Treatment for hydronephrosis in children

It depends on the severity and cause of the condition. In mild cases, observation and monitoring may be all that is needed. In more severe cases, treatment may involve medication or surgery.
If the cause of hydronephrosis is due to a blockage, surgery may be necessary to remove the blockage and allow urine to flow freely. This is particularly important in cases where the blockage is causing damage to the kidney.

In some cases, a procedure called a pyeloplasty may be necessary. This is a surgical procedure that involves repairing or rebuilding the connection between the kidney and the bladder. This procedure can be performed using minimally invasive techniques in some cases, leading to less scarring and a quicker recovery time.
After treatment for hydronephrosis, it is important to continue monitoring the condition to ensure that it does not reoccur. Regular check-ups with a pediatric urologist can help to ensure that the condition is properly managed and any potential complications are identified early on.

In conclusion, hydronephrosis in children is a relatively common condition that requires prompt diagnosis and treatment. It is important to seek medical attention from a qualified pediatric urologist Consult Dr. Vishesh Dikshit the Best Pediatric Urologist in Pune . With proper diagnosis and treatment, children with hydronephrosis can go on to lead healthy, normal lives.

About Dr.Vishesh Dikshit

Dr. Vishesh Dikshit graduated from Govt. Medical College, Calicut, Kerala, in 2004 with an MBBS degree in medicine. In 2012, he received an MS in General Surgery from Lokmanya Tilak Municipal Medical College in Sion, Mumbai, and in 2015, he received an MCh in Pediatric Surgery from Lokmanya Tilak Municipal Medical College in Sion, Mumbai.

Reasons for Urinary Tract Infection in Children

Parents always need to understand the reasons why children get infected with UTIs. Let’s check the reasons below.

• Experts say that bacteria from the child’s skin can reach the urinary tract and lead to a Urinary Tract Infection.
• The urinary tract inside a child’s body can often get infected with bacteria coming from the bloodstream.
• Sometimes, children hold their pee for a long time, and this bad habit can cause urinary tract infection.

Symptoms of UTI

Normally, parents hardly understand the symptoms of urinary tract infection in their kids. But, they need to check some symptoms like fever, bad-smelling urine, irritability, crying, fussiness, vomiting, poor feeding, and more to identify whether their kids are suffering from UTI.

Apart from those mentioned above, children can also suffer from the difficulties like urgency to urinate, frequent urination, feeling pain during urination, trouble urinating, blood during urination, etc. If you notice the symptoms mentioned above, you need to consult with Dr.Vishesh Dikshit Best pediatric urologist in Pune. 

Ways to prevent UTI

Proper treatment will cure your kids of urinary tract infection, and to prevent them from this problem, parents need to focus on the following facts.

• Children need to take plenty of fluids like water, fruit juice, etc
• Educate your child to empty their bladder completely while urinating.
• Experts suggest avoiding bubble baths and using perfumed soap while bathing
• Children should not eat such food or beverages that will cause irritation in the bladder.
• Parents need to check that their kids do not get constipated.

About Dr. Vishesh Dikshit

It has been noticed that many children below the age of two years suffer from bladder infection. The difficulty lies in the fact that these kids are too little to express how they feel during the infection. Normally, when a young child suffers from a bladder infection, they can have fever, vomiting, diarrhea, fussiness, loss of appetite, etc.

Children who are more than two years of age can have problems like pain or burning during urination, cloudy, bloody, dark urine with foul smell, frequent urge to urinate, pain in the lower abdomen and fever.

Causes of Bladder Infection in Children

 The prime cause of Urinary Tract Infection is bacteria, and E-coli is the primary bacteria responsible for bladder infection. This bacterium is present in abundance in the stools and it travels from there to the urinary system to cause UTI.  A child’s body can often not fight the infection, which creates critical health conditions that may put your children at risk.

Preventive Measures of Bladder Infection

Doctors often suggest parents take necessary preventive measures at home so that they can prevent bladder infection affecting their children.

• Parents need to check that kids always drink enough water to stay hydrated. Frequent urination helps to flush out the bacteria.
• Proper hygiene of the private parts is another way to keep your kids free from a bladder infection. Avoid using diapers. Use clean cotton underwear which must be changed as frequently as they get soiled.
• Parents need to check whether their kids have constipation or not. It is common for kids to have constipation and a loaded rectum compresses the urethra making it difficult for children to pass urine which leads to stagnation and infection. If your kids suffer from constipation, you need to take corrective measures to relive the condition. Your doctor will help you with that.

Often if your kids are infants with high grade fever and no other symptoms, you need to get them examined so as to rule out and treat Urinary Tract Infection (UTI). Many a times children have structural problems in the urinary tract which can cause repeated UTI. A pediatric surgeon can help you with this.

