Question 1

My 2-year-old daughter has had hydronephrosis in her right kidney since birth, and recent tests show only 44% function. The doctor recommended surgery, but I want to explore other treatment options first are there any medicines or alternatives? If surgery is the only option, what's better traditional or laser? Also, what would be the approximate cost?

Accepted Answer

Hydronephrosis with reduced kidney function (44%) in a 2-year-old typically indicates obstruction that may not improve with medications alone. Surgery is often the definitive treatment, and delaying it could risk further damage. Laser (minimally invasive) surgery is preferred for quicker recovery and less pain. Costs vary by hospital but may range from ‚Çπ50,000‚Äì‚Çπ1.5 lakh in India.

Question 2

I'm a bit concerned about my 4-month-old baby. He's up to date with all his vaccinations up to his 16-week mark. Could you let me know which vaccines hell need once he hits 6 months?

Accepted Answer

Persistent meatus swelling with unusual coloration.

Given your treatment history and normal test results (urine routine & culture, ultrasound), consider the following possibilities:

1. _Chronic inflammation_: Prolonged inflammation might be causing the swelling and discoloration.
2. _Vascular anomalies_: Abnormal blood vessels could be contributing to the dark blue color.
3. _Meatus stenosis_: Narrowing of the meatus might be causing swelling and discomfort.

Discuss the following with your surgeon:

1. _Biopsy_: To rule out underlying conditions like cancer or granulomas.
2. _Doppler ultrasound_: To evaluate blood flow and potential vascular anomalies.
3. _Alternative treatments_: Consider options like corticosteroid injections or topical creams to reduce inflammation.

Seek a second opinion from a urologist if you're not satisfied with your current treatment progress.

Question 3

I'm really worried about my 16-month-old. She started vomiting and then having watery poo a few days ago. On Sunday, she threw up about 5 to 6 times from 6 pm to 10:30 pm, so we gave her 2.5 ml of ondem syrup, and it seemed to stop the vomiting. But on Monday, she started having loose motions pretty soon after eating, like within 15 to 20 minutes, and it happened more than 10 times. By Tuesday, her poo was just watery once, and she seemed okay. But then on Wednesday morning, after breastfeeding, she vomited twice and she's been refusing to eat anything. Plus, she's had more than 8 episodes of watery poo and cries every time she goes. The crying during poo is worrying me. How can I help stop the vomiting and loose stools and maybe get her to eat something? It's been tough seeing her like this.

Accepted Answer

It sounds like your baby may be dealing with a stomach infection or digestive upset. Continue giving Ondem syrup for vomiting as needed and focus on keeping her hydrated with oral rehydration solutions (ORS). For the loose motions, avoid dairy and fatty foods, and offer easily digestible foods like boiled rice or plain toast once she feels better. If symptoms persist or worsen, its best to consult her pediatrician.

I'm really worried about my 8-month-old baby. His nose is extremely blocked, and using Nasivion 0.01% hasn't helped at all. He's 9 kilograms. Is it okay if I switch to 0.025% instead? Could you also advise me on using a nebulizer, or if it would be helpful for him?

no need to worry follow your doctors advice

More Paediatrics Health Queries

I'm a bit concerned about my 4-month-old baby. He's up to date with all his vaccinations up to his 16-week mark. Could you let me know which vaccines hell need once he hits 6 months?

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