Symptoms of kidney diseases in kids
1. Urinary Symptoms
    Changes in Urine Color: Dark, cloudy, or blood-tinged urine.
    Frequent Urination: Increased frequency, especially at night (nocturia).
    Painful Urination: Complaints of pain or burning during urination.
    Reduced Urine Output: Noticeable decrease in the amount of urine produced.
2. Swelling (Edema)
    Facial Swelling: Puffy eyes or face, especially noticeable in the morning.
    Peripheral Edema: Swelling in the legs, ankles, or feet.
    Abdominal Swelling: Abdominal distension or bloating.
 3. Blood Pressure Changes
High Blood Pressure: Elevated blood pressure readings, which can sometimes cause headaches or dizziness.
4. Fluid Retention
    Weight Gain: Unexplained or rapid weight gain due to fluid buildup.
    Ascites: Accumulation of fluid in the abdominal cavity.
5. Systemic Symptoms
    Fatigue: Unusual tiredness or lethargy, which can be a result of anemia associated with kidney disease.
    Loss of Appetite: Decreased interest in eating or poor appetite.
    Nausea and Vomiting: Persistent nausea or vomiting, which can occur with severe kidney dysfunction.
    Poor Growth: Slowed growth or developmental delays due to chronic kidney issues.
6. Skin Changes
    Itching (Pruritus): Persistent itching, which may occur due to the accumulation of waste products in the blood.
    Pale Skin: Pale complexion due to anemia often associated with chronic kidney disease.
7. Behavioral Changes
    Irritability: Changes in mood or irritability, potentially related to discomfort or systemic illness.
    Difficulty Concentrating: Trouble focusing or behavioral changes due to overall health impacts.
8. General Discomfort
    Back Pain: Lower back pain or discomfort, which may be related to kidney issues.
    Flank Pain: Pain on one or both sides of the abdomen, often associated with kidney stones or infections.
9. Symptoms Specific to Nephrotic Syndrome
    Foamy Urine: Noticeable foaming of urine due to high protein content.
    Severe Edema: Pronounced swelling in various parts of the body.
10. Symptoms Specific to Kidney Stones
    Severe Abdominal Pain: Sharp or crampy pain in the abdomen or lower back.
    Hematuria: Presence of blood in the urine, which can be visible or detected through tests.
When to Seek Medical Attention
If a child exhibits any of these symptoms, especially if they are persistent or worsening, it’s important to consult a healthcare provider for evaluation. Early diagnosis and treatment can help manage the condition effectively and prevent complications.
Diagnosis and Evaluation
    Medical History and Physical Exam: Initial assessment by a pediatrician or nephrologist.
    Urine Tests: To check for protein, blood, and other abnormalities.
    Blood Tests: To evaluate kidney function and detect underlying conditions.
    Imaging Studies: Ultrasound or other imaging techniques to visualize kidney structure and detect abnormalities.
    Kidney Biopsy: In some cases, a biopsy may be needed to diagnose specific kidney disorders.
Early intervention and regular monitoring are key to managing kidney disease in children and improving outcomes.
 
Prof (Dr) D Mukherjee is an alumnus of the prestigious Armed Forces Medical College, Pune where he did his MBBS & MD (Medicine). Subsequently he went on to do his DM (Nephrology) from PGIMER Chandigarh, which is the foremost training institution for nephrology in India.