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NEUROGENIC BLADDER, NEUTROPHIL in urine. Can kidney cause it?

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My 5 year old daughter has been diagnosed with a neurogenic bladder. She has to use the bathroom about every two hours or she will have an accident. She is on oxybutin 5mg a day (controlled release pill).

A year ago, she had an ultrasound on her bladder and kidneys. Her bladder showed everything was normal, and she was able to empty it well. But they found calcium deposits on her kidneys. At first her pediatrician was very worried, but after further testing showed that she didn't have very much calcium in her urine and the blood test came back normal, he said that all kids probably have calcium deposits in their kidneys.

She has been having accidents more frequently even though she is voiding regularly and she is on the medicine. In her entire life, she has only had 1 diagnosed UTI and that was about 6 months ago.

I did a home UTI test today, and it was very very positive for Leuk. but negative for Nitrates.

I have taken her into the Doctor before, only to have them tell me that it has to be positive for Nitrates for it to be considered a UTI.

Could something in her kidneys be causing extra white blood cells in her urine? Could it be causing her bladder problems?




Category: Pediatric Nephrologist

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Category: Pediatric Nephrologist
Dr. Sree Bhushan Raju is online now

Expert:  Dr. Sree Bhushan Raju replied 4 Days.

Hello.
Thank you for posting your nquery at DoctorSpring.com
Neurogenic bladder is a condition where urinary bladder fails to work efficiently and void with disturbances
As per your report, she has neurogenic bladder but not with evidences. Many children fail to get proper toilet training during childhood which should have been complete mostly by one and half to two years. You need to also check the training aspects and psychological aspects if the child
' Sterile ' pus can be due to several reasons. She would gave developed a scar in the kidneys or in the tract somewhere which can lead to pus cells in the urine. You can get urine culture fine frequently and DMSA scan later to know the scar? In the kidneys.
Calcium using common in bladder and presence suggests that sge would have had slight roughening of the bladder wall. It requires a detailed reporting.
Hope this was helpful,
Feel free to discuss further,
Regards.


Patient replied :

Is it common for all children to have calcium deposits in their kidneys?


Expert:  Dr. Sree Bhushan Raju replied 3 Days.

No, It's not common.
Regards


Dr. Sree Bhushan Raju
Category: Pediatric Nephrologist
Experience: 
FISN : Fellowship of Indian Society of Nephrology(ISN), 2012
FIACM : Fellowship of Indian Association of Clinical Medicin(IACM), 2012
FICP: Indian College of Physicians Association of Physicians of India, 2012
Fellowship: DM, DNB, All India Institute of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, Nizam's Institute of Medical Sciences, 1998
Medical School: MBBS, Gandhi Medical College, 1994
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