determine the presence of urinary tract infection. Further, doctors should implement imagining techniques to monitor the progression of the disease. Besides various precautions are to be taken like avoiding constipation, perineal hygine and frequent voiding to reduce the risk of infection.

Surgery: Various types of surgeries are available for treating vesicoureteric reflux. Open surgery is done to repair the larger problem in the urinary tract and involves anesthesia. Robotic-and laparoscopic surgery is done to repair the valve between the ureter and urinary bladder. Endoscopic surgery is performed to strengthen the valve with the use of a bulking agent. Ureteric reimplantation is surgery in which the doctor disconnects the ureter and urinary bladder and reattaches them at an angle to create a valve.

What Are The Preventive Measures For Vesicoureteric Reflux?

Although there are no measures to prevent the vesicoureteric reflux,  certain measures may improve the health of the urinary tract. These are:

Regular urination and cleaning from front to back.

Drinking enough fluids.

Eat plenty of fiber-rich food to avoid constipation.

Change the diaper frequently or as soon as it gets dirty.

Get proper treatment for urinary and fecal incontinence.

What Is The Prognosis Of Vesicoureteric Reflux?

Most children with this condition recover on their own. Surgery has a high rate of success, with a 97%-99% positive outcome. Early diagnosis and monitoring of the condition reduces complications.

[urologist-surgeon]

Discover comprehensive information about vesicoureteral reflux (VUR). Learn about the symptoms, causes, and treatment options for Vesicoureteral Reflux(VUR), a urinary system condition.

[prashantjainsblog]

Kidneys are important organ for urine formation. Normally, urine flows into the bladder through ureters. However, in some children, urine from the bladder flows back through the ureters. This condition is known as Vesicouretral reflux (VUR) and is common in infants and children. It can be unilateral or bilateral. This could cause infections and damage your kidneys. VUR affects about 10% of children. Although most can grow out of this condition, people who have severe cases may need surgery to protect their kidneys.

[storelatina]

Vesicoureteral reflux: what it is, symptoms, causes and treatment - https://storelatina.com/?p=102736

[dradityasharma-1]

Urology, a branch of medicine focusing on the urinary tract system and male reproductive organs, encompasses a wide range of conditions that affect both men and women of all ages. From kidney stones to urinary tract infections, understanding common urological issues and their treatments is crucial for maintaining optimal health and well-being.

Understanding General Urology General urology addresses a myriad of conditions affecting the urinary system. These conditions may include urinary tract infections (UTIs), kidney stones, benign prostatic hyperplasia (BPH), urinary incontinence, and erectile dysfunction, among others. While some conditions are more prevalent in specific demographics, such as BPH in older men or UTIs in women, many urological issues can affect anyone regardless of age or gender.

Common Urological Conditions and Treatments Urinary Tract Infections (UTIs): UTIs are bacterial infections that can occur anywhere in the urinary system. Symptoms may include a frequent urge to urinate, burning sensation during urination, and cloudy or foul-smelling urine. Treatment typically involves antibiotics and increased fluid intake to flush out bacteria. Kidney Stones: These are solid mineral deposits that form in the kidneys and can cause severe pain when they pass through the urinary tract. Treatment options range from pain management and increased fluid intake to surgical procedures such as lithotripsy or ureteroscopy. Benign Prostatic Hyperplasia (BPH): BPH is a common condition in aging men where the prostate gland enlarges, causing urinary symptoms such as frequent urination, difficulty starting or maintaining urination, and weak urine flow. Treatment may include medications to relax the prostate or surgical procedures like transurethral resection of the prostate (TURP). Urinary Incontinence: This refers to the involuntary loss of urine, which can significantly impact quality of life. Treatment options vary depending on the underlying cause and severity of the condition, ranging from lifestyle modifications and pelvic floor exercises to medications or surgical interventions. Erectile Dysfunction (ED): ED is the inability to achieve or maintain an erection sufficient for sexual intercourse. Treatment options may include oral medications, injections, vacuum devices, or surgical implants, depending on individual needs and preferences. Seeking Specialized Urological Care When faced with urological issues, seeking prompt and specialized care is essential for accurate diagnosis and effective treatment. Whether it's finding the best endo-urology care in Sector B, Lucknow, or locating the nearest urological hospital, access to expert healthcare providers is crucial.

