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At Manipal Hospitals in Bhubaneswar, Odisha, our Paediatric Nephrology department is dedicated to diagnosing and treating kidney-related issues in children. Paediatric nephrologists specialise in both acute and chronic kidney diseases, including conditions that require renal transplantation and dialysis. They are experts in managing a variety of kidney problems, from fluid control and electrolyte imbalances to more complex issues like acute kidney injury (AKI) and chronic kidney disease (CKD).
Paediatric Nephrology hospital in Bhubaneswar uses advanced diagnostic tools to accurately assess kidney function and develop personalised treatment plans. For acute kidney injuries, treatments may include conservative care or renal replacement therapies (RRT) such as continuous venovenous hemodialysis (CVVHD), peritoneal dialysis (PD), and hemodialysis (HD). For chronic kidney disease, we offer comprehensive management options, including hemodialysis, transplantation, and pre-dialysis care.
Hematuria (blood in the urine)
Proteinuria (pee containing protein)
Recurrent UTIs
Hypertension
Reduced urine production
Chronic weariness
Abdominal pain
You should consult a Paediatric nephrologist if your child has symptoms such as persistent urinary tract infections, unexplained kidney issues, high blood pressure, protein or blood in the urine, or chronic kidney disease.
Diagnostic testing is essential to assess and diagnose disorders related to paediatric nephrology. These diagnostic procedures assist paediatric nephrologists in determining the root cause of paediatric kidney problems. The following are a few typical diagnostic procedures in paediatric nephrology:
Blood Tests: A number of blood tests are used to evaluate kidney health and find certain indicators of renal disorders. Typical blood tests performed are serum creatinine, blood urea nitrogen (BUN), glomerular filtration rate (GFR), and voiding cystourethrogram (VCUG).
Serum Electrolytes: Measures potassium, sodium, chloride, and bicarbonate levels; renal diseases may impact these levels. The kidneys' rate of waste removal from the blood is measured by the glomerular filtration rate (GFR).
Kidney Biopsy: A kidney biopsy is the process of taking a small sample of kidney tissue for microscopic inspection. It aids in the diagnosis of kidney illnesses such as glomerulosis and others that may not be detected by other tests.
Imaging Studies: Include ultrasound to check for kidney abnormalities, CT scans for detailed cross-sectional images, and MRI for detailed, radiation-free images.
Typical imaging methods consist of:
Computed tomography (CT) scan offers fine-grained cross-sectional pictures of the kidneys and their surrounding tissues.
MRI stands for magnetic resonance imaging, which creates finely detailed images of the kidneys using radio waves and magnetic fields.
Voiding Cystourethrogram (VCUG): During voiding (urinating), the bladder and urethra are examined using a unique X-ray technique called a VCUG. It aids in the diagnosis of vesicoureteral reflux (VUR), a condition in which urine flows backwards from the bladder to the kidneys.
Nuclear Medicine Scans: To assess kidney function and find any abnormalities or scarring, nuclear medicine scans such as the MAG3 (mercaptoacetyltriglycine) or DMSA (dimercaptosuccinic acid) scan are performed.
Urinary tract infection
Chronic and acute kidney failure
Nephrotic syndrome, characterised by protein in the urine
Congenital or familial kidney anomalies
Kidney stones
Cystic kidney diseases, such as polycystic kidney disease, where fluid-filled cysts develop in the kidneys
Glomerulonephritis, which is inflammation of the glomeruli, the filtering units of the kidneys.
Vesicoureteral Reflux (VUR), urine travels backwards from the bladder into the ureters or kidneys
Low blood protein levels, oedema, and elevated urine protein levels are the hallmarks of nephrotic syndrome. Medication to lessen inflammation and protein loss, together with dietary adjustments, are common forms of management.
The disease known as vesicoureteral reflux (VUR) causes urine to flow backwards into the kidneys or ureters from the bladder. Antibiotics to prevent infections and, in certain situations, surgery to address reflux are part of the treatment.
Yes, modifications to lifestyle may include a diet that is friendly to the kidneys, drinking more water, exercising frequently, and staying away from items that can impair kidney function, such as some drugs or too much salt.
It is true that certain kidney diseases run in families. The risk may be raised by a family history of kidney illness, and inherited disorders may be identified through genetic testing.
Genetic testing can help diagnose hereditary kidney conditions, guide treatment options, and provide information about the risk of passing conditions to future generations.
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