Hello,
My son who is now 20 months old was diagnosed with Kidney reflux stage 5 at birth. Which by reading your question seems to sound like the same thing. We have been through a very long long process with everything. I will write about as much as I can remember. So if it is not the same you don�t have to read it all. Sorry it is going to be so long. If you have any question feel free to contact me for anything.
Okay, when I was pregnant the noticed through a routine ultrasound that his kidneys and bladder were always full, they kept an eye on it and we saw many specialists. They decided after it going from a stage 3-4 to a 5 on both sides that they had to induce me at 36 weeks. He had his first surgery at 4 days old and has had about 6 since then. He had his last surgery at 13 months to correct the ureter tubes because they were so stretched out from the urine going back and forth. I guess they called it tapering of the ureters. He has been on antibiotics since birth and since his last surgery has been on Septra. They want to keep him on this for a while to prevent any infections that he may still get while everything is healing and getting back to normal.
If your son is at a low stage, they may try and see if the antibiotic can help and they may be telling you that he can still outgrow it which about 80% of kids can. They will keep checking to see if it is getting any worse and then by the age of 1 they should pretty much give you their opinion on what should happen next. In our case, our son was only getting worse and it was starting to affect his Kidney function. They should do along with VCUG�s a kidney renal scan and ultrasounds on the bladder, uerters and kidney. We were seen about every 3 � 4weeks because it can become worse really fast.
We are military and were stationed in Germany when we found out. We were flown medvac here to Lackland where he was seen and still being seen by the urologist and nephrologists there to keep an eye on him. They are pretty good.
While this may not be the worst thing a kid can have, it can grow out of control and cause many problems if not caught and treated. The good news is that even at the worst stage, my son had no problems ever. With the antibiotics he never got sick, not even an ear infection.(knock on wood. His only sick times were from the surgeries. He was a very normal little boy, who had to go to the drs a lot for blood tests and catheters.
Okay =, now you may be reading and ask why would he need so many surgeries, that is another very long story. So to sum it up. The German dr�s thought that the problem causing the reflux was an unseen blockage. So they did exploratory surgery, and had to go back and fix what they did. We had enough, came to the states, they fixed what the German dr�s did. Let me son heal for a bit, watched him and then scheduled what should have been the only surgery he needed when he was 13 months. SO my advice, if they do decided that after a year or so they need to do surgery, make sure they can see why it is refluxing and get a second opinion.
We had another VCUG, renal scan and ultrasound done and are awaiting the test results. The dr�s seem to think that the reflux has gone down to a stage 2 on one side and gone on the other. So good news for us.
1 more word of advice. I am sure that they have told you. If he gets any type of fever take him to the emergency room and make sure they do a urine test to rule out and infection. I have gone many times and they say oh it is just an ear infection, when it was more. The thing with taking the antibiotics daily, (my son is now on 3ml a night @ 29lbs). They can �stop working�. My son has had to be on 4 different ones since birth. Their body gets use to them, Or with weigh increases, they need a dosage increases.
Thing to look out for as a mom that will let you know something is wrong, he won�t eat and weight loss. My dr�s stressed this to me. Weight loss can be linked to the kidneys not working. Make sure you keep him very hydrated. They gave us a prescription for pedalite.
Well I think this is long enough, I hope that this helps. If you need anything else just let me know. Good luck! Also keep up the breastfeeding. I breastfed my son until after his last surgery. It is so much better for his kidneys to process.
J.