Suggest remedy for growing kidney and shrinking MDK with multicystic dysplastic kidney
Patient: Respected Sir, My Son has Multicystic Displastic Kidney of left side since birth. Now he is at the age of 2 years and his BUN is 7 mg/dl and Creatinine (serum) is 0.5 mg/dl with HB. 10.5, HCT 32 and WBC count is 12.3. as per ultrasound his round kidney is growing larger in size and his MDK is shrinking and only water drops are shown. Kindly advise me in this situation what i should have to do? either ruled out or kept on monitoring. Muhammad Riaz Doctor: the renal function of the child is absolutely normal.This suggests that the normal kidney is functioning normally. MCDK,the cysts usually starts regressing by the age of 7 years, but the risk of hypertension and development of cancer(wilm's tumor) is there.get annual ultrasound and Blood pressure monitoring with 6 monthly KFT. if their is any chane of cyst enlargement, stromal size increased or hypertension, then nephrectomy might be required.