Q:
If my child has persistent bleeding, what can be done?
A:
If your child has visible bleeding for more than 2-4 weeks after
the 1
st episode or has persistent microscopic bleeding
for more than 12 months, then a kidney biopsy may be required to
determine the cause and further management. In case, the child has
recurrent episode of bleeding, then also a kidney biopsy is required.
Family members may also be screened for blood in urine and hearing
tests maybe done. In addition, further blood tests may be required.
However, biopsy can confirm most of the diseases. If biopsy is normal
and there is a familial tract of bleeding, then it has a good prognosis.
Rarely,
tests like IVP& cystoscopy maybe required for the diagnosis.
Again,the treatment depends upon the cause of bleeding?
Q:
Since, my child has persistent bleeding in urine, won’t he
require an vitamin or iron supplements?
A:
Microscopic bleeding of long standing does not usually lead to a
low hemoglobin or decreased vitamin stores, hence the child may
not require any hematinics, tonic or vitamin supplements.
Q:
What precautions can we follow to ensure good health of our child?
A:
A child with acute episode of bleeding may require bed rest till
the episode tides over (again depending upon the cause). However,
a child with persistent bleeding can usually lead a normal life
till complications of the kidney disease do not develop.
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Last updated on 6-11-2000
