Top
20
Doctor insights on: Chronic Renal Failure In Kids Bun 259

Share
1

1
Does kidney failure in small children mean dialysis?

Does kidney failure in small children mean dialysis?

It depends: Acute, reversible kidney failure in a child does not always result in dialysis. Chronic, non-reversible renal failure will likely result in dialysis. Peritoneal dialysis is preferred for a variety of reasons. Finally, renal transplant asap is the ultimate preferred treatment for children who are on dialysis. Children need to grow and getting a transplant is their best hope to see that happen. ...Read more

See 2 more doctor answers

Children's Health (Definition)

Children's health refers broadly to the health maintenance and prevention ...Read more


2

2
Why are kids with chronic renal failure (kidney disease) harder to toilet train?

Why are kids with chronic renal failure (kidney disease) harder to toilet train?

Some are: Kidneys in children with chronic renal failure often can not concentrate their urine. As a result, such chi;ldren hve to drink much more than normal just to remain hydrated. This results in tmem producing an abnormally hugh urine volume which i turn makes them harder to toilet train. Suggest you discuss this with child's nephrologist. ...Read more

3

3
Hi, is the metabolic acidosis in chronic renal failure fatal ?

Hi, is the metabolic acidosis in chronic renal failure fatal ?

Acidosis: The simple answer is yes. However, the amount of acid has to be very high for that to happen. High amounts of acid in the blood interfere with many, if not all, biologic processes in the human body such as the effect of Insulin lowering blood sugar, the normal metabolism of proteins and fats that are essential for life, and even normal heart beat, just to name a few. ...Read more

4

4
My husband is in transplant renal failure GFR 17 creatinine 340 due to sickness and diarrhoea bug he is in hospital creatinine 900 dehydrated.

My husband is in transplant renal failure GFR 17 creatinine 340 due to sickness and diarrhoea bug he is in hospital creatinine 900 dehydrated.

Outcome may be ok: Transplanted kidneys are particularly vulnerable to injury from dehydration and acute infection, which is the situation you have described. The best chance of a good outcome is definitive management in a hospital (which is being done), intravenous fluids, frequent measurement of the immunosuppressant drug levels, and treatment of any infection. Recovery of baseline kidney function often occurs. ...Read more

See 1 more doctor answer
5

5
What causes renal failure at 60 in obese person?

What causes renal failure at 60 in obese person?

Renal Failure: There are many causes of renal disease in people. High blood pressure and diabetes are the most common causes although obesity can be linked to focal segmental glomerulosclerosis. Medications can also cause renal failure (nsaids like ibuprofen/advil and several other meds). It is best evaluated by a nephrologist. ...Read more

6

6
Can haemodialysis correct metabolic acidosis in renal failure patient?

Can haemodialysis correct metabolic acidosis in renal failure patient?

Renal Replacement Th: Dialysis is one of the treatments for metabolic acidosis. Depending on the cause as well as the other medical problems and type of the acidosis, correcting the inciting problem is the first step dialysis may or may not be needed. ...Read more

7

7
Failure kidney transplant because recurrence of focal glomerulosclerosis also has global hypokinesia on dialysis no diabetics or heart disease . ?

Failure kidney transplant because recurrence of focal glomerulosclerosis also has global hypokinesia on dialysis no diabetics or heart disease . ?

Transplant: Focal segmental glomerulosclerosis or fsgs has recurrence rate of 10 % after transplant. You can get another transplant and decrease rate of recurrence by getting plasmapheresis and galactose therapy before next surgery. These therapies have been shown to reduce risk in selected group of patients. ...Read more

Dr. Jay Park Dr. Park
2 doctors agreed:
8

8
What is metabolic acidosis in chronic renal failure from?

Dr. Jay Park Dr. Park
2 doctors agreed:
What is metabolic acidosis in chronic renal failure from?

Unable to remove: Metabolic acidosis is a constituent of renal failure, arising mainly from the inability of kidney to remove excess acids in blood. ...Read more

See 1 more doctor answer
10

10
Had a hypertensive crisis w CHF kidney u/s showed echogenic renal pyramids. Bicarbonate (sodium bicarbonate) is low 20.5 aldosterone 2.4 RDW 18.1 blood in urine , ideas?

Had a hypertensive crisis w CHF kidney u/s showed echogenic renal pyramids. Bicarbonate (sodium bicarbonate) is low 20.5 aldosterone 2.4 RDW 18.1 blood in urine , ideas?

Aldosterone 2.4: Your question cannot be answered properly, as you did not give enough information. You aldosterone (a) level is 2.4. It is difficult to say what that means because your a is dependent on whether you were standing, sitting, or lying down when the blood was drawn and normal values vary from lab to lab. A physician (p)ordered your test, ask the p for a more-informed answer to your question better. ...Read more

11

11
In patient with chronic renal faliure, is associated with hypertention or normal BP ?

In patient with chronic renal faliure, is associated with hypertention or normal BP ?

