Vesicoureteral Reflux Puns

My girls are both hyper mobile but the doctor we saw (orthopedist) doesn’t “believe in” diagnosing EDS 🙄. Thought you guys might be able to help - is there a connection between VCUR (bladder reflux that causes recurrent UTIs) and hypermobility? My oldest girl had two deflux procedures done, the second one successful, and my youngest one looks to have grown out of it.

Has anyone had issues with vesicoureteral reflux (VUR) with their Urostomy?

Tag: vesicoureteral reflux surgery child in Delhi

Kidneys are an important organ for urine formation. Normally, urine flows into the bladder through ureters. However, in some children, urine from the bladder flows back through the ureters. This condition is known as Vesicoureteral reflux (VUR) and is common in infants and children. It can be unilateral or bilateral. This could cause infections and damage your kidneys. VUR affects about 10% of children. Although most can grow out of this condition, people who have severe cases may need surgery to protect their kidneys.

This condition should not be ignored as it damages the function of kidneys and can lead to high blood pressure later in life. The risk of kidney damage is greatest during the first 6 years of life.

Causes of VUR:

A flap valve is located where the ureter joins with the bladder. Usually, the valve allows only a one-way flow of urine from the ureters to the bladder. Sometımes, a defective flap valve allows urine to flow backward. This can affect one or both ureters. This is called “primary vesicoureteral reflux.”

Sometimes VUR can be because of blockage at the bladder outlet(Posterior urethral valve or abnormality of the bladder functions (Neurogenic bladder) that can cause urine to push back into the ureters.

This backflow of urine is responsible for recurrent urinary tract infections and damage of the kidney (renal scarring).

Symptoms:

Urinary tract infection is one of the commonest presentation seen in children younger than the age of 5.

Common symptoms are:

1. Foul-smelling or cloudy urine
2. Fever
3. Burning or pain while urinating
4. Frequency and urgency of urine
5. Vomiting

Infants may have the following symptoms.

1. Diarrhea.
2. Poor feeding.
3. Fever
4. Increased irritability

Also, an ultrasound scan done during pregnancy showing swelling in kidneys can be because of VUR.

Diagnosis Of VUR:

VUR can often be suspected by ultrasound before a child is born or if the child has a urinary tract infection. Ultrasound may show dilatation of the drainage system of the kidney (Pelvi-calyceal system and ureter) called hydronephrosis, but this does not prove that reflux is present.

VUR is diagnosed using an X-ray of the bladder known as voiding cystourethrogram (VCUG). In this procedure, a thin, soft tube (catheter) is placed in the bladder through the urethra. The dye

I know this isn't a super common thing, but thought I'd see if any other bumpers are living with this condition. My husband's family has a genetic history of this reflux, which causes major kidney issues. My FIL ended up losing a kidney from this, and my husband had 2 surgeries as a tiny boy.

We got my baby tested early, and he's got the reflux as well. He's on a daily antibiotic to stave off UTIs, but every time he gets a temperature that doesn't disappear quickly, he has to get a catheter and a urine sample drawn. Yesterday we had to do this due to a running 99.8 temp. No UTI, thankfully...

Any other parents managing this condition? Am so hoping my guy grows out of this and doesn't need the surgery.

I know of a three year old girl in Bolivia whose family has contacted me for any help as to where her family can receive help for a urgently needed vesicoureteral reflux surgery as it cannot be performed in that country. I am in the US but if you know of any country that can help or have any suggestions I would really appreciate hearing them. Thanks!

How long was the surgery?
How was it like for the child after the surgery?
How does the kid react to being in the hospital after they wake up?
What should we expect for the whole ordeal?
Did the doctor say what the chances are for siblings to have the same condition?
What are the chances that the child passing the condition onto their kids?

I have had recurring hydronephrosis over the last three years. No kidney stones.

Anyone have a cause for this?

This has been one strange symptom of mine that comes from time to time for me, it is never an infection and I could have sworn I had my kidneys tested. It isn't a daily thing but every so often (like right now ugh.) I get this stabbing kidney pain in at least one side of my kidney and the ONLY thing that helps is peeing then the pain decreases drastically and the pain usually goes away...so strange. Does anybody have an explanation for this? I really hope I don't have kidney disease (I highly doubt it because I could of sworn I got tested for it and I have almost none of the symptoms.)