Expert Care for Specific Needs Endo-Urology: Specializing in minimally invasive procedures for treating kidney stones and other urinary tract conditions, endo-urologists offer advanced techniques such as laser lithotripsy and ureteroscopy for optimal outcomes. Uro-Oncology: For individuals facing urological cancers such as prostate, bladder, or kidney cancer, comprehensive uro-oncology care provides personalized treatment plans, including surgery, chemotherapy, and radiation therapy. Kidney Transplants: Renal transplantation offers a life-saving treatment option for individuals with end-stage kidney disease. Accessing reputable centers with experienced transplant surgeons ensures the best possible outcomes for patients in need of kidney transplants. Female Urology: Dedicated to addressing the unique urological needs of women, female urologists specialize in conditions such as urinary incontinence, pelvic organ prolapse, and recurrent UTIs, providing compassionate and effective care. Pediatric Urology: Children with congenital or acquired urological conditions require specialized care from pediatric urologists trained to manage conditions such as hypospadias, vesicoureteral reflux, and undescended testicles with expertise and sensitivity. Male Infertility: Urologists specializing in male infertility offer comprehensive evaluations and treatments for issues affecting sperm production, transport, or erectile function, helping couples achieve their reproductive goals through assisted reproductive techniques. Conclusion General urology encompasses a wide array of conditions affecting the urinary system and male reproductive organs, requiring specialized care tailored to individual needs. Whether it's managing common urological issues or addressing specific concerns like kidney transplants or male infertility, seeking timely and expert care ensures optimal outcomes and improved quality of life. With access to the best urological care providers and treatments, individuals can confidently navigate their urological health journey towards lasting wellness and vitality.

[nandini12345]

Understanding Why Females Are More Prone to Urinary Tract Infections

Urinary tract infections (UTIs) are a common health issue, especially among women. While anyone can develop a UTI, females tend to be more susceptible. This higher susceptibility is due to several physiological factors unique to women. Nandini Women’s Clinic is known for providing effective urinary tract infection treatment. It is considered one of the best hospitals for urinary tract infections in Bangalore, offering comprehensive care for women’s health issues, including UTIs. If you are experiencing symptoms of a UTI, it is important to seek treatment promptly to prevent complications.

Reasons why females are more prone to urinary tract infections:

Anatomy: One of the primary reasons females are more prone to UTIs is their anatomical structure. Women have a shorter urethra than men, which means bacteria have a shorter distance to travel to reach the bladder. Additionally, the urethra in females is closer to the anus, where bacteria are commonly found. This proximity increases the risk of bacterial transfer to the urinary tract, leading to infection.

Hormonal Changes: Hormonal changes can also play a role in increasing the risk of UTIs in females. Fluctuations in hormone levels during puberty, pregnancy, menstruation, and menopause can alter the urinary tract environment, making it more susceptible to infections.

Sexual Activity: Sexual activity can also contribute to the higher prevalence of UTIs in females. During intercourse, bacteria from the genital area can be introduced into the urinary tract, increasing the risk of infection. This risk is further heightened in women who use certain types of contraceptives, such as diaphragms or spermicides, which can alter the vaginal flora and make it easier for bacteria to thrive.

Urinary Tract Abnormalities: Some women may have structural abnormalities in their urinary tract that can increase the risk of UTIs. For example, a woman may have a condition called vesicoureteral reflux, where urine flows back from the bladder into the ureters, increasing the risk of bacterial contamination.

Personal Hygiene Habits: Certain personal hygiene habits can also contribute to the risk of UTIs in females. For example, wiping from back to front after using the bathroom can introduce bacteria from the anus to the urethra, increasing the risk of infection.

In conclusion, several factors explain why females are more prone to UTIs. Understanding these factors can help women take proactive steps to reduce their risk, such as practicing good hygiene, staying hydrated, and seeking prompt medical attention if they experience symptoms of a UTI. Nandini Women’s Clinic is the home to the best gynecologists in Bangalore who specialize in women’s health, including preventing and treating UTIs. If you are experiencing symptoms of a UTI or have concerns about your urinary health, don’t hesitate to consult a gynecologist for personalized care and treatment.

[drforambhuta]

Urinary tract infections (UTIs) encompass a range of bacterial infections that impact various segments of the urinary tract, including the kidneys, bladder, ureters, and urethra. Although prevalent across all age demographics, UTIs present distinct challenges in pediatric patients due to their unique anatomical and physiological characteristics.

Causes:

UTIs in children commonly arise from microbial colonization of the urinary tract by pathogenic bacteria, notably Escherichia coli (E. coli). Several factors contribute to pediatric UTIs, including:

1. Structural anomalies: Anomalies like vesicoureteral reflux (VUR), urethral strictures, or congenital malformations predispose children to UTIs.

2. Hygiene practices: Poor personal hygiene, especially inadequate wiping after bowel movements or incomplete genital cleaning, can facilitate bacterial entry into the urinary tract.

