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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hydronephrosis And Urinary Reflux In The Kidney

Hi I have a 10 months boy.he has Hydronephrosis and Urinary Reflux in both kidneys.he drinks 5 ml Cephalexin every night. his urine test shows staphylococcus and a few Ep.cells/h.p.f and rare bacteria.please tell me what is it?is it Urinary Tract Infection?what should I do?؟
Wed, 22 Apr 2015
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Urologist 's  Response
Hello
Thanks for query.

Based on your statement I would state that your 10 months old son has congenital bilateral Vesico Uroteric Reflux (V.U.R)which is the common prime cause of getting frequent episodes of UTi .

The treatment depends upon the grade of reflux and it's adverse effect on kidneys .as reveled on test called DMSA scan .

In majority of children this gets resolved spontaneously over a period of 3-5 years .

One has to give prophylactic antibiotics in small doses for 3-4 years to prevent child from getting UTI. and to monitor the status of reflux by doing ultrasound scanning and DMSA scan every six months,

Dr.Patil.
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Suggest Treatment For Hydronephrosis And Urinary Reflux In The Kidney

Hello Thanks for query. Based on your statement I would state that your 10 months old son has congenital bilateral Vesico Uroteric Reflux (V.U.R)which is the common prime cause of getting frequent episodes of UTi . The treatment depends upon the grade of reflux and it s adverse effect on kidneys .as reveled on test called DMSA scan . In majority of children this gets resolved spontaneously over a period of 3-5 years . One has to give prophylactic antibiotics in small doses for 3-4 years to prevent child from getting UTI. and to monitor the status of reflux by doing ultrasound scanning and DMSA scan every six months, Dr.Patil.