Hello All, I am having sex two-three times a week with my partner. I had a really bad uti awhile ago I had to go on two rounds of antibiotics to treat it and now I feel symptoms from late September. I don’t know what to do at this point. The majority of times he showers before I come over. I pee usually before and always pee after sex. I also hop in the shower and wash the area with soap and water. Like what am I doing wrong? Can someone help me out please? I feel so disconnected from my body right now and need help. It also doesn’t help I have Vesicoureteral reflux (my urine does back into ureters when my bladder is full). We aren’t using condoms because I have the iud should we start using condoms again? I’d go to my gyno about this but he is always super dismissive of me when I was having bad periods. Any advice would be helpful

I don't want to step on anybody's toes here, but the amount of non-dad jokes here in this subreddit really annoys me. First of all, dad jokes CAN be NSFW, it clearly says so in the sub rules. Secondly, it doesn't automatically make it a dad joke if it's from a conversation between you and your child. Most importantly, the jokes that your CHILDREN tell YOU are not dad jokes. The point of a dad joke is that it's so cheesy only a dad who's trying to be funny would make such a joke. That's it. They are stupid plays on words, lame puns and so on. There has to be a clever pun or wordplay for it to be considered a dad joke.

Again, to all the fellow dads, I apologise if I'm sounding too harsh. But I just needed to get it off my chest.

I spent the last couple of days to find all the big changes in the book. I compared the 2021 edition against the 2020 one. I also added page numbers for convenience.

PS. Some of these changes do not represent truly new content. Additionally, there is a myriad of smaller changes that is impossible to track without going insane.

Biochemistry

52 - Homocystinuria, Marfan syndrome vs Homocystinuria

62 - Fragile X mutation types

65 - Essential fatty acids

87 - Andersen disease

90 - Fasted vs fed state

Immunology

97 - New lymph node clusters

100 - Removed numerous HLA subtypes

108 - Interleukin-13

121 - Imiquimod

122 - Therapeutic antibodies (added/removed MAbs)

Microbiology

135 - Panton-Valentine leukocidin

136 - Strep throat diagnosis

142 - Burkholderia cepacia complex

146 - Vibrio vulnificus

159 - Loeffler syndrome, Brugia malayi

170 - Chikungunya virus

171 - Dengue virus

172 - Zika virus (updated topic), SARS-CoV-2 (COVID-19)

201 - Baloxavir, remdesivir

Pathology

211 - Ionizing radiation toxicity

214 - Acute phase reactants (added haptoglobin, procalcitonin)

Pharmacology

240 - Tissue distribution of adrenergic receptors

250 - Age-related changes in pharmacokinetics

252 - Gynecomastia

256 - Drug names (added 1 entire page of drug suffixes)

Public Health Sciences

260 - Case series, ecological study, new graph showing the study types

261 - Phase 0 of clinical trials, Bradford Hill criteria

268 - p-value

273 - Patient-centered interviewing techniques

274 - Expressing empathy, delivering bad news, gender- and sexuality-inclusive history taking, trauma-informed communication

275 - Motivational interviewing, communicating with patients with disabilities, use of interpreters

276 - General approach to ethical scenarios (introduction)

277 - Two new ethical scenarios at the end

281 - Near miss

Cardiovascular

311 - Subclavian steal syndrome

312 - Myocardial hibernation vs myocardial stunning

315 - Paroxysmal supraventricular tachycardia, hereditary channelopathies

330 - Characteristics of class I antiarrhythmics (introduction)

Endocrine

335 - Endocrine pancreas cell types

345 - Serine/threonine kinase receptor

346 - Primary polydipsia

349 - Hashimoto histology (picture), nonthyroidal illness syndrome

355 - Hyperglycemic emergencies

356 - Hypoglycemia in diabetes mellitus

357 - Acute adrenal insufficiency

362 - Diabetes mellitus therapy (graphic)

365 - Cation exchange resins

**Gastroi

Do your worst!

