Reflux nephropathy

Chronic atrophic pyelonephritis; Vesicoureteric reflux; Nephropathy - reflux; Ureteral reflux

Some people can have no symptoms from reflux nephropathy. The problem may be found when different tests are done for other reasons.

If symptoms do occur, they might be similar to those of a urinary tract infection, nephrotic syndrome, or chronic kidney failure.

High blood pressure may be the only symptom.

Reflux nephropathy is often found when a child is checked for repeat or suspicious bladder infections. If reflux is discovered, the child's siblings may also be checked, because reflux can run in families.

The blood pressure may be raised, and there may be signs and symptoms of chronic kidney failure.

Blood and urine tests will be done, and include:

• BUN - blood
• Creatinine - blood
• Creatinine clearance
• Urinalysis or 24-hour urine studies
• Urine culture

Imaging tests that may be done include:

• Abdominal CT scan or ultrasound of the kidneys
• IVP
• Kidney ultrasound
• Radionuclide cystogram
• Voiding cystourethrogram