3. Voiding dysfunction: Dysfunctional voiding patterns, like holding urine for extended periods or incomplete bladder emptying, create favorable conditions for bacterial proliferation.

4. Immunocompromised status: Children with compromised immune systems due to medical conditions or immunosuppressive therapies are at increased risk of UTIs.

5. Genetic factors: Certain genetic traits may increase susceptibility to recurrent UTIs in children, though more research is needed to understand the mechanisms fully.

Symptoms:

Early recognition of UTI symptoms in children is vital for prompt diagnosis and treatment. Symptoms include:

1. Dysuria: Pain or discomfort during urination, often leading to crying or fussiness.

2. Frequency and urgency: Increased urination frequency or sudden urges to urinate, disrupting daily routines.

3. Hematuria: Presence of blood in urine, either visible or microscopic, indicating urinary tract inflammation or injury.

4. Abdominal discomfort: Lower abdominal pain or pelvic pressure, particularly in older children capable of expressing their symptoms verbally.

5. Systemic symptoms: Fever accompanied by chills, lethargy, irritability, or decreased appetite suggests systemic involvement.

There are many good hospitals in India that offer health checkup packages for children. Regular full body health checkup can help in detecting UTIs early, identifying its possible cause, and providing an effective treatment plan for the same.

[vp0707262]

Is Your Child Facing Urological Challenges? Unveiling Causes, Types, and Risk Factors

Introduction:

As parents, we always strive to ensure the well-being of our children, addressing their needs and concerns with utmost care. However, when it comes to urological issues in children, many parents might feel uncertain or unaware of what signs to watch for and when to seek help. Understanding the causes, types, and risk factors associated with pediatric urological problems is crucial for early detection and effective management. In this article, we'll delve into these aspects, shedding light on the importance of awareness and the expertise of pediatric urologists like Dr. Abhijit Benare in Pune.

Understanding Pediatric Urological Issues:

Urological issues encompass a range of conditions affecting the urinary tract and genital organs in children. These conditions can manifest at any age, from infancy to adolescence, and may vary in severity. While some problems resolve on their own, others require medical intervention. It's essential for parents to be vigilant and proactive in recognizing potential signs of urological issues in their children.

Causes of Pediatric Urological Issues:

Congenital Anomalies: Many urological issues in children stem from congenital anomalies, meaning they are present at birth. These anomalies can affect various parts of the urinary tract, such as the kidneys, ureters, bladder, or urethra. Common congenital anomalies include vesicoureteral reflux (VUR), posterior urethral valves (PUV), and hydronephrosis.

Infections: Urinary tract infections (UTIs) are prevalent in children and can sometimes indicate an underlying urological problem. Recurrent or persistent UTIs may necessitate further evaluation by a pediatric urologist to rule out structural abnormalities or other underlying issues.

Functional Disorders: Some children may experience functional disorders of the urinary system, such as bladder dysfunction or voiding dysfunction. These disorders can lead to symptoms like urinary incontinence, urgency, or frequency, impacting a child's quality of life and requiring specialized management.

Types of Pediatric Urological Issues:

Hydronephrosis: This condition involves the swelling of one or both kidneys due to the backup of urine. It can occur as a result of blockages, reflux, or other structural abnormalities within the urinary tract.

Hypospadias: Hypospadias is a congenital condition where the opening of the urethra is located on the underside of the penis instead of the tip. Surgical correction may be necessary to restore normal urinary function and appearance.

Undescended Testicles: In some male infants, one or both testicles fail to descend into the scrotum from the abdomen. If left untreated, undescended testicles can lead to complications such as infertility and an increased risk of testicular cancer later in life.

Bladder Exstrophy: Bladder exstrophy is a rare congenital anomaly where the bladder protrudes through the abdominal wall. Surgical reconstruction is typically required to correct this condition and restore normal bladder function.

Ureteropelvic Junction (UPJ) Obstruction: UPJ obstruction occurs when there is a blockage at the point where the ureter connects to the kidney pelvis. This obstruction can lead to urinary stasis and potentially damage the kidney if not addressed promptly.

Risk Factors for Pediatric Urological Issues:

Family History: Children with a family history of urological issues may have a higher risk of developing similar conditions. Genetic factors can play a significant role in certain congenital anomalies and inherited disorders affecting the urinary tract.

Maternal Factors: Certain maternal factors, such as maternal age, smoking during pregnancy, or exposure to certain medications or toxins, may increase the risk of urological problems in offspring. Prenatal care and maternal health optimization are essential for reducing these risks.

Prematurity: Premature infants are more susceptible to urological issues due to the incomplete development of their organs and systems. Close monitoring and early intervention are crucial for addressing any urological concerns in preterm infants.

