Arjunuday was born as a sibling to healthy sister Lavanya (6) . Mummy Papa planned second baby to give a company to their daughter. It was a full term pregnancy with out any complication. Baby was born at a Nursing home of south delhi through successful caesarian delivery . Pediatrician present in the operation theater diagnosed baby with
He was immediately shifted to a very reputed and famous private hospital of New Delhi and successfully operated and colostomy done. Duration of stay was 14 days .
After spending 5 days at home Arjunuday had recurring mild fever and diagnosed with urine infection and again admitted to hospital , This time stay was for 21 days .
Life was not easy this time also , after spending only 4 days at home Arjunuday was readmitted to the hospital . Now urine fungal UTI was the cause of the stay for 5 days .
More shocks were waiting for the family and again after few days Arjunuday was admitted to the hospital with urine infection . He was diagnosed with Colovesical Fistula by Pediatric Surgeon .Hospital stay was 10 days this time.
Arjunuday again had Urine Infection inspite of daily oral dose of antibiotic , Doctor advise him Oral Trxim – O for 2 weeks and infection was over now without any IV antibiotic .
Arjunuday readmitted to the hospital again for pull through operation (creating opening of anus ) and repairing of connection between rectum and bladder and he was successfully operated . He developed urinary retention and discharged along with catheter .
Catheter was removed after 10 days , Arjunuday was able to urinate with support from parents , However He had a mild fever and diagnosed with urine track infection . Doctor advise him Oral Antibiotic as his another surgery was planned for colostomy closure
Arjunuday was readmitted to the hospital and colostomy closure was done successfully , This was the worst phase for the poor baby as he was on complete fasting ( without even drop of water ) for 4 days . This time the stay was 8 days .
Unfortunately baby had mild fever after 3 days of hospital discharge and doctors advise parents to get DMSA – Renal and Repeat MCU done on the baby .
DMSA Renal shows cortical scaring on left kidney , Peripheral contour is irregular with multiple photopenic defects at the superior pole at the mid lateral border .
MCU shows Grade III / IV refux on both sides .
As per a journal published by well known professors of pediatric nephrology we noted following important lines :-
Children with renal scarring should receive continued care twice a year through adulthood . Patients are monitored for physical growth and blood pressure . Investigations include urinalysis for protenuria every six months and yearly estimation of blood level of urea and creatinine . Yearly examinations are done to monitor renal growth .
After 7 correction surgeries, 9 hospital stays and over a million expenses , Arjunuday is still under going through following follow-ups
AIIMS for his Renal Functions , Urine Reflux and Blood Pressure Monitoring
LNJP Hospital for Anorectal Malformation , Continuous Severe Diarrhea , Tracheo-esophageal fistula and Anal Mucosal Prolapse
Baijerbai Wadia Hospital for Children, Mumbai for Fecal Incontinence
Dr. Bela Sethi’s Physical Therapy Clinic, NDSE , New Delhi for Anal Re-education Therapy daily for continues 3 months. (Physiotherapy for fecal incontinence secondary to anorectal malformation)