They were cooked in Greece.

I'm surprised it hasn't decade.

For context I'm a Refuse Driver (Garbage man) & today I was on food waste. After I'd tipped I was checking the wagon for any defects when I spotted a lone pea balanced on the lifts.

I said "hey look, an escaPEA"

No one near me but it didn't half make me laugh for a good hour or so!

Edit: I can't believe how much this has blown up. Thank you everyone I've had a blast reading through the replies 😂

Don't you know a good pun is its own reword?

It really does, I swear!

Because she wanted to see the task manager.

Me: 34F, white, 5’2”, 140 lbs, primary complaint: kidney infection not responding to antibiotics, reason I’m on this thread: wondering about weird lab results

Yesterday (8/11/21), I went to the ER after developing nausea on top of having a diagnosed kidney infection. I have an underlying condition (vesicoureteral reflux) that makes this more likely.

The PA there ordered a urinalysis, urine culture, and various blood tests. Ultimately, they changed up the antibiotic prescription I was already on, and insisted I follow up with my nephrologist once the urine culture was available. Then they released me.

This afternoon, the PA released the results of various tests (except urine culture, which isn’t complete yet) to my digital chart online. I was looking through them and I am completely puzzled by the results of the venous blood gas test. It looks like...they confused me with a dead person? Is it possible to be alive and walking around and have an oxyhemoglobin of 35%? Can anyone help me understand this?

I also had a virtual appointment with a nephrologist this afternoon and he reaffirmed the course of action established by the ER. I forgot to ask him about the blood gas results! I still feel like someone karate-kicked me in the left kidney.

Link to screenshots of venous blood gas results: https://imgur.com/gallery/swyWK0N

27F here with a history of minor kidney scaring from vesicoureteral reflux, which was corrected surgically. Diagnosed with hypertension when I was 15, due to the scarring.

Creatinine is usually good, at about 8.0, but 4 months ago it went to 8.4, and today it’s 8.7. So eGFR went from like 102 to 92 in 8 months (I realize this is still a great eGFR but concerned about why creatinine is raising)

1.5 years ago I switched from Lisinopril to Spironolactone, and 8 months ago I started Wellbutrin 150mg. Has anyone had a medication raise their Creatinine? If so, did you stay on the med or go off? 3 docs have all said “don’t worry about it.”

[unrelated but I have been trying to dodge CKD my whole life, knowing that I have kidney damage, and having a strict plant-based diet and doing a lot of cardio seems to have done the trick for the last 17 years]

Heard they've been doing some shady business.

but then I remembered it was ground this morning.

Edit: Thank you guys for the awards, they're much nicer than the cardboard sleeve I've been using and reassures me that my jokes aren't stale

Edit 2: I have already been made aware that Men In Black 3 has told a version of this joke before. If the joke is not new to you, please enjoy any of the single origin puns in the comments

BamBOO!

They’re on standbi

A play on words.

My daughter, Chewbecca, not so much.

Pilot on me!!

Hi all. I’m wondering if anyone here has a child with kidney disease or themselves was a child with kidney disease? My now 7 week old baby was born with posterior urethral valves (PUV) and had vesicoureteral reflux (VUR) that damaged his kidneys right > left. He had surgery to clip the membranes to correct the urethra blockage in the NICU and had a urinoma drained. His ultrasounds and blood work from this week are showing improvement as compared to when he discharged from the NICU. We just had his first appointment with the nephrologist and his creatinine was 0.47 and his GFR was 45 which is not too far off from an average baby his age (although they don’t have good data for babies under 1) and they put him at Stage 1 kidney disease. For now I just have to keep him well fed/hydrated, avoid any meds that could be harmful to kidneys (NSAIDS), and give him prophylactic antibiotics to avoid a UTI. It’s hard to think that my brand new baby will have to deal with kidney disease throughout his life, but I’m thankful things are looking good for him so far. Anyone know of any resources or support groups for kids or families dealing with CKD? Anyone able to relate or shed any insight on what we have ahead of us? TIA

Christopher Walken

Nothing, he was gladiator.