Previous Surgeries or Medical Conditions: Children who have undergone previous surgeries or have underlying medical conditions such as neurogenic bladder or spina bifida may be at higher risk for urological complications. Comprehensive medical history assessment is essential for identifying potential risk factors.

Conclusion:

Ensuring the optimal urological health of our children requires vigilance, awareness, and access to specialized care when needed. Dr. Abhijit Benare, a renowned pediatric urologist in Pune, possesses the expertise and dedication to address a wide range of pediatric urological issues with compassion and precision. By understanding the causes, types, and risk factors associated with these conditions, parents can play an active role in promoting their child's urological well-being and overall quality of life.

By prioritizing regular check-ups, prompt intervention when symptoms arise, and adherence to recommended treatment plans, parents can empower their children to lead healthy, fulfilling lives free from the burden of urological challenges.

Remember, early detection and intervention are key to ensuring the best possible outcomes for children with urological issues. Let's work together to safeguard our children's urological health and support them in reaching their full potential.

[jacymark4321]

Unraveling the Mystery of UTIs: Understanding Causes and Prevention

Urinary Tract Infections (UTIs) are among the most common bacterial infections affecting millions of individuals worldwide each year. While UTIs are prevalent, their causes and prevention strategies are not always well understood. In this article, we delve into the diverse causes of UTIs and explore effective preventive measures.

Understanding UTIs:

A UTI occurs when bacteria, typically Escherichia coli (E. coli) from the digestive tract, enter the urinary tract and multiply, leading to infection. The urinary tract includes the kidneys, ureters, bladder, and urethra, and infections can affect any part of this system. UTIs are categorized based on the specific area affected; for example, cystitis refers to a bladder infection, while pyelonephritis involves the kidneys.

Causes of UTIs:

Bacterial Invasion: The most common cause of UTI is the invasion of bacteria into the urinary tract. E. coli, which normally resides in the intestines, is the primary culprit. Other bacteria such as Klebsiella, Enterococcus, and Proteus can also UTI cause, albeit less frequently.

Risk Factors: Certain factors increase the risk of developing UTIs. These include:

Female anatomy: Women have a shorter urethra than men, making it easier for bacteria to reach the bladder.

Sexual activity: Intercourse can introduce bacteria into the urinary tract, increasing the risk of infection.

Urinary catheterization: Catheters provide a direct pathway for bacteria to enter the bladder, making catheter-associated UTIs common in hospitalized patients.

Blockages or obstructions: Conditions such as kidney stones or an enlarged prostate can obstruct urine flow, increasing the risk of UTIs.

Weakened immune system: Immunocompromised individuals are more susceptible to infections, including UTIs.

Poor Hygiene Practices: Inadequate hygiene, such as wiping from back to front after bowel movements, can introduce bacteria into the urinary tract, increasing the likelihood of infection.

Urinary Tract Abnormalities: Structural abnormalities in the urinary tract, present from birth or acquired later in life, can predispose individuals to recurrent UTIs. Conditions such as vesicoureteral reflux (backward flow of urine from the bladder to the kidneys) and urinary tract obstructions fall into this category.

Prevention Strategies:

While some risk factors for UTIs cannot be modified, several preventive measures can help reduce the likelihood of infection:

Hydration: Drinking plenty of water helps flush bacteria out of the urinary tract, reducing the risk of infection. Aim for at least eight glasses of water per day.

Proper Hygiene: Practice good hygiene habits, including wiping from front to back after bowel movements and urinating before and after sexual activity.

Cranberry Products: Some studies suggest that cranberry juice or supplements may help prevent UTIs by preventing bacteria from adhering to the bladder wall. However, more research is needed to confirm its effectiveness.

Avoiding Irritants: Limiting the consumption of irritants such as caffeine, alcohol, and spicy foods can help prevent irritation of the urinary tract, reducing the risk of infection.

Prompt Treatment: If you experience symptoms of a UTI, such as burning during urination or frequent urination, seek medical attention promptly. Early treatment can prevent the infection from worsening and spreading to the kidneys.

[dr-smita-goel-homeopathy-clinic]

Hydronephrosis is a condition that puts pressure on the kidneys and can lead to them becoming damaged. Often, something inside or outside of the urinary tract that blocks the urine flow out of the kidneys causes hydronephrosis.

Blockages in the urinary tract that can lead to hydronephrosis include kidney stones or an enlarged prostate. A problem with the muscle where the urethra and bladder connect and that makes urine back up into the kidneys can also cause the condition.

In this article, we look at what hydronephrosis is, along with the main symptoms and causes. We also cover diagnosis, treatment, and complications.

