The questions of the correspondent of the kidneys and urinary tract problems in children are replied by Georgy Vladimirovich Romanov, Candidate of Medical Sciences, a Urologist.
Content
Kidney disease in children
-Georgy Vladimirovich, which diseases of the urinary tract are characteristic of girls, and what kind of boys?
- Girls of preschool and younger school age are more likely there are inflammatory processes in the bladder - cystitis, and boys - inflammation of the head of the penis and foremost flesh - Balance.
- And which symptoms occur in children with urinary tract infections? What can indicate what you need to refer to the urologist?
- First of all - various urination disorders (painful, frequent, difficult), then a long (more than 3 days) temperature rise without signs of any other inflammatory process, a change in urine color (red, brown, turbid). It also makes sense to consult a urologist at «Unclear» Poles in the abdomen for a long period, boys - with repeated inflammation on the head of the penis and extreme flesh (swelling, redness, selection).
- Is it true that in severe kidney diseases, pain is expressed insignificant, rather, this is a suiting sensation in the lumbar region? How not to miss such serious diseases in kids? How often should I donate urine for analysis?
-True, pain in kidney diseases frequent, but not mandatory symptom. Their intensity and localization can vary significantly. Young children, it often arises in the stomach. Sometimes, asking the child, it is difficult to determine what it hurts. Early diagnosis in such a situation can be difficult even for an experienced pediatrician. Therefore, with the slightest suspicion of the kidney disease, a general urine analysis is appropriate, which in most cases will help clarify the situation. This overall analysis should also be handed over with planned preventive inspections (in the first year of life - in 1 month, 3 months, 6 months, 1 year, then 1 time in 1 year; Schoolchildren - 1 time per year). It is also advisable to pass a common urine analysis to planned preventive vaccinations.
- What could cause urolithiasis in a child? Always the formation of stones and sand in the kidneys is associated with impaired metabolic?
- If I could explain the cause of the stone form in the three words, then, apparently, would be the most famous planet urologist. Seriously, then, of course, the hereditary factor is important, but with impaired metabolism, the formation of stones is not always connected. Rather, it should be noted the relationship of the process of stone formation in kidneys with a mineral composition of water in one area or another.
- You said that much depends on the water that we drink and our children. What kind of drinking will recommend?
- For everyday use suits dining mineral water. Table-medicinal and therapeutic are prescribed by a doctor if necessary, and, of course, uncontrollably and for a long time to eat children, it is not recommended that the medicine does not turn into poison. You can still use water purified by filter. Raw water is still better not to get involved, no matter how good it is in your area.
- Finds in the kidneys are different - sand, stones, crystals... Tell that some of them are the most unpleasant?
-The most dangerous for the child, and for adult, are «Coraloids» kidney stones, fortunately, they are rare. In any case, subject to the detection of large-sized stone, its chemical structure «goes away» on the background, there is no direct connection between the composition of the stone and its «Harmful», The main thing is to get rid of the patient from stone in one way or another. I also want to note that in the overall analysis of urine, normally, calcium oxalate crystals may be present in a small amount. The appearance of others «Salley» - reason to appeal to the doctor.
- How to get rid of stones if they have found them, and what measures can be taken, so that it does not happen?
- Currently, in major cities, remote lithotripsy - crushing became the leading method of removal of stones from the kidneys. This is the least traumatic method. Remote lithotripsy allows you to destroy stones with a shock wave without surgery.
The prevention of stone formation after removal of stones is constant, sometimes long-term observation of a specialist with the appointment of specific treatment and diet.
- What are the most effective methods of diagnosing kidney disease and urinary system and whether they are acceptable for children?
- The most effective, acceptable, affordable diagnostic method remains, oddly enough, the overall analysis of urine. Next, the most important tests are followed by other laboratory tests, ultrasound, radiological studies. The latter are absolutely acceptable for children if necessary.
As for pharmacology, there are no «revolutionary» New pharmaceutical preparations for intakes were not released over the past 10 years. There are some new groups of antibacterial drugs for intramuscular or intravenous method of administration.
- Of your personal practice, the number of children suffering from diseases of the kidneys and the urinary system has increased or decreased in recent years? And what do you think it may be connected with?
- The number of children suffering from kidney disease remains unchanged. Only the methods of early diagnosis of such diseases are improved, which allow to identify diseases with «hidden» the flow as well «Small» Deviation. Before the introduction of ultrasound, such states were not diagnosed.
- Just ended the swimming season. Could children catch in water bodies and bring urinary tract infection?
- I can please our moms, such an opportunity when bathing in the reservoirs of the middle strip of Russia is not, if you follow the elementary rules of hygiene. Do not urinate into the water, take a shower after swimming in the open reservoir. But this problem can be relevant when traveling to tropical countries.
- And just get out, overgoing, the child could?
- For different age groups and different weather conditions while staying in water and outdoors individually. Bathing a baby in an open reservoir with 3-4 years of age. The air temperature should be not lower than 24-25 degrees, the water temperature is not lower than 20 degrees. The duration of swimming must first be 1-2 minutes, as it is addicted and depending on the reaction of the child, it gradually extends to 5-10 minutes. For control of the situation, common sense of parents usually. «Stretch the kidney», provided that the child does not suffer from a chronic inflammatory process, almost impossible, but «earn» ARS, which led as a result of late or improper treatment to the emergence (as a complication) of the acute inflammatory process in the urinary tract, quite real.
