Chronic kidney disease happens when your child's kidneys are no longer functioning properly. Healthy kidneys clean the blood by removing excess fluid, minerals and waste from the blood. The kidneys also make hormones that keep the bones strong and the blood healthy.
Conditions that can cause chronic kidney disease include:
- Glomerulonephritis
- Congenital diseases of the kidney, such as renal dysplasia, blockage of the ureters or urethra and cystic kidney diseases
- Hemolytic uremic syndrome
- Hereditary kidney diseases such as hereditary nephritis and polycystic kidney disease
- Diseases of the immune system such as lupus
- Repeated kidney infections (pyelonephritis)
If your child's kidneys fail, many areas of his or her body may be affected:
- Harmful waste material builds up in the body.
- The blood pressure may rise.
- The body may retain excess fluid.
- The body may not make enough red blood cells.
The symptoms of chronic kidney disease include:
- Decreased appetite
- Vomiting
- Bone pain
- Headache
- Stunted growth
- Fatigue
- High urine output or no urine output
- Pale skin
- Bad breath
- Hearing problems
- Tissue swelling
- Irritability
- Decreased muscle tone
- Decrease in mental alertness
Diagnosis of Chronic Kidney Disease
Your child’s nephrologist will use one or more of the following tests to diagnose chronic kidney disease:
- Blood tests. A sample of your child’s blood is drawn and tested to determine how much blood the kidneys filter each minute. This is called the estimated glomerular filtration rate (eGFR). Other blood tests may be ran to determine the blood urea nitrogen (BUN), creatinine and electrolytes.
- Urine test. A sample of your child’s urine is tested for abnormalities that can point to chronic kidney disease.
- Ultrasound. An ultrasound can help the doctor assess the kidneys’ size and structure.
- Renal biopsy. A renal biopsy (removing a sample of tissue for testing) can help your child’s doctor pinpoint the cause of the kidney problem.
Treatments
Treatments
The course of treatment that your child’s nephrologist recommends will depend on the following factors:
- Your child’s age, overall health and medical history
- Stage of the chronic kidney disease (Stages 0 to 6)
Potential treatments for chronic kidney disease include:
- Medical therapy for stages 0 to 5. Your child’s doctor will likely prescribe a combination of medicines to help control the symptoms of chronic kidney disease as well as help slow its progression. Your child may need to take certain types of blood pressure medicines—andio angiotensin-converting-enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs)—to help slow the progression of the condition. Your child may also need to take a water pill (diuretic).
- Hemodialysis for stage 6. In this treatment, a machine and filter do the work that your kidneys normally do, removing waste and other materials from the blood. Hemodialysis helps to control blood pressure and helps the body maintain the proper balance of important minerals such as potassium, sodium, calcium and bicarbonate.
- Peritoneal dialysis for stage 6. Instead of using a machine outside the body to perform the kidneys’ functions, waste is filtered through the lining of the abdomen which acts as an artificial kidney. After receiving thorough training, you can help your child undergo this type of dialysis at home on your own schedule.
- Kidney transplant for stage 6. Once donated, a healthy kidney can keep your child healthy and symptom-free while receiving medication to prevent rejection of the kidney.
Key Points to Remember
Key Points to Remember
- The kidneys serve the important function of filtering waste from the blood as well as regulating other functions of the body.
- When the kidneys fail, your child needs treatment to help remove waste from the blood.
- Treatment options include medical therapy and medicines, hemodialysis, peritoneal dialysis and kidney transplantation.
Support Services & Resources
Support Services & Resources
Visit the trusted websites below to learn more about chronic kidney disease.
Riley at IU Health offers a broad range of supportive services to make life better for families who choose us for their children's care.
Learn more about the challenges associated with chronic kidney disease in children.
Visit this National Institutes of Health website to learn more about the treatment methods for kidney failure in children.
Visit this website to learn more about kidney failure, including its causes and treatments.
The American Association of Kidney Patients shares in-depth information about chronic kidney disease on its website.
Chronic Kidney Disease Research
Chronic Kidney Disease Research
The pediatric nephrologists at Riley at IU Health participate in the national ongoing CKids study, which is funded by the National Institutes of Health (NIH). The focus of this study is to learn more about the factors that contribute to chronic kidney disease in children and the effects of chronic kidney disease in pediatric patients.
Locations
Locations
Locations
In addition to our primary hospital location at the Academic Health Center in Indianapolis, IN, we have convenient locations to better serve our communities throughout the state.
Riley Pediatric Nephrology & Kidney Diseases
11725 N Illinois St
Carmel, IN 46032
Riley Pediatric Nephrology & Kidney Diseases
575 Riley Hospital Dr
Indianapolis, IN 46202