Chronic renal: Longstanding hypertension is only one cause of renal failure. Chronic inflammation, infection, diabetic nephropathy are some other causes. In other words the hypertension causes the chronic renal failure although many kidney diseases can cause hypertension. You may have normal blood pressure in the presence of chronic renal failure however. ...Read more

12

12
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

13

13
Are kidney problems hereditary? My dad had kidney failure due to a urine infection..And his other kidney was not functioning since childhood.

Are kidney problems hereditary? My dad had kidney failure due to a urine infection..And his other kidney was not functioning since childhood.

Some, unlikely dad's: Polycystic renal disease is hereditary, adult type is autosomal dominant so there is 50% chance of each child of parent with PKD inheriting it. Pediatric type PKD is recessive & usually fatal at or soon after birth. Bladder reflux which can cause kidney disease can also be heritary. Kidney duplication sometimes assoc. W kidney disease can be inherited. Dad's kidney problem unlikely heritable. ...Read more

See 3 more doctor answers
14

14
My father aged 70 has renal disease .Creatinine clearance is 7 .Some mornings his blood pressure drops very low even to 50 70 . Pl suggest?

My father aged 70 has renal disease .Creatinine clearance is 7 .Some mornings his blood pressure drops very low even to 50 70 . Pl suggest?

Renal Failure: Your query raises some interesting points. If your data are correct, at a creatinine clearance of 7 ml/min, your father should be on dialysis. Is he? If so, speak to his nephrologist (n). If not, have him see his physician who can examine him and take some blood work to see what his blood count is. If his blood pressure is very low, you should get him to an er to have him assessed. Good luck. ...Read more

15

15
Is it normal for 35 y/o non-alcoholic female w/o family history of PKD to develop multiple painful bilateral renal cysts, high urine output & high bp?

Is it normal for 35 y/o non-alcoholic female w/o family history of PKD to develop multiple painful bilateral renal cysts, high urine output & high bp?

Isolated PKD: PKD is autosomal dominant. One PKD allele is all that is needed to express PKD. Expression is over 90%. What you report is not normal, nor usual. Over 90% of expressed, affected persons have an affected parent. Yet, old data indicate that ~10% of affected persons do not have a parent with expressed PKD. Yet new data reveal that PKD gene mutations do exist in a parent without expression. ...Read more

See 1 more doctor answer
16

16
Nephro.I'm 30 y old not dm or htn in stage 4 renal disease caused by obstructive uropathy since birth, not on dialysis yet. Barodoxlone methyle help ?!

Nephro.I'm 30 y old not dm or htn in stage 4 renal disease caused by obstructive uropathy since birth, not on dialysis yet. Barodoxlone methyle help ?!

Unknown but unlikely: As you mention in your question, most of the research has been in the inflammatory state of diabetic kidney disease. It is a new medication and we have a lot to learn about it and long term safety in people... Who knows. ...Read more

Emily Lu Dr. Lu
3 doctors agreed:
18

18
How many people with diabetic kidney disease develop total kidney failure?

Emily Lu Dr. Lu
3 doctors agreed:
How many people with diabetic kidney disease develop total kidney failure?

20-40%: About 40% of type 1 diabetes patients with kidney disease will develop kidney failure within 20 years without strict blood pressure and glucose control. About 20% of type 2 diabetes patients with kidney disease will develop kidney failure within 20 years, but blood pressure control has seemed to be less effective in completely stopping progression in these patients. ...Read more

See 1 more doctor answer
19

19
Al in hospital can't go home cuz his sodium is too low. Could his existing cronic kidney failure &stage 3 bone cancer contribute to that condition?

Al in hospital can't go home cuz his sodium is too low.  Could his existing cronic kidney failure &stage 3 bone  cancer contribute to that condition?

Yes: The most common diagnosis in advanced cancer patients is syndrome of inappropriate antidiuretic hormone. This often results in low sodium. Kidney failure can also contribute to low sodium levels. ...Read more

See 1 more doctor answer
20

20
3 m/o w/unilateral renal agenesis, bilat syndactyly of toes 3-4, seizures, failure to thrive, no muscle tone, low ears, heterotopia. Not SLOS. ideas?

3 m/o w/unilateral renal agenesis, bilat syndactyly of toes 3-4, seizures, failure to thrive, no muscle tone, low ears, heterotopia. Not SLOS. ideas?

What did the : Chromosomal Microarray reveal ? This is a baby for whom a team of "medical home " pediatrician, pediatric neurologist, geneticist, developmental/behavioral pediatrician, audiologist, pediatric ophthalmologist Early Intervention therapists & a medical social worker/case manager & more is needed to assure funding, services, & family support for accurate diagnosis & management. ...Read more

Dr. Tarek Naguib
605 doctors shared insights

Kidney Failure (Definition)

A condition in which the kidneys lose the ability to remove ...Read more


Dr. Fred McCurdy
364 doctors shared insights

Esrd (Definition)

End stage renal disease (ESRD) = final stage ...Read more