Doctor insights on:
Enlarged Kidney In Children
Several things:: Blockage of the ureter (e.g. Stones, tumors, valves) can lead to accumulation of fluid in the urinary space, leading to the most common form of enlargement called hydronephrosis. Severe urine reflux from the bladder can cause this as well. The organ itself can be enlarged in inflammation, such as a kidney infection; infiltration by cancer; or if there is a large or multiple kidney cysts.
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
Many things: 1 kidney: infection, compensatory hypertrophy related to a small other kidney, obstruction of the drainage system 2 kidneys: diabetes with early kidney enlargement, myeloma and amyloid involvement in the kidney, bilateral infection, acute injury to the kidney with swelling, obstruction of the bladder ask your doc for a visit to go over the films.
Could be nothing: Kidney size correlates some with the body size. However, a blockage of kidney makes it swell and be large but the diagnosis is not going to be an elarged kidney but an obstructed kidney. Another reason is early in diabetic kidney disease where the kidneys get bigger early then start slowly shrinking over the years. Usually patient has diabetes and protein increase in urine.
HYDRONEPHROSIS: A swollen kidney typically is due to a backflow or sluggish through flow out of it and into the bladder. Kidney stones/ bladder area blockage/massive prostate size and of course tumors are the most common causes. Usually your other kidney keeps things going until over burdened. This can cause kidney failure or significant irreversible damage.
Obstruction.: A kidney that is obstructed by a kidney stone can swell in a condition called hydronephrosis. This can, over time, affect the function of the kidney. Kidney stones can form when solutes in the urine come out of solution. The exact cause in an individual is usually not known, but there is likely a genetic component and known risk factors such as dehydration, high-salt, high-protein diet.
See below: I doubt, the kidney as more likely to be felt in the front of the abdomen, the structures in your back eg the big muscles, prevent it from showing up in the back.
Doubt it: The advances in fetal monitoring have given rise to new issues that were never evident before. One is the relatively common finding of dilated renal pelvi which will often go away within a few weeks of birth when the system matures more. Persistence or actual enlargement of kidneys over time can mean a blockage in the system. This will be evident on other studies and an US obtained after birth.See 1 more doctor answer
What do you suggest if my ultrasound shows my son has an enlarged kidney known as fetal pelviectasis can my son die?
Doubt it: The advances in fetal monitoring have given rise to new issues that were never evident before. One is the relatively common finding of dilated renal pelvi which will often go away within a few weeks of birth when the system matures more. Persistence or actual enlargement of kidneys over time can mean a blockage in the system. This will be evident on other studies and an US obtained after birth.
Further evaluation: This will need further evaluation by a pediatric nephrologist. Big kidneys might indicates: 1-inflammatory condition of the kidney (nephritis) associated with blood&/or protein in the urine 2-kidneys filled with urine because of obstruction (hydronephrosis) beyond the kidney 3-infection of the kidneys (pyelonephritis) 4-other benign conditions or non benign conditions recommend further evaluation.
My daughter is 3. She has an enlarged kidney. They put her on bactrim (sulfamethoxazole and trimethoprim) long term. Is this okay?
Standard therapy: Bactrim (sulfamethoxazole and trimethoprim) is a standard therapy for bladder reflux starting after 2 months of age and used as needed. It's ease of storage and use trumps Amoxicillin and it is more palatable than the furadantin. It has been used in this fashion for UTI suppression for decades and is commonly used long term. There is some controversy about how long to continue meds. Discuss with your doc.See 1 more doctor answer
My 3 day old baby girl has one enlarged kidney what are the chances the problem will rectify itself. She has normal bowel movements thou.
Should be watched: There is a good chance that this may resolve on its own, or even be normal eventually. But this baby is only three days old and the difference must be watched to monitor for problems. Best wishes.
What are the prognosis of hep c and b in drug addicts with enlarged kidney with a recent fracture of the hip joint.
Hepatitis: With the medicines today these are very treatable viruses. There seems to be a lot of other issues going on but those should improve in spite of hepatitis
Hard to say: It's hard to answer how dangerous it would be. Large kidney stones are more difficult to remove than small ones. Depending on its size, location & the status of the kidney, there can be different treatment options & the stone may be completely treated.
Usually not: The main risk is of bleeding within the tumor itself as it happens with persons who have a condition called tuberous sclerosis. Other than that if just occupies space but does not disturb the function of the organ.