What is hydronephrosis?

Hydronephrosis occurs when urine cannot drain out of the kidneys properly, causing them to swell up or stretch.

Hydronephrosis is a condition affecting one or both of the kidneys. It happens when urine cannot drain out of the kidneys properly, causing them to swell up or stretch.

The bladder, kidneys, and linking tubes are known as the urinary system.

When working correctly, the kidneys filter blood to remove waste products from the body. The kidneys create urine, which carries the waste products down tubes to the bladder. Urine then passes through a tube called the urethra and can be expelled.

Hydronephrosis can develop when there is a problem with the urinary system. It can happen to a person of any age. It usually affects only one kidney but, occasionally, both are involved.

Symptoms

In adults, hydronephrosis may not cause any symptoms, depending on what is the cause. When they do occur, symptoms may include:

• urinating less often or not as strongly

• blood in the urine

• pain in the back, abdomen, or side of the body

• any symptoms of a urinary tract infection (UTI), such as painful urination, cloudy urine, and a strong urge to urinate

• fever

• nausea and vomiting

When hydronephrosis occurs in babies, they mostly have no symptoms. When they do, symptoms may include:

• multiple UTIs, when the only sign may be an unexplained fever

• pain in the abdomen or side

• blood in the urine

• fever

• not feeding well

• lack of energy

• irritability

Causes

Hydronephrosis is very common during pregnancy.

One of two main problems causes hydronephrosis.

One of these is called vesicoureteral reflux(VUR). In this condition, the muscular valve where the urethra connects to the bladder does not work correctly. This forces urine to reflux or flow backward into the kidney.

The other problem is an obstruction anywhere in the bladder, kidney, or linking tubes that prevents urine from leaving the kidney. This could be a blockage inside or pressure from something outside the urinary system.

In adults, many things can cause an obstruction, but it is usually due to an underlying medical condition, such as:

• Pregnancy causing the womb to push against and block the tubes connecting the bladder and kidneys. Hydronephrosis during pregnancy is not unusual.

• Kidney stones moving out of the kidney where they first formed. If a stone moves into a tube in the urinary system, it can cause a blockage.

• An enlarged prostate gland wrapping around the urethra between the bladder and penis, which can happen as a person ages. This can compress and obstruct the urethra.

• Certain cancers affecting the urinary system. These include kidney, prostate, bladder, cervical, or ovarian cancer. If a tumor is pressing against part of the urinary system, it can obstruct the flow of urine from the kidneys.

• The tubes connecting the bladder and kidneys becoming blocked or narrowed. This may happen because of an injury or infection.

• Nerves around the bladder being damaged, which can affect how well this organ works.

In babies, the obstruction is usually created when a part of the urinary system develops incorrectly before birth.

Diagnosis

Doctors use an ultrasound scan to diagnose hydronephrosis. This type of scan uses sound waves to see the organs inside the body, allowing a doctor to see whether a person's kidneys are swollen.

Most people will have an ultrasound scan during pregnancy to check the health of the developing fetus. This gives a picture of the fetus and their internal organs. If the kidneys appear swollen, further ultrasound tests will need to be given throughout the pregnancy.

Once the baby is born, ultrasound of the kidneys can be done as in adults.

If the kidneys appear swollen on an ultrasound picture, more tests may be needed. These tests can help to find the underlying cause of hydronephrosis.

Tests can include:

• urine tests to check for infection or blood

• blood tests to check for an infection

• an X-ray of the kidneys to see how urine is moving through the body

• a CT scan to give a 3-D picture of the organs and urinary system

A voiding cystourethrogram is a special X-ray that shows if reflux or obstruction is present. The doctor adds a dye to the urine in the bladder so the path of its flow can be followed on the X-ray. This test is used to diagnose VUR in adults, and babies after birth.

Treatment

When hydronephrosis is severe, a catheter tube may be used to drain the bladder.

Treatment is based on the underlying cause of hydronephrosis. Doctors will also inform their decisions about treatment on the severity of the condition and symptoms.

When hydronephrosis is severe, the backlog of urine may need to be drained to reduce the pressure and the risk of permanent kidney injury. This is done by inserting a thin tube called a catheter into the bladder or a special tool called a nephrostomy tube into the kidney.

Before treating the underlying cause of hydronephrosis, the doctor may prescribe something to control any pain and antibiotics to treat or prevent infection.

In adults, the underlying problem sometimes fixes itself, and no other treatment is needed.

More often, however, surgery is needed to remove the obstruction or fix the reflux. This can be minimally invasive, using a thin tube with a light and camera and involving only a few small incisions, or it may require larger incisions and instruments.

