At NewYork-Presbyterian, we create a treatment plan based on the root cause of your child's disease and the related complications he or she develops. We use diagnostic tools such as:
Since elevated blood pressure is a common complication of kidney disease and can lead to further kidney damage, we sometimes use 24-hour ambulatory blood pressure monitoring to determine whether a child's elevated blood pressure readings are related to “white coat” hypertension (blood pressure that rises when in a doctor's office, due to stress) or to an underlying kidney disease. We may also perform arteriography to assess the health of your child's kidney arteries.
Lowering a child's elevated blood pressure can significantly slow the progression of kidney disease. We often use a combination of medications to lower blood pressure.
If your child's kidney disease is more advanced, he or she may need treatment for anemia and growth failure.
Specific elements in your child's diet can affect how well his or her kidneys work—particularly protein, sodium, potassium, phosphorous, and fluids. Our nutritionist is experienced in helping children and families make and maintain dietary changes to improve kidney function.
Kidney disease can sometimes lead to kidney failure. If your child's kidneys are no longer able to function properly, we use a technique called dialysis to do the work of the kidneys.
If your child's kidneys have stopped functioning, we may recommend a kidney transplant. During this surgery, our transplant surgeons remove the diseased kidney and replace it with a kidney from a deceased or living donor. Through our very active Living Donor Program, your child may be able to avoid a long wait for a donor organ. Our transplant teams are also skilled in transplanting adult kidneys, which have more reserve and usually function better than pediatric donor kidneys, into children.
Through our team approach, we provide continuity of care to your child throughout his or her illness and treatment. We offer your child and family comprehensive transplant counseling from the time you are deciding about transplantation, to the surgery, and throughout the recovery period.