Phosphates in the urine of a child causes treatment Komarovsky

A fairly common urological pathology in young patients is salts in the urine of a child. That is, urine, which is a biomaterial that removes all waste products from the body, is oversaturated with certain types of minerals. The type of salts depends entirely on the pH level of the child’s urine. We will look into the material below to find out why there are salts in the urine of a small patient and how to deal with this phenomenon.

Important: in order not to miss the development of urolithiasis in a young patient, it is worth regularly (at least once a year) submitting urine for a general analysis. In this case, it will be difficult to miss the development of pathology, which means that treatment will be as effective as possible.

Salts in a child's urine

Urine testing is used to detect disease processes in the body. The attending physician refers you for tests when diagnosing complications. Typically, phosphates, urates, carbonates, and oxalates can be detected in urine. The presence of these substances may not cause diseases.

When the organs are functioning normally, urate salts should not be present in the child’s urine. But it happens that the metabolism goes astray and as a result the composition of the child’s urine changes. The formation of salts in liquid occurs for various reasons, ranging from digestive problems to heredity.

Detection of urates in a child’s biological fluid is a common occurrence. Incompletely formed reproductive and urinary systems may not have time to deal with salts coming from food, resulting in the formation of a salt deposit. The presence of urates may be caused by taking antibiotics and a deficiency in the menu of vegetables and fruits. If salts are detected in an infant, the mother should reduce meat in the diet and eat more fruits and vegetables. To reduce urate levels, children over 2 years of age need a special diet that includes foods high in calcium and potassium.

You should give preference to chicken meat, limit or completely replace poultry meat, and do not feed your baby vegetables that contain oxalic acid. You can consume dairy products and mineral water in any quantity.

Drug therapy


If a high concentration of salts is detected in the child’s body, and diet therapy does not help properly, then drug therapy is used to reduce salt diathesis.
If a high concentration of salts is detected in the child’s body, and diet therapy does not help properly, then drug therapy is used to reduce salt diathesis. So, with urates, therapy is aimed at eliminating the cause of the formation of minerals. Since the cause can be either simple poisoning or complex helminthic infestation, diagnosis should be as thorough as possible. Based on the results obtained, medications are prescribed. But for the rapid and high-quality dissolution of urates, the drug “Blemaren” is prescribed.

With phosphates

Since the cause of phosphate deposition in the kidneys lies in most cases in poor nutrition, the main method of treatment is diet therapy. And to enhance its effect, drugs are prescribed that reduce the secretion of gastric juice. Diuretic-type dietary supplements and dietary supplements can be prescribed as additional and supportive therapy.

For oxalates

To remove oxalate salts from the child’s body, it is necessary to saturate the body with B vitamins. For this, the baby is prescribed the drug “Pyridoxine”. The course of intramuscular injections is 5 injections. The dosage of the drug is selected purely individually, depending on the complexity of the pathology in the baby, his age and weight.

Important: when treating oxalates with Pyridoxine, you need to pay attention to the individual tolerance of the drug.

It is worth understanding that if a concentration of mixed salts is detected in a child’s urine, then the little patient must be hospitalized and undergo comprehensive treatment. As a rule, the course of therapy lasts at least 1 month. At the same time, it is important to eliminate the cause of the formation of salts in the baby’s kidneys. It is necessary to understand that if you ignore diet therapy and drinking regimen during drug treatment, then all the efforts of doctors will be reduced to zero.

Important: if a child’s salt diathesis is a consequence of renal pathology, then if its treatment is successful, it is necessary to constantly monitor the child’s health and, under the supervision of a specialist, carry out preventive salt treatment courses (at least twice a year).

A large number of urates in urine

If the results of a urine test are normal, no salts and other components should be detected. If the urates increase to 2 pluses, this is not considered a deviation. If values ​​exceed 3 pluses or the level of undesirable substances in the urine does not decrease when changing the diet, you need to additionally examine the baby and make sure there is no gout or leukemia.

If a large amount of urate is detected in a child, parents do not need to panic. In most cases, parents do not limit their children to sweets, meat and fish before testing, and therefore the tests may be false. When testing after an illness, examination indicators may be false due to medications.

