[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 2, Issue 1 (3-2016) ::
CJP 2016, 2(1): 86-95 Back to browse issues page
Approach and Medical Management of Urinary Tract Stone in Children
Mohsen Akhavan Sepahi , Rozita Hoseini *
Department of Pediatric Nephrology, School of Medicine, Iran University of Medical Sciences and Health Services, Tehran, IR Iran. , rozitahoseini@yhoo.com
Abstract:   (1591 Views)

Kidney stone disease has become more common in children, but it remains non diagnosed in a significant proportion of patients, due to a lack of notable signs and symptoms. All children with colicky abdominal pain or microscopic hematuria should be examined thoroughly for urolithiasis. Patients’ histories in terms of family, medical, and drug and a thorough physical examination are required to be considered during diagnostic evaluation. Thereafter, diagnostic imaging methods should be aimed to detect the size, shape and location of calculi and also urinary tract anomalies. Ultrasound should be used as the initial imaging method to evaluate children with suspected nephrolithiasis. The noncontrast computerized tomography reserved for those in whom ultrasound is unable to diagnose stone. Increased water and fluid intake and a reduction of salt consumption are the common recommen dation to those children with a history of kidney stones, though the rate of stone recurrence in children is unknown. Since metabolic  disorders are the most frequent causes of stone in children, diagnostic evaluation should also target the detection of metabolic disorders including hypercalciuria, hyperoxaluria, hyperuricosuria and so on that may cause recurrent nephrolithiasis. Kidney stone is not a disease itself, but it is only a symptom. Therefore, its early diagnosis is mandatory for every child with the first stone event. In this article, we have summarized literature and emphasize that a few studies with acceptable quality are available on children with urolithiasis in Iran and the world that warrant future studies on this topic. 

Keywords: Urolithiasis, Hypercalciuria, Children, Treatment
Full-Text [PDF 265 kb]   (1154 Downloads)    
Type of Study: Applicable | Subject: Special
* Corresponding Author Address: Department of Pediatric Nephrology, School of Medicine, Iran University of Medical Sciences and Health Services, Tehran, IR Iran.
Send email to the article author

Add your comments about this article
Your username or Email:

Write the security code in the box >


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Akhavan Sepahi M, Hoseini R. Approach and Medical Management of Urinary Tract Stone in Children. CJP. 2016; 2 (1) :86-95
URL: http://caspianjp.ir/article-1-45-en.html


Volume 2, Issue 1 (3-2016) Back to browse issues page
مجله کودکان کاسپین Caspian Journal of Pediatrics
Persian site map - English site map - Created in 0.05 seconds with 31 queries by YEKTAWEB 3638