Oxalate in the urine of a child - requires additional examination
oxalate in the urine of the child may be the result of congenital or acquired disease.And in fact, and in another case, a child should be carefully examined to determine the cause of the disease and, if possible, to eliminate it.The child, who was found oxaluria requires special medical supervision.
oxalate in the urine of a child - the causes of
oxalate or oxalic acid salt (mainly oxalate calcium) are formed in the body as a result of metabolic processes and only a small part of them enters the blood from the intestines from food.Derived oxalate in the urine through the kidneys.At elevated levels of oxalate in the urine (oxaluria) are first deposited in the kidney in the form of crystals, sand, and then in the form of stones of different sizes and shapes.This in turn leads to impaired renal function.
reason oxaluria children may have inherited genetic diseases that are transmitted in the family from generation to generation.
example, oxalate in the urine of infants, most often the result of inherited genetic disease oxalosis caused by metabolic disorders of oxalic acid due to the absence or lack of synthesis of the necessary enzymes.This oxaluria called the primary and differs rapid progression of the disease and the development of kidney stones and chronic kidney failure.
Secondary oxaluria develops against the background of some other diseases.But very often the basis of secondary oxaluria is an innate predisposition to diseases of this kind.It is expressed in the peculiarities of metabolism, which under certain circumstances lead to a breach of the exchange of oxalate.
to the disease, contributing to the development of secondary oxaluria include a variety of diseases of the digestive system.They lead to the disruption of the process of destruction and excretion of oxalate received food in the intestines.This results in absorption into the blood increased amounts of oxalate, and then to their renal excretion.For example, oxalate in the urine urinary oxalate - the risk of urolithiasis the child may appear in the overgrowth, particularly in low content of lactic acid bacteria in the intestines.
older children oxaluria can cause any chronic disease of the gastrointestinal tract, liver and pancreas.Chronic pyelonephritis may also lead to the development of the child oxaluria.And it will make progress against this disease.The reason may be as diabetes mellitus - threatening and incurable disease , causing a variety of metabolic disorders.
urinary oxalate in infants may appear on the background of an overdose of vitamin D in the treatment or prevention of rickets.Children older oxaluria may be due to deficiency of magnesium or potassium, and vitamin deficiencies B6, A and E.
oxaluria In most cases, the children at first does not manifest itself.Children with underlying medical conditions may be complaints of abdominal pain Abdominal pain: Types and Symptoms , urination disorders (frequent or painful contrast, urinary retention), seizures, renal colic, and sometimes even signs of musculoskeletalsystem (oxalate crystals deposited in the joints).Sometimes oxaluria can be combined with allergic diseases of the skin and upper respiratory tract.
But more oxalates in the urine of a child identified with the study of random urine on another occasion.Detection of oxalate in a urine sample is usually nothing to say, it may be transient, involving, for example, with the use of a large number of berries.
For the diagnosis of the child make a few general urine and daily urine test for oxalates.In general urinalysis pay attention to the presence of red blood cells (evidence of injury to the urinary tract walls with sand or stone), white blood cells, cylinders, trace protein (indicate the presence of infectious-inflammatory process in the kidneys).
daily urine test for oxalates allows you to set the amount of oxalate excreted in the urine a day.Oxalate in the urine of the child shall be a cause for further investigation: renal ultrasound, radiography of the kidneys and urinary tract, and so on.
What if oxalates found in the urine of the child
After examination the child is assigned treatment.In most cases, if the oxalates were found in the urine of the child, rather dieting and prescribing, accelerating the process of removing oxalate from the intestines, coming from the food.
child excluded from the diet products containing from 1 to 10 g per kg of oxalates.This strong tea, coffee, chocolate, cocoa, broth (meat, fish and mushroom), citrus fruits, beets, sorrel, rhubarb, dill Dill: benefits and harms of fragrant spices .
limited to products containing from 0.3 to 1 g per kg of oxalates, including beans, lentils, carrots, tomatoes, corn, onions, strawberries, gooseberries, beef, chicken, jelly, gooseberry, livercod, butter.
Medication: vitamin B6, medicines containing magnesium and potassium.When Vitamin A deficiency and E administered vitamin therapy.If you detect infectious and inflammatory diseases of the kidneys, is also assigned appropriate treatment.
oxalate in the urine of the child require further examination and appropriate treatment.