The clinical course of urolithiasis in children under 3 years of age

Journal Title: Progress in Health Sciences - Year 2014, Vol 4, Issue 1

Abstract

Purpose: Certain risk factors of urolithiasis may be diagnosed in 75% of children with stones. They include genetic, anatomic, metabolic and nutrition causes. The diagnostics' evaluation should determine and rule out anatomic factors and establish metabolic disorders. The treatment is based on an increased fluid intake, and alterations in the nutrition pattern. The aim was to analyze the clinical course of urolithiasis in children below 3, and detect the possible factors affecting the success of therapy. Materials and methods: Between 2009 and 2013, we retrospectively investigated the cases of 68 children (34 boys and 34 girls) under 3 years who were treated in the clinic. Urolithiasis was diagnosed at the mean age of 10 months; the average follow-up lasted 26 months until reaching 3 years. The retrospective analysis was based on medical documentation and direct contact with parents. Results: Among the risk factors, the most common was hyperciuria. The treatment of children was based on an increased daily fluid intake and dietary recommendations. Among the specific treatments, the most common were citrates (51%). In the majority of cases, the therapy lasted over a year after the clinical absence of stones. This therapy was successful in 62% of children. The factors contributing to the success of the treatment were: a negative family history of urolithiasis, unilateral stones, normal urinalysis, decrease of the Ca/Cr index, and compliance of dietary and medical recommendations. Conclusions: The treatment is based on the elimination of risk factors, and alterations in the dietary pattern. High percentage of parents did not respect the medical recommendations.

Authors and Affiliations

A Aaslid, M Tkaczyk

Keywords

Related Articles

Use of the Health Belief Model in the prevention of lymphedema after breast surgery

Lymphedema prevention, which is one of the most common complications after breast cancer treatment, is very important. In Turkey, after breast surgery the levels of maintaining the behaviours of protecting individuals fr...

 Lower limb oedema in vascular disease

 Introduction: Lower limb oedema is a significant problem in vascular diseases. Due to the localization, it greatly hampers normal mobility affecting quality of life. Purpose: To evaluate the frequency of lower li...

 Life satisfaction and self-efficacy in patients with stoma

 Introduction: There are many indications for a stoma surgery; however, most frequently it is the severity and progression of colorectal cancer. The result of surgical procedure is frequently a stoma. In view of the...

Denticles. A literature review

Denticles are pulp degenerations in the form of calcified deposits of mineral salts, usually found in molars and lower incisors, as well as in impacted teeth and deciduous molars. Denticles may come in various sizes, fr...

Right to abortion in the students 'opinion

<br/><b>Purpose:</b> The study was aimed at getting to know students' opinions on abortion, the circumstances that authorize it, and analysis of factors that may influence the views of the studied group. <br/><b>Material...

Download PDF file
  • EP ID EP75181
  • DOI -
  • Views 170
  • Downloads 0

How To Cite

A Aaslid, M Tkaczyk (2014). The clinical course of urolithiasis in children under 3 years of age. Progress in Health Sciences, 4(1), 68-74. https://www.europub.co.uk/articles/-A-75181