On some occasions, doctors can treat hydronephrosis with medication.

Hydronephrosis caused by pregnancy usually goes away without treatment once the pregnancy comes to an end.

If hydronephrosis is diagnosed before birth and is not severe, it usually gets better on its own without the need for treatment.

In the first few weeks after birth, a baby may need to have some tests to make sure there are no further problems.

Since babies with hydronephrosis are more likely to develop a UTI, they may be given antibiotics to reduce the risk of developing a urinary infection.

Babies with severe hydronephrosis usually need surgery. In some, the tubes connecting the kidney and bladder may be blocked. Doctors can treat this with a type of surgery known as a pyeloplasty, which is the most common surgical treatment in babies.

A pyeloplasty is done under general anesthetic. The section of the tube that is blocked will be removed, and the two ends joined up.

Complications

Untreated hydronephrosis can put a lot of pressure on a person's kidneys. This can cause permanent kidney damage or even kidney failure. Kidney failure means that the kidneys no longer work.

If both kidneys are affected, a person will need a transplant or dialysis. The latter is a process in which blood is filtered using a machine outside of the body.

Outlook

If treated early, hydronephrosis will not usually cause any lasting medical problems.

If hydronephrosis in babies is not discovered before birth, it can be harder to diagnose. Being aware of the signs of a UTI in babies can help to spot a possible problem. Early medical advice and treatment should help to ensure a quick recovery.

[drprashantjain1]

Hydronephrosis Treatment In Delhi

Many people have never heard of the term hydronephrosis. That’s because it is only prevalent in around 1% of the general population according to a research paper published by Science Direct. Hydronephrosis can affect both children and adults. In fact, it can even affect babies in the womb; this can be found via prenatal ultrasound. The same study by Science Direct observed that 1 in 100 to 200 fetuses suffered from hydronephrosis. Because of this, finding out that you suffer from hydronephrosis and require surgery might seem daunting. But don’t worry about it. You can find hydronephrosis treatment in Delhi without breaking a sweat!

What exactly is it?

Hydronephrosis is a condition wherein one or both of the kidneys swell up. This happens either because of some blockage in drainage system of urineor urine refluxing back in the kidneys which can eventually damage the kidney of child.

Therefore, it is essential that you consult doctor once hydronephrosis has been diagnosed. Once the diagnosis is made child needs to be evaluated in detail. Not all hydronephrosis requires surgical intervention but needs to be monitored closely to avoid any renal damage.

Signs of Hydronephrosis

Here are some of the most commonly known signs and symptoms of hydronephrosis.

Antenatal diagnosis on ultrasound scan.

Urinary tract infection

Pain and lump in the back and the sides.

Urinary symptoms like frequent urination, crying during urination etc.

These signs are particularly useful to suspect hydronephrosis in children. Infants, in particular, can have failure to thrive. If you have suspicion that your child may be suffering from hydronephrosis or has all the signs mentioned above, it might be a good idea to consult a doctor.

Causes of Hydronephrosis

As mentioned above, hydronephrosis is a condition that prevents urine draining from the kidneys, which causes the kidneys to swell up. Hydronephrosis usually develops because of two main causes:

Obstruction in Urinary System

Blockage in the upper ureter (Pelvi-ureteric Junction) or lower ureter (Uretero-vesical junction) or Bladder oulet (Posterior urethral valve) can cause hydronephrosis on one side or both sides.

One of the commonest cause is blockage at ureteropelvic junction. This is essentially the very point (or junction) where the ureter and kidney meet.

Posterior Urethral valves are seen in boys and usually causes bilateral hydronephrosis. This is treated by endoscopic resection surgery. If not treated timely it can cause significant morbidity.

Vesicoureteral Reflux

Another cause of hydronephrosis is the vesicoureteral reflux where the urine flows backward from the bladder to the kidneys via the ureter. This condition is unique because usually the urine should only flow from the kidneys to the bladder- not the other way around.

Hydronephrosis treatment in Delhi

If you’re looking for hydronephrosis treatment in Delhi, then you’ll be happy to know that there’s plenty of options available. Your doctor who, after examination, ask for a few tests. This may include the following:

Blood test

Urine test

Ultrasound Imaging

Voiding Cystourethrogram

Renal Scan (DTPA or DMSA scan)

Combined, these tests examine your kidneys, bladder, Urethra and checks if they’re working fine. The kind of treatment you’ll receive for hydronephrosis depends strictly on how severe the condition is.

Some of the causes are self-limiting and may need just close observation with regular testings. Hydronephrosis causing recurrent urinary infections or deterioration of renal functions might require surgical intervention.

