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She is 31 weeks 3 days pregnant and having problem in foetus. Foetus have grossly dilated foetal urinary bladder noted. Two dilated linear sonolucent area seen around urinary bladder. What is the next step to do?
Urine - Culture & SensitivityColony Count:>10^5 cfu/ml Organism Isolated: 52 Escherichia coli Antibiotic. susceptibility. Amikacin. Sensitive. Amoxicillin+Clavulanic Acid. Sensitive is it normal report?
R. Sir/Mam, My brother is 53 yrs. His Wt. Is 110 kg. With height 170 cm. He is feeling burn in urination and pressure (flow) of urine is also decreased. His sonography report says that -Both kidneys: Are normal in size, shape and ecogenicity. Parenchyma is normal in thickness. Corticocentral differentiation is clear. A simple cortical cyst measuring 4.58x4.05 cms is seen at upper pole of left kidney. Pelvicalyceal system is compact. No hydronephrosis or renal calculus seen. Perennial areas normal. RK measures 9.46 x 3.95 cms LK measures 9.74 x 4.1 cmsProstate: Is moderately enlarged in size, normal shape and echogenicity. Parenchyma is homogenous. No focal mass seen. Capsule is intact. Prostate measures 4.46 x 3, 13 x 4.13 cms Approx. Wt. 30.89 gms. All other parameters and organs are normal. Kindly suggest the line of treatment. By Medicine (Pathy also) or Surgery (and type of surgery also)
Dear Sir, I have been diagnosed today with 1 kidney stone of 5.5 mm located at the junction of kidney tube and bladder. Kindly suggest if I need to be admitted for the cure. I am taking below tablets and have started drinking lots of water. The pain is mild since medicines have been started. 1. Cystone 2. Meftal spas 3. Rablet D 4. Satrogyl - O Thanks in advance,
Sir, I have a kidney temporary dialysis what type of food and fruits I should avoid, and what vegetables I have to take tell me the list of vegetables to be avoided and should be taken.
My age is 23. Height 6 ft. Weight 76 kg. From 8 month k am having frequent urination problem. Bone and muscle pain. Numbness and tingling in hands and feet and in every body part. I had my vitamin b12 test .it came 185pg/ml. . .the normal reference range is 180 -914. Is it normal 185 or I am in lower range due to which I am having numbness and tingling in body? ,
I have kidney stones. And 2 months back had operation for left kidney to remove stones. And doc said in right kidney too some stones are there. I literally eat nothing. No non veg. So is there a specific diet. For information I have stones size of 0.8cm and around 1 cm.
Hi good evening doctors my friend dad suffering from kidney failure from 2 years and know hcv virus is detected in liver so wht should we do? Is there any cure for tht in india or foreign. Uncle is age 61 and know he is on dialysis so please tell us wht should we do for tht.
Can I use Cystone tables from Himalaya for dissolving stones in kidney? They are ayurvedic and have no side effects according to various reviews. Please suggest me whether to use Cystone tablets for kidney stones? The link is here: http://www. Himalayawellness. Com/products/pharmaceuticals/cystone-tablet-syrup. Htm.
Many children all over the world are affected by urinary tract infections or UTIs that can be resolved with simple antibiotics, but might also lead to complications at times. Most often, kids under 2 years of age are affected by it, and either the bladder or the kidney might be infected leading to cystitis or pyelonephritis , in smaller children kidneys are presumed to be infected unless proved otherwise.
Causes of UTIs
Though bacterial infections are the most common cause, viral or fungal infections might occur in some cases as well. Most UTI in infants are caused by structural abnormalities of urinary tract. Uncircumcised male infants or children with poor toilet habits, or female children with poor toilet hygiene are susceptible to this disease. Children suffering from a weak immune system might also be at a risk.
Symptoms and signs
Symptoms of UTI are very difficult to differentiate from any other illness in small kids under 2 years of age, symptoms include high fever, diarrhea vomiting, and dehydration. Basically any fever for which no cause is apparent must be evaluated for UTI. UTIs in older children beyond 5 years of age come with different signs including pain during urinating (dysuria), frequent urination, abnormal urge for urination, or bedwetting. Sometimes, fever, abdominal pain, blood in urine or vomiting might be signs as well.
Which doctor to consult?
In most cases, UTIs in children are treated by pediatricians, but if kidney function is troubled then a pediatric nephrologist needs to be contacted immediately. Pediatric Nephrologist to be consulted once the fever is over to look for cause of UTI.
- Tests carried out: To understand the underlying cause of the infection and any anatomical or functional risk factors, several examinations or tests are carried out. Vital signs like blood pressure, body temperature, and breathing rate are checked. The abdomen is palpated to find tenderness near the kidneys. Genital areas are also examined for signs of trauma, redness, discharge and such. Urine cultures are essential for diagnosing UTIs finally and this helps in assessing the antibiotic sensitivity profile too.
- Good to know: Right after an antibiotic is administered, UTI in children starts getting resolved. But recurrent UTIs might lead to urinary tract abnormalities like kidney malformation. Also note that UTI is not contagious, and cannot be passed on if children share a bath or if you sit on an infected toilet seat.
In most cases, UTIs respond well to oral antibiotics, though Pyelonephritis may require hospitalization and intravenous drip. Some studies are also carried out to check if the child is susceptible to renal scarring or kidney failure. These are as below:
- Renal ultrasound: Defines the location of the kidneys and their size and shape clearly.
- Voiding cysto-urethrogram: The bladder is filled with a dye through a catheter in this method. Then the catheter is removed to study if the bladder is getting emptied without any reflux or obstruction.
- Renal scan: To test the functioning of the kidneys and the risk of renal scarring, a bit of radioactive material is used.
- Intravenous pyelogram: Though rarely used, in this method, a dye is injected into the bloodstream and X-ray images are obtained.
- Maintaining proper hygiene: Girls should wipe from front to back and uncircumcised boys should be able to gently retract the foreskin to reveal the urethral opening.
- Complete voiding of bladder: Encourage kids to urinate every two to three hours, since they often ignore a full bladder to carry on playing.
- Consumption of fluids: Drink plenty of fluids and avoid constipation. If you wish to discuss about any specific problem, you can consult a Pediatrician.