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Uretero Pelvic Junction Obstruction
Hello Doctors,
My baby born was born on 5th Sept (almost a month old now), weighing 3.6kg(4.4 kg as of 4th Oct) and during routine pregnancy check up, it was identified that he had a swollen kidney. A follow-up sonography post-delivery also confirmed the swelling. He seems healthy otherwise, passes urine without discolouration and has not other issues. Is this something to worry about. Is my baby safe?
Answers (8)
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Please visit a pediatric surgeon. They are experts in dealing with this condition. This requires close follow up. Since it is mild it may resolve on its own
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Don't worry
It may get resolved but we have to monitor size of AP diameter on USG do at 4/5 wk and then depend on size
Just monitor urine output
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Since the baby is having pelviureteric obstruction, you should do regular follow up
Next Steps
repeat scan at 4 weeks.
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watch for abnormal urine stream, reduced urine volume. if the child develops fever , urine routine examination should also be done.
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Please repeat the scan after 6 weeks again and if there is an increase in size or increase in obstruction.... Then treatment will be warranted...
Till then continue with Breastfeeding and vaccination... Monitor his urine output and urine steam.
Monitor if there is dripping of urine.
These things are important in plan further plan
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Dr. Vinit M Mehta
Pediatrician
8 yrs exp
Vadodara
Need to repeat at 3 months and 1 year of age
May require surgery depending on finding at that age
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Dr. Tangade Vishal Bhanudas
Pediatrician
4 yrs exp
Pune
Follow up as advised.
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
It shows hydronephrosis
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Dr. Rahul Raosaheb Raut
Pediatrician
8 yrs exp
Beed
If antenatal scan showing hydronephrosis.. then there is protocol to follow
Postnataly initial scan in first week ..repeat at 4-6 wks
Nd depending on AP diameter we have to decide next invesitgations..
Kindly consult with your paediatrician.. for further evaluation..
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.