If the test salts are high, you need to adhere to a healthy diet and retake the test, and conduct an ultrasound examination of the kidneys. In addition to urates, it is important to monitor other components of urine. A large number of leukocytes, red blood cells and other substances can cause an infectious process in the body. A lot of urates in the urine can indicate dysbiosis and worms.

If relatives suffered from gout, excess weight, diseases of the joints, spine, blood vessels, it is necessary to inform the nephrologist and pediatrician.

Complications

Are there any complications? This question worries all parents who have at least once encountered deviations in tests. The development of pathological conditions in childhood occurs much faster, so you should periodically undergo preventive laboratory tests in order to monitor your child’s condition.

As mentioned above, the presence of salt crystals in a child’s body does not manifest itself in any way in almost all cases, therefore the lack of timely prescribed treatment can lead to the development of urolithiasis in young patients.

In addition, the formation of salts may indicate the development of diseases not related to the urinary system. Therefore, if an increase in salt crystals is detected in the baby, you should undergo additional diagnostic methods and make sure that everything is fine with the baby.

Only timely diagnosis and consultation will help improve the baby’s condition in a short time and determine the cause of the development of this condition.

Causes

There are several reasons for the appearance of salts in urine:

  1. With poor nutrition.

With frequent consumption of monotonous foods and abuse of certain components, hydrochloric acid may appear.

Products not recommended for consumption include: meat, fish, spicy and smoked foods, mushrooms, sausage, cheese, tomatoes.

Parents should provide their children with healthy and varied foods.

  1. In case of impaired renal function.
  2. Insufficient fluid intake.

Symptoms of a lack of fluid include nausea, problems with bowel movements, and fever.

  1. Use of antibiotics, medications to relieve pain and inflammation.
  2. Infectious pathological processes.
  3. Types of leukemia.
  4. Uraturia in children

When should you worry?

Urate should be completely absent in the urine of a healthy adult. A small amount of sediment (up to two units) is allowed in a child’s urine, due to the fact that the excretory system in children works less efficiently than in adults.

If the urate content is so high that it reaches three or four or more units, or they are detected based on the results of a repeated analysis, then this is an alarming symptom. In this case, uraturia is diagnosed and the diseases that provoke it are treated.

Prognosis and prevention

If the causes of harmful substances in the urine are not eliminated in time and kidney stones are treated, this can cause closure of the urinary canal, blood poisoning and kidney inflammation.

By following a diet and taking the necessary medications, the risk of pathological complications is reduced to a minimum. When a child experiences loss of unwanted components, his health should be carefully monitored. First, change your daily diet, adjust the menu and add or remove some products. Maintaining a healthy lifestyle.

When parents begin to devote more time to the health and physical development of their child, this will become the key to good health. From an early age, you need to carefully monitor your children and the loss of salts will be the first sign that you need to change the child’s lifestyle.

What is considered normal sleep for a child?

Now, of course, it’s pointless to talk about sleep standards. Why? Because the child sleeps as much as his body and his formed nervous system require. This must be accepted. If a child needs several hours, then that’s what the baby needs. What should a mother do, since she needs proper sleep and rest?

  • Walk more with your child in the fresh air. You can spend a lot of time outside, walking at any time of the year. Many mothers claim that their child sleeps only during walks.
  • Place the child on a cold balcony, wrapping him up thoroughly. Open the balcony at night and during the day. It is known that children who are carefully bundled up sleep better in the cold.
  • Take medications prescribed by a neurologist for a certain period of time to check the correctness of the diagnosis. If you do not trust your neurologist, contact another. Drugs such as glycised and magnesium B6 in ampoules are harmless and help calm the child and improve sleep. They can be taken by both adults and children. The doctor will tell you the dosage in each individual case.
  • Let the child move more, jump, run, jump, crawl. This affects his fatigue and sleep.
  • Give your child calming herbs. Use traditional methods. The name of the herbs and dosage will be indicated by the doctor.
  • Pray for the child. Buy candles in the church and light them to look at the flames of the candles and, accordingly, cleanse the room of negative energy.
  • Give your child relaxing water treatments more often.
  • Do not react to his demands, cry, do not punish, calm him down in all possible ways so that he does not get nervous. Do not disturb him, switch his attention to other objects.
  • Kiss, hug, press to your chest more often. Every baby needs tactile contact.
  • How should a child sleep? Sleep the way he needs. Therefore, do not create a tragedy if your child is special. This means that this is exactly how much time he needs to recuperate. Take into account its developmental features.
  • Ventilate the room. The more often the better. At the same time, it is desirable to create coolness.
  • Buy a Chizhevsky chandelier that creates negative air ions. Turn it on regularly in the room where the child sleeps. It helps create an atmosphere conducive to restful sleep.
  • Go to the sea often, if possible.
  • In the summer, go out into nature, sleep with the doors open, saturating the child’s lungs with oxygen.

