Primary vesicoureteral reflux, or VUR, is a condition where the ureterovesical junction is deformed. The junction is technically the valve from the ureters, which are the tubes that travel from the kidneys all the way to the bladder. Primary vesicoureteral reflux is quite common, up to 50% of children who have repeated urinary tract infections end up testing positive for VUR.
The deformity in the ureterovesical junction will cause urine to flow backwards and back into the kidneys. This will cause repeated urinary tract infections in the child and will soon be noticed by a medical professional who is treating the UTIs. Diagnosing this condition is not only done upon the presence of multiple UTIs but also through a simple, uncomfortable procedure.
Primary vesicoureteral reflux is primarily found using an ultrasound machine; the same type of machine used to see inside the womb of a pregnant woman. First, the child will have to have a catheter put in so that their doctor will be able to painlessly inject a dye that can be seen on the ultrasound machine.
This will allow the doctor to watch the dye and see if the urine is being refluxed backwards and into the kidneys. If the dye begins to flux back and forth throughout the ureters, the diagnosis of primary vesicoureteral reflux is quite final.
Fortunately, only on the rare occasion are primary vesicoureteral reflux conditions considered extreme and with repeated oral doses of the appropriate antibiotic, the primary vesicoureteral reflux should be able to clear up without any additional treatment. Taking an antibiotic is very important for a child suffering from primary vesicoureteral reflux because it helps to keep the urine and body as sterile as possible so that there is very little risk for kidney infections.
A kidney infection is the main concern in moderate and severe cases but antibiotic treatment is still important for mild cases. Additionally, primary vesicoureteral reflux is found to be genetically connected to the majority of children who have it so get all children tested if one turns up positive and double check your family history.
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