Childhood diseases of the kidney and the urinary tract as well as their consequences are treated by the pediatric nephrologist. In most cases parents see the specialist specifying symptoms such as infection of the urinary tract or nighttime bedwetting problems but extraordinary clinical aspects may also occur. Above the age of five years nighttime bedwetting is a sign to which attention must be paid because in the background – besides psychological problems – disorders of the kidney and the urinary bladder may appear.
In the course of the visit at our clinic’s specialist doctor the sequence of the necessary examinations (ultrasound scan, laboratory tests, consultation with specialists of the associated branches of medicine) could be performed, which is essential to set up the exact pediatric nephrological diagnosis.
Development disorder of the urinary tract could already be detected at prenatal age. Baby’s kidney development disorder may be recognized by an ultrasound examination executed during the gestational age. In such cases it is indispensable to accomplish the baby’s after birth abdominal ultrasonic scan in order to confirm or exclude the previous diagnosis.
Development disorders may have the following characteristics:
- deviation in the location and shape of the kidney
- increased space in the kidney pelvis showing that there is a blockage or difficulty standing in the urine flow’s way somewhere in the urinary track
What parents may experience at newborns?
In case of the existence of a narrowing in the urethra (tube coming from the bladder) parents may observe that the baby has a weaker and slower urine output.
During the examination the pediatric nephrologist finds the answers for the following questions:
- what is the extent of the deviation
- does it involve the decay of kidney function
- does it require an operation and when could it be executed
What are the symptoms of the urologic diseases to which the parents have to pay attention?
- nighttime bedwetting above the age of five years
- daytime wetting above the age of four years
- urination of more than ten times a day
- urination of less than four times a day
- not continuous stream during urination
- intermittency in urinating
- capability of urinating few minutes after the previous output
- dripping of urine after taking a leak
- standing around before urination
- urine dripping before reaching the lavatory
- frequently going out to toilet during class hours
In order to diagnose the diseases of the kidney it is always important to review the family’s case history (anamnesis). Then the following careful physical check-up, laboratory tests (blood, urine) and imaging examinations (e.g. ultrasound) are all parts of the exact diagnosis. In certain periods of childhood it happens that urinating disorders may be traced back to psychological causes (e.g. birth of a little brother). The background of disorders of this type could quickly be detected by the pediatric nephrologist and in this way the child could get help – an assistance of a psychologist – in order to have a real solution for his problems.
Infections of the urinary tract
Children, having recurring infections of the urinary tract, are cured by the pediatric nephrologist. At the early period of childhood (new-born, infant) the infection of the upper urinary tract has mostly general symptoms which are the following:
- high fever lasting for days
- loss of appetite
- worsening general condition
- foul smelling urine
In case of older children’s diseases the aforesaid symptoms are supplemented by the turbidity of the urine while adolescents may complain of even flank pains.
Symptoms of the infection of the lower urinary tract (urethra and urinary bladder inflammations):
- burning urination, generally without the development of fever
- repetitive needs for urination, a feeling that when taking a leak the emptying of the urinary bladder cannot be completed by the child
- abdominal pain in the center of the lower abdomen
Since the aforesaid symptoms are unpleasant and painful, and the infections of the urinary tract may also have long-term consequences, the earliest proper treatment of these diseases is indispensable.
Physical check-ups, stress tests, laboratory- and ultrasound screenings might be complemented by other examinations. In our clinic all conditions are provided for the accomplishment of the comprehensive medical check-up. To examine the kidney, the urinary tract and other parts of the pelvis the clinic’s high-resolution imaging devices (ultrasound), its rapid laboratory tests (blood and urine) and the availability to the consultation with the specialists of the associated branches of medicine are all available to the pediatric nephrologist. After the rapid completion of examinations, the specialist may set up an exact diagnosis and by clearing up the background of the disease the targeted treatment could be commenced.