What are amorphous urates and why do they occur?

These are uric acid salts, which precipitate in urine, giving it a brownish-pink hue. With a significant increase (the norm is units) of their presence in the urine, the following can be diagnosed:

  • Congestion and chronic kidney failure;
  • Glomerulonephritis;
  • State of fever.

Amorphous urates in urine, precipitating, impart a brownish-pink tone to its color. A single amount of this type of urate is the norm, and if there is an excess, the following is diagnosed:

  • fever;
  • glomerular nephritis;
  • renal failure.

Amorphous urates in urine - uric acid salts, color the sediment brownish-pink. They are normal

are isolated.

They are observed in large quantities in urine during

  • glomerulonephritis,
  • chronic kidney failure,
  • congestive kidney,
  • fever.

Are there additional symptoms of the disease?

As a rule, uraturia is asymptomatic and is detected only in a urine test. Sometimes an excess of urates leads to salt crystals accumulating in the urinary tract, which worsens the child’s general condition. This form of the disease may be accompanied by the following symptoms:

  • Change in the color of urine, presence of blood in it.
  • Burning and pain when urinating.
  • Pain in the lumbar region, lower abdomen.
  • Nervousness, tearfulness, poor appetite - this applies to babies who do not yet know how to express their complaints verbally.
  • Insomnia, restless sleep, when the child often jumps up at night, or vice versa, increased sleepiness.
  • Hyperactivity.
  • Heat.
  • Reddish spots on the skin, accompanied by itching, and similar to allergic dermatitis.
  • Vomiting (most often observed in the morning).
  • Constipation.
  • General weakness.
  • Asthma-like attacks of suffocation.
  • In some cases, they are ahead of their peers in physical and mental development.

Main directions in treatment

Treatment of the disease should be comprehensive, affecting the cause (etiotropic therapy) and the mechanisms that form urate stones (pathogenetic therapy).

Drug treatment is used when urate stones have already formed:

  1. Prescribed drugs that neutralize salts and make urine more alkaline (Blemaren).
  2. To remove urates, take medications containing potassium and magnesium (Panangin, Asparkam).
  3. As a mild diuretic, it is recommended to take a herbal decoction orally (kidney collection).
  4. Vitamins A, E, B6.

To remove urate stones, conservative, surgical and instrumental treatment methods are used. The conservative therapy program is selected individually for each patient, taking into account the mechanisms and causes of stone formation. Treatment with drugs is aimed at changing the biochemical composition of blood and urine, and also helps to remove urate crystals up to 5 mm in size. Remote therapy ─ crushing stones with ultrasound or using contact laser lithotripsy.

Surgical treatment is prescribed quite widely. Indications for surgical intervention:

  • severe attacks of renal colic, including disability;
  • difficulty in the outflow of urine, leading to deformation of the kidney;
  • obstructive anuria;
  • persistent hematuria (blood in the urine);
  • frequent attacks of acute pyelonephritis;
  • a stone in the only kidney or in the ureter, and cannot pass on its own.

The prognosis for recovery after abdominal surgery is always favorable.

Treatment of uraturia

Often, uraturia is a consequence of poor nutrition, so the first thing you need to do is adjust your diet and water-salt levels in the body. Physical therapy, physiotherapy and many other ways to overcome the disease are also additionally prescribed. If drug treatment fails, surgery is used.