However, we do not recommend that you go with this approach as it can even lead to your mild case developing into a severe case of hydronephrosis, which will need surgery. Hydronephrosis surgery cost depends solely on how critical the situation is.

However, you should not look at hydronephrosis surgery costs when looking to treat the disease. As we mentioned, it’s not life-threatening at the same time living with hydronephrosis can severely impact your quality of living. So don’t wait it out!

[urologist-surgeon]

Discover comprehensive information about vesicoureteral reflux (VUR). Learn about the symptoms, causes, and treatment options for Vesicoureteral Reflux(VUR), a urinary system condition. Recognize the signs of VUR, including recurrent urinary tract infections, urinary incontinence, and abdominal pain. Explore effective treatment methods and find expert guidance for managing VUR. Visit our page to gain valuable insights into VUR and ensure proper care for your urinary health.

[pediatric-nephrology-india]

Best Pediatric Nephrology Doctor in India - Dr. Sidharth Sethi

Best Pediatric Nephrology Doctor in India

In the realm of pediatric nephrology, finding a skilled and compassionate doctor is crucial for children with kidney-related conditions. Dr. Sidharth Sethi, a prominent figure in the field, has established himself as one of the best pediatric nephrology doctors in India. This blog will delve into his expertise, achievements, and the exceptional care he provides to young patients dealing with kidney disorders.

Dr. Sidharth Sethi's Background and Training:

Dr. Sidharth Kumar Sethi is a renowned Pediatric Nephrologist, having completed his training as a Fellow at the International Pediatric Nephrology Association and as a Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences. He further honed his skills at the Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. Throughout his career, Dr. Sethi has been actively involved in the care of children facing various complex renal disorders, such as nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation.

Expertise and Services:

At Medanta, The Medicity, Dr. Sidharth Sethi leads the way as a pediatric nephrologist, offering diagnostic and treatment services tailored to children's kidney conditions. His specializations include nephrotic syndrome, glomerular disorders, rare tubular disorders, and chronic kidney disease. The dedication of Dr. Sethi and his team goes beyond diagnostics and treatment, focusing on personalized care that meets the individual needs of each patient and their families. Recognized for their innovation and expertise, they provide the latest dialysis technology and comprehensive kidney transplant care for children of all ages.

Conditions Treated by Dr. Sidharth Sethi:

Dr. Sethi is well-versed in managing a wide array of kidney-related disorders in children. Some of the conditions he specializes in include:

1. Pediatric Nephrotic Syndrome

2. Complex Recurrent Urinary Tract Disorders

3. Glomerular Disorders

4. Hematuria (Blood in the Urine) or Proteinuria

5. Glomerulonephritis

6. Hemolytic Uremic Syndrome

7. Hydronephrosis

8. Hypertension

9. Rare Tubular Disorders

10. Polycystic Kidney Diseases

11. Neurogenic Bladder

12. Renal Dysplasia

13. Renal Tubular Acidosis

14. Systemic Lupus Erythematosus

15. Vesicoureteral Reflux

16. Acute Kidney Injury

17. Chronic Kidney Disease

18. Kidney Transplantation (Blood Group Compatible and Incompatible; Transplantation in Complex Renal Anomalies).

Nephrotic Syndrome

Most people have two kidneys, one on either side of the body just beneath the ribcage. Healthy kidneys filter the blood and allow small particles of waste products and water to be excreted as urine. Kidneys also play an important role in the control of blood pressure, maintenance of bone health, and formation of red blood cells.

What is nephrotic syndrome?

Nephrotic syndrome occurs when the kidneys leak large amounts of protein (especially albumin) into the urine. It is these proteins which is mainly responsible for holding water in the blood vessels, and when they are lost in urine, their level decreases in the blood which causes the water to come out of the blood vessels and cause swelling (edema).

What causes Nephrotic Syndrome?

In most cases, the exact cause of the nephrotic syndrome is not known. There is no relationship between diet or socioeconomic status of the family. It is non-infectious and does not transfer to other family members.

What are the symptoms?

The most common symptom is swelling (edema). It first appears on the face, especially around the eyes which is most prominent in the morning when the child gets up and decreases by the evening.

Other symptoms include Frothy urine, weakness and tiredness, passing less urine than usual, recurrent infections, and diarrhea.

What is the treatment?

Prednisolone (steroid) is the drug of choice when the child is first diagnosed. Most children respond to this drug with the disappearance of the protein in the urine and loss of swelling within 1-2 weeks (we call this REMISSION). Other drugs like diuretics, ACE inhibitors, etc may be required for symptomatic treatment.

Those who do not respond to steroids are given second-line drugs like Cyclophosphamide, MMF, Levamisole, and other immunomodulators as decided by your doctor according to the individual patient profile.

