Dr. Pramod P. Reddy, MD, Donna Claes, MD, and
Nicole Click, RN, CPN, of Cincinnati Children’s answer a question about posterior
urethral valves and puberty and review the Chronic Kidney Disease (CKD) Stages
Chart
Intended audience: Healthcare professionals and clinicians.
Another question that we see here is that a family saying that their child was told after they were diagnosed with postal valves as a child, they had the valves taken care of. The child's now 15 years old, has not been seen by a nephrologist or a urologist for a while, and what should be done. So at age 15, as Doctor Clay mentioned, you know, puberty is a very critical period of development for any human being and especially children with uh potential damage to their kidneys. Because as their body is going through so many changes and growing very rapidly, if the kidney doesn't have the reserve to give that body, then it's going to strip away the function of the kidney. So we would definitely say that, uh, you know, you need to be followed by, um, your pediatrician can actually start this process by checking your child's blood pressure and also checking the urine for protein. If your child's blood pressure is out of the norm or if there is any protein in the urine. Then that would be an automatic reason to refer you to see a pediatric nephrologist.
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