Therapeutic tactics in the presence of urate crystals in urine sediment in large quantities boils down to eliminating the cause that led to the occurrence of such a pathological condition. In most cases, a special diet is prescribed for urate in the urine with a reduced protein content and the complete exclusion of alcoholic beverages, which leads to a significant decrease in uric acid, both in the blood and the formation of urate in the urine. In some cases, it is possible to achieve complete regression of the disease and the absence of urates in the urine.

computed tomography, ultrasound diagnostics of the genitourinary system. Also, a mandatory test of blood and urine for the presence of uric acid and urate crystals. Only after a clinical diagnosis has been established, full-fledged treatment begins, the therapeutic complex of which includes, in addition to diet: antibiotic therapy, physiotherapy, and taking special medications that improve metabolic processes in the body.

The main treatment for urate in the urine is diet therapy.

But there is also a medicinal treatment for this problem. It should be started when stones have already been identified in the kidneys:

  • Blemaren. Alkalinizes urine, which makes it easier for uric acid to dissolve in it and exit with urine. This remedy helps if urates and oxalates are detected in the urine. Do not use if you have phosphate stones.
  • Allopurinol. Affects the enzyme during the conversion of uric acid, as a result of which its amount decreases, and existing urate deposits in tissues and kidneys disintegrate;
  • Asparkam. Potassium-magnesium agent promotes the removal of urate and oxalate salts. This drug can be given to children from infancy if the correct dosage is followed. Contraindication – phosphate stones;
  • Canephron, Phytolysin, Urolesan do not dissolve stones, but have a beneficial effect on the outflow of urine, removing salts;
  • It will be useful to take the herb half-burnt; it has a mild diuretic effect without causing harm to the body.

An effective folk remedy is the herb pol-pal, which is used to treat kidney diseases.

Allopurinol is an effective drug for the treatment of kidney diseases, including uraturia. You will find detailed information about the drug here.

If ineffective, kidney stones are removed:

  • remote,
  • contact,
  • endoscopic,
  • shock wave.

For this purpose, ultrasound or laser is used.

If these methods do not help, and the coral stone causes manifestations of renal colic or is combined with pyelonephritis, surgical treatment of urolithiasis is carried out.

Of course, there are various drugs that can be used to remove urate salts, but such therapy is only suitable until kidney stones have formed, so treatment must be started immediately.

Such drugs include:

  1. Allopurinol helps break down urate deposits, as well as reduce the amount of uric acid formed.
  2. Blemaren is available in the form of effervescent tablets that dissolve in water. The tablets, due to their composition, make urine more alkaline, as a result of which uric acid is more effectively dissolved and excreted in it. This medicine cannot be used for phosphate stones, but is successfully used for oxalate and urate stones.
  3. Panangin, or Asparkam. Removes urate and oxalate salts very well. If the required dose is observed, this medicine can also be used in infants. However, it is prohibited to use Asparkam for phosphate stones.
  4. Drugs such as Urolesan, Canephron and similar stones do not dissolve, but the salts themselves are excellent for removing due to the fact that they help improve urination.
  5. You can take a course of decoction of half a herb, which acts as a mild diuretic.

If urate stones have formed in the kidneys, then the medications described above will be an effective start to treatment. If necessary, crushing of stones is carried out using a remote method, that is, using ultrasound, laser, endoscopy. If these methods are ineffective or there are complications in the course of the disease, surgical intervention may be prescribed.

The first stage is non-drug treatment, indicated for the initial detection of salt in the urine. It includes a balanced diet with a predominance of foods with an alkaline reaction and a decrease in protein foods. Diet for urate in urine is very important, so you should take it seriously. Several products need to be excluded from the menu:

  • mineral water with high mineralization,
  • cocoa derivatives,
  • canned foods,
  • animal fats,
  • offal.

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Also, staying hydrated with sufficient water consumption and minimizing salt will help the body remove unnecessary substances. If urates still persist in large quantities, you should start taking medications.

Specific drug therapy is indicated only when a doctor has established a clinical diagnosis (glomerulonephritis, gout). Pathogenetic treatment is possible, helping the formed salt crystals to dissolve and ensuring their maximum removal from the body.

Alkalinizing your urine increases the chances of uric acid dissolving quickly. After starting therapy, the amount of urine may become large, this will mean a positive effect. Mechanical cleansing of the urinary tract will speed up the healing process.

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