Duration of treatment: The first episode is treated for 3 months and subsequent episodes are treated as decided by your physician.

Conclusion:

Dr. Sidharth Sethi's dedication to pediatric nephrology has made him a distinguished figure in the medical community. His vast experience and expertise in treating kidney disorders in children, including nephrotic syndrome and chronic kidney disease, have earned him recognition both nationally and internationally. With a focus on personalized care, Dr. Sethi and his team at Medanta, The Medicity, ensure that children receive the best possible treatment and attention for their kidney-related conditions. If your child is facing any kidney-related issues, Dr. Sidharth Sethi is undoubtedly one of the best pediatric nephrology doctors in India to trust with their care.

To schedule an appointment with Dr. Sidharth Sethi, please contact:

Name: Pediatric Nephrology India

Address: Division of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, Haryana, India, 122001

Phone: 0124-4141414

Website: www.pediatricnephrologyindia.com

[gujarat-superspeciality-hospital]

Finding the Top Pediatric Urologist in Gujarat: Your Guide to Quality Care

Pediatric urology is a specialized field of medicine focused on the diagnosis and treatment of urological conditions in children. From urinary tract infections (UTIs) to congenital anomalies, pediatric urologists play a vital role in ensuring the urological health and well-being of young patients. This article aims to provide essential information about pediatric urology, common conditions, diagnostic procedures, treatment options, and the importance of finding the best pediatric urologist near you.

Common Pediatric Urological Conditions:

Pediatric urologists diagnose and manage a range of conditions affecting the urinary system in children. Some common conditions include urinary tract infections (UTIs), vesicoureteral reflux (VUR), hydronephrosis, bedwetting (nocturnal enuresis), and congenital urological anomalies such as hypospadias and undescended testicles. Recognizing the symptoms of these conditions is crucial for early intervention and appropriate treatment.

Diagnostic Procedures in Pediatric Urology:

To diagnose pediatric urological conditions, various diagnostic procedures are employed. These may include imaging tests like ultrasounds, X-rays, and MRIs to visualize the urinary tract and identify any abnormalities. Urine tests and cultures help in detecting infections and evaluating kidney function. In some cases, a cystoscopy may be performed to examine the bladder and urethra more closely.

Treatment Options for Pediatric Urological Conditions:

Treatment approaches for pediatric urological conditions depend on the specific diagnosis and severity of the condition. In many cases, medication may be prescribed to manage infections or alleviate symptoms. Behavioral modifications, such as fluid management and bladder training, can be effective for addressing bedwetting or urinary control issues. Surgical interventions may be necessary for correcting anatomical abnormalities or resolving more complex conditions. Pediatric urologists work closely with families to determine the most appropriate treatment plan for each child.

Importance of Early Intervention and Timely Treatment:

Early intervention and timely treatment play a crucial role in managing pediatric urological conditions. Detecting and addressing these conditions early can prevent potential complications, such as kidney damage or urinary tract scarring. It is essential for parents and caregivers to be vigilant about any signs or symptoms that may indicate a urological problem and seek medical attention promptly.

Finding the Best Pediatric Urologist Near You:

When it comes to the urological health of your child, finding the best pediatric urologist is of utmost importance. Here are some key steps to guide you in finding a highly qualified and experienced specialist:

Researching Pediatric Urologists in Your Area:

Start by researching pediatric urologists in your area. Online directories and medical websites provide valuable information about their qualifications, areas of expertise, and practice locations. Additionally, you can seek referrals from your child's primary care physician or ask for recommendations from friends, family, or other trusted healthcare professionals.

Factors to Consider when Selecting a Pediatric Urologist:

Consider important factors when selecting a pediatric urologist, such as their board certification, qualifications, and experience in pediatric urology. Look for specialists affiliated with reputable hospitals or clinics that offer comprehensive pediatric urological care. Patient reviews and testimonials can also provide insights into the quality of care provided.

Scheduling a Consultation and Preparing for the Visit:

Once you have narrowed down your choices, schedule a consultation with the selected pediatric urologists. Gather any relevant medical records and test results to provide a comprehensive overview of your child's condition. Prepare a list of questions and concerns to discuss during the appointment. It is also important to inquire about insurance coverage

Take the first step towards your child's urological well-being today! Discover expert pediatric urology care at Gujarat SuperSpeciality Hospital, where compassionate specialists are ready to provide top-quality treatment. Don't wait to address your child's urological concerns—schedule a consultation with our renowned pediatric urologists. Visit our website at gujaratsuperspecialityhospital.com to learn more and book an appointment. Your child's healthy future starts here.