How To Pass A Urine Test With Lasix

Ureteropelvic Junction Obstruction (UPJ)

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One in 1, 500 children are born with a urinary tract blockage call Ureteropelvic Junction Obstruction or UPJ. This congenital obstruction occurs where the ureter joins the renal pelvis. This malformation of a muscle develops as the kidney forms in the fetus. It can be commonly diagnosed with a prenatal ultrasound test.

The obstruction blocks adequate flow of urine produced by the kidney to pass from the renal pelvis into the ureter. The excess urine builds up in the kidney and causes a hydronephrosis which is visible on the ultrasound. This observation is the red flag that the child has a UPJ obstruction. This obstruction may be severe (high grade), minimal (low grade) or intermittent.

Unless treated, children may have pain (related to the blockage), urinary tract infection (due to stagnation of urine caused by the UPJ blockage), or kidney stones. The kidney may become damaged if subjected to prolonged blockage and infection.

 

Most UPJ obstructions are identified before birth because of the widespread use of fetal ultrasound screening. After birth, symptoms of UPJ obstruction may be an abdominal mass, a urinary tract infection with fever, flank pain especially with increased fluid intake, kidney stones and bloody urine. It is possible to have pain without an infection. UPJ obstructions may be irregular. Urine may pass normally for awhile and then completely stop, producing sporadic pain.

An ultrasound is helpful in screening for problems, it does not diagnose UPJ. A test called a lasix (furosemide) renal scan is used. With this nuclear test, dye is injected and absorbed, and once the diuretic is given, scans are used to view passage of the dye. The material is viewed with a special camera as it passes though the kidney to the ureter and gives the physician even more accuracy in diagnosing a UPJ.

Suregery (pyeloplasty) involves removing the UPJ blockage and reconnecting the ureter to the renal pelvis. A tube may be placed across the pyeloplasty (stent) or may be left above the surgery to decompress the kidney (nephrostomy).

Sometimes the UPJ in infants and young children less than 18 months may be temporary. Many infants with good kidney function and poor drainage will have a dramatic improvement of drainage over the first few months of life. Others may not improve or worsen. Because there is a chance of improved drainage without surgery, some infancts with hydronephrosis (fluid-filled enlargement of the kidney) are watched with repeat ultrasounds and office visits. Once the diagnosis of UPJ obstruction is established and after 18 months of age, if there is no further reasonable chance of improvement, the condition requires surgical treatment.

 

The surgery lasts a couple of hours and has a success rate in excess of 95 percent. Post-surgical hospitalization may be required. The incision on the patient is two to three inches long just below the ribs and behind a line that would pass from the patient's arm to their leg on the affected side.

Source: pediatricurology.net

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Bmi is 38

Too high I know, but I am working on it with diet, exercise and therapy for my depression. I have been overweight most of my adult life but have had some periods of time where my weight would be considered normal; I had this problem at those times as well. Now that I think about it more I would say that the frequency of the edema is getting worse, or at least the severity is. My sock never use to hurt me lol!
I was seeing an endocronologist for a different reason but when he saw how much water I was retaining he put me on a different diuretic, and then a higher dose of the lasix, and ran some lab tests

Thanks, joan, but

You'd never know how sick he was at birth. He's fine. More than fine, actually. He's now 17, 6'2", and a 225 lb. football player. When I tell people about his ordeal, they assume he was premature and that's what the problem was. Not quite. He WAS premature by 5 weeks, but that's only because they induced his birth to get him out. They wanted to get started on his condition. Even so, he weighed 7 pds. If I'd been allowed to go to term, they surmised he would have weighed about 10-11 pounds - yikes!
Anyway - he had a congenital malfunction of the lymphatic system. It had WAY overproduced lymphocytic fluid, and thus his lungs, heart, stomach and face were blown up like water balloons

I agree with you

When I think about the care he got at the nursing home vs. assisted living, I must say the nursing home was somewhat better. But the food, OMG! I've been cooking since I was 8 years old and I don't know how they can screw up basic food like they do. But they do.
My dad being with me is not the best situation for either of us. I feed him home cooked meals, give him his meds, bathe him, etc. He is pleasant to be around and is pretty with it. I cannot entertain him all day. My husband and I run an insurance business out of our home so we are around all day which is making it possible for me to do this right now

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