Causes of Urinary Tract Infection

Urinary tract infection develops when bacteria reach the bladder. In this situation, the bacteria start multiplying and infecting the area. Normally there are two types of urinary tract infections- one is a kidney infection, and the second one is a bladder infection. A kidney infection is more harmful than a bladder infection. When children suffer from a urinary infection, two types of abnormalities are mainly found to be associated : Vesicoureteral reflux and Urinary Obstruction.

Symptoms of Urinary Tract Infection

Symptoms of urinary tract infection depend on the level of infection in the child. The normal symptoms are fever, low appetite, diarrhea, vomiting, irritation, and overall weakness. In case of bladder infection, the kids may also have foul-smelling urine, blood in the urine, frequent urination, cloudy urine, pain during urination, etc.

Urinary Tract Infection Treatment Options 

No doubt, urinary tract infection can cause serious effects on the kidney’s health and hence it is necessary to ask your doctors about the best remedies. Doctors will suggest certain antibiotics that can immediately stop the infection from spreading to the kidneys.

Sometimes kids need to get hospitalized if they are younger than 6 months, suffering from high fever, blood infection due to bacteria and excessive vomiting or diarrhea. Doctors will suggest certain laboratory tests like urine culture to analyse the type of bacteria so that the right treatment can be provided.

We generally do not associate boys with urinary tract infections, however once it occurs, it can be harmful to anyone. This happens when bacteria (usually from stool in the diaper) manage to get inside the urethra. When this happens, boys can have a feeling of burning when they urinate, pain in the lower tummy, fever and/or vomiting. The urine may have a very foul smell. Some boys may also have an increased frequency of micturition and bedwetting. Parents need to be very sensitive about this condition and seek immediate medical help.

2. Kidney Stones

Kidney stones are like small pebbles, some smooth others irregular. They occur due to deposition of calcium and other minerals. They can form as a sequalae to infection or sometimes due to some underlying metabolic disease. Children with kidney or urinary tract stones most commonly present with pain and blood-tinged urine. An ultrasound is helpful in locating the stones. There are many strategies available to tackle such stones depending on its size and location.

3. Hypospadias

This is a very common abnormality in which the urethral opening is not present at the tip of the penis but may be located anywhere on the undersurface of the shaft or even in the scrotum. The child may also have a bend in the penis, called a chordee, along with incomplete foreskin. Even though this condition is present since birth, it is best corrected with surgery at around 8-10 months of age.

4. Hydronephrosis

This literally means “A kidney full of water.” Here the kidney swells up with urine and is due to some outflow obstruction. Very often this condition is detected by ultrasound before birth. Many cases of antenatally detected hydronephrosis resolve as the baby grows but some need constant monitoring and surgical intervention to remove the block.

5. Posterior Urethral Valve

Even though this is not a very common disease, it still is the most severe type of urinary block affecting boys. There is a membrane in the urethra just below the bladder which causes lower urinary tract obstruction and many problems like hypertrophic and poorly functioning bladder, vesico-ureteric reflux and poorly functioning kidneys along with underdeveloped lungs. Management of such cases is tough and needs a multidisciplinary approach using medical and surgical intervention.

Dr. Vishesh Dikshit is the Best Pediatric Surgeon in Pune. If you have any problem related to your child’s Pediatric Urology condition Book your appointment today with Dr. Vishesh Dikshit at Umarji Mother and Child Care Hospital, Pune.

 Common Pediatric Urology Conditions:

Many parents do not have knowledge about the different urological problems that can occur in kids. However, they can scroll down and check the details here.

 Hypospadias:

This problem is mainly caused due to the malposition of the urethral opening, and about one in 250 male babies suffer from this problem. Normally pediatric surgeons conduct corrective surgery at the nine months age of the baby.

 Antenatal hydronephrosis:

This problem is seen in fetuses as a dilatation in the renal pelvis. Normally doctors can identify this problem ante-natally using sonography. This is quite a common finding, and almost 50 percent of babies are detected to have this problem before birth. Fortunately, in the majority of babies, this condition resolves as they grow and only some need treatment.

Nocturnal enuresis:

This problem is commonly known as bedwetting. Normally children attaint nighttime control over their bladders by the age of five but for some, it may get delayed to seven years. If your child is still wetting the bed after the age of seven, please consult your doctor.

Undescended testes:

Many male babies are born with their testes not present in the scrotal sac but in most of them it comes down by the age of seven months. Beyond that age, if the testes are still undescended, they need to be brought down surgically to avoid complications like infertility, torsion, trauma, and tumors.

 Ureteropelvic junction (UPJ) obstruction:

This condition occurs in around one in 500 babies and is usually detected before birth. It occurs due to blockage of the outflow of urine from the kidney into the ureter. Many of such babies get better as they grow but few require surgical correction in the form of pyeloplasty.

If your child is suffering from any of the above problems, Consult today with the best pediatric surgeon in Pune – Dr. Vishesh Dikshit. Book an Appointment Now!