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Doctor insights on: Hydronephrosis And Elevated Bun Levels

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My daughter has hydronephrosis. No reflux. High levels of creatinine and bun. Doctors want to treat her with long term bactrim (sulfamethoxazole and trimethoprim). Is this okay?

My daughter has hydronephrosis. No reflux. High levels of creatinine and bun. Doctors want to treat her with long term bactrim (sulfamethoxazole and trimethoprim). Is this okay?

Definitely not OK: Ideally daughter needs to be seen & managed by pediatric urologist who may advise surgery to relieve any obstruction causing her hydronephrosis & nephrologist regarding her azotemia (elevated BUN & creatinine). Suggest you go to la, los angeles children's hospital or ucla medical center. This is not something to be managed locally in yucaima. Bactrim (sulfamethoxazole and trimethoprim) not appropriate unless infected & not long term. ...Read more

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Dr. Michael Gabor
137 doctors shared insights

Hydronephrosis (Definition)

Due to abnormal amount of urine retained by kidney due to swelling of internal renal collecting system consisting of cayces & renal pelvis. Urinary collecting ducts drain into calyces which dreain into pelvis (like a funnel) draining into ureter. Causes mostly blockage, congenital or acquired from stone, fibrous tissue, growth or external pressure of pelvis or lower down, ...Read more


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My daughter has hydronephrosis. High platelet levels, high creatinine and bun levels, white blood cells in her urine. No reflux.Possible kidney disease?

My daughter has hydronephrosis. High platelet levels, high creatinine and bun levels, white blood cells in her urine. No reflux.Possible kidney disease?

Azotemia: Your daughter needs to be evaluated by both pediatric urologist & pediatric nephrologist. Repeat my previous advice that you need to take her a center which can provide these services and believe that would by ucla or la children's hospital or uc irvine medical center. They should be able to make a diagnosis and optimally advise regarding treatment. My sympathies this is a serious problem. ...Read more

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My mother is 60years old,hypertensive recently has high cretinine level i.e 2.9 but find only hydronephrosis and cyst in ultra sound ,is it serious?

My mother is 60years old,hypertensive recently has high cretinine level i.e 2.9 but find only hydronephrosis and cyst in ultra sound ,is it serious?

Serious: A creatinine of 2.9 is definitely indicating that her kidneys are not functioning properly. It would not be uncommon to find no abnormality on ultrasound - the kidneys can be damaged microscopically from diabetes or high blood pressure. I would have her see a nephrologist (kidney doctor) for further evaluation. ...Read more

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I had CT scan done. Results showed that I have a 5mm stones lying at the level of the right femoral head. No hydronephrosis. Should I be worried?

I had CT scan done. Results showed that I have a 5mm stones lying at the level of the right femoral head. No hydronephrosis. Should I be worried?

That: doesn't make sense. Are you reading directly from the report? The ureters are not in the same anatomic region as the femoral head, so there is no way to have a kidney/ureter stone there. There can be calcifications(generally not referred to as stones) in and around the hip joint(e.g. Loose bodies or calcific tendinopathy) that could be associated with hip region pain, but more info is needed. ...Read more

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What can cause hydronephrosis ( sp?) I have high bp, potassium and protien in urine and elevated wbc?

What can cause hydronephrosis ( sp?) I have high bp, potassium and protien in urine and elevated wbc?

Blocklage or reflux: Blockage can be 1) within kidney from stone, polyp, sloughed tissue or tumor 2) in wall of kidney kidney pelvis or ureter congenital or tumor 3) extrinsic from constricting blood vessel, retroperoneal fifrosis or pressure from cyst or tumor. Refluxing urine frombladder can cause hydro. High BP can be from kidney or other cardiovascular causes, wbcs in blood or urine ?Infection.Pot.+ protein?Kidney. ...Read more

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Mild hydronephrosis cause pain?

Mild hydronephrosis cause pain?

Stone obstruction: Which causes mild hydronephrosis can cause pain. U might have flank or abdominal pain following high fluid consuption from intrinsic obstruction due to stretching of kidney pelvis. Pain would lessen or go away with time ; only mild hydronephrosis would be seen on us. Repeat us after fluid load or during pain episode might give more information. Pain may well be due to other causes. ...Read more

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What's some medicine for hydronephrosis?

What's some medicine for hydronephrosis?

Usually intervention: Hyrdonephrosis is an anatomic diagnosis, usually caused by obstruction, less common by reflux of urine from bladder & occasionally by infection. Thus intervention, to relieve blockage, usually required to correct cause, unless mild. Obstruction from narrow or kinked kidney outflow needs pyeloplasty surgery, stones passed or removed + meds if metabolic cause, tumor removed, antibiotics 4 infection. ...Read more

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What is the definition or description of: hydronephrosis?

What is the definition or description of: hydronephrosis?

Kidney swelling: Due to abnormal amount of urine retained by kidney due to swelling of internal renal collecting system consisting of cayces & renal pelvis. Urinary collecting ducts drain into calyces which dreain into pelvis (like a funnel) draining into ureter. Causes mostly blockage, congenital or acquired from stone, fibrous tissue, growth or external pressure of pelvis or lower down, or from bladder reflux. ...Read more

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Can hydronephrosis cause pylonephritis?

Can hydronephrosis cause pylonephritis?

Not cause/predispose: Hydronephosis does not cause pyelonephritis but it predisposes to it. ...Read more

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Is hydronephrosis/pelviectasis a sign of down's syndrome?

Is hydronephrosis/pelviectasis a sign of down's syndrome?

Not at all: There is a very slightly increased risk of down syndrome when prenatal hydronephrosis is diagnosed at maternal-fetal ultrasound during pregnancy. ...Read more