Answers and questions on pediatric nephrology

The child has cloudy urine and frequent urination. We tried to treat with folk methods, but there was practically no effect. Please tell me where to start treatment and what examinations need to be done?
Answer: 24.11.2020

Having these complaints, it is necessary to carry out a differential diagnosis between inflammatory changes in the waterworks organs and metabolic disorders. Cloudy urine can be caused by the following: leukocyturia (increased content of leukocytes in the urine) is a manifestation of inflammation; saluria (high content of salts in urine) is a manifestation of metabolic disorders. In this case, you need to consult a pediatric nephrologist; as for examinations, you must do the following:

  • complete blood count;
  • clinical urine test;
  • sterility urine test (optional, its duration – from 5 to 7 days); 
  • ultrasound of kidneys and bladder;
  • for girls - consultation by pediatric gynecologist (to exclude abnormal development of external genital organs, inflammatory changes - vulvitis, vulvovaginitis), for boys - consultation by a pediatric urologist (to exclude abnormal development of external genital organs, phimosis, inflammatory changes - balanoposthitis).

Treatment is ordered by a pediatric nephrologist, depending on the examination results: in the presence of inflammatory changes (cystitis) - antibacterial therapy, prescription of uroantiseptics; for metabolic disorders - litholytic therapy. Treatment of children with folk methods is not used (brewing herbs, herbal baths), since this method has no evidence base and is not recorded out in the protocols. Moreover, thermal procedures are prohibited for children (during thermal procedures, vascular distention occurs and the infection spreads further).

Podvalnaia Natalia Anatolievna
Pediatric Nephrologist. The superior expert qualification category. Candidate of Medical Sciences. Work experience is 14 years.