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Is DMSA scan mandatory ?
11 months old baby boy is diagnosed with E-Coli UTI infection and he is under IV antibiotics course since 2 days, past 2 days no symptoms of fever, he is taking food and fluids normally, urinated 10 times in a day.. Is DMSA scan mandatory now ?
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DMSA scan is done if the treating doctor suspects some pathology in the kidney like stone, tumour etc. In your baby's case it appears to be uncomplicated UTI which would resolve with antibiotic therapy. Discuss with doctor. The cardinal rule is not to do tests unless absolutely necessary, both cost wise and health wise.
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Dr. Alap Mehta
HIV Specialist
17 yrs exp
Surat
You can wait for 3-4 days and repeat Urine Culture report.
Next Steps
Repeat Urine Culture and CBC
Health Tips
Continue same management
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Dr. Suresh Radhakrishnan
Urologist
25 yrs exp
Chennai
DMSA scan in this admission is used to diagnose whether it is a simple cystitis or if the infection has affected kidneys(called pyelonephritis). DMSA scan needs to be repeated in some patients after 6 weeks to find if infection has damaged kidneys or not.
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Dr. Anish Kumar Gupta
Andrologist
18 yrs exp
Delhi
There are two tests which are normally done. DMSA and a MCU.
It depends what the parents and physician are comfortable with. Depending on the clinical situation both may b be required, one after the other.
DMSA is comparatively more non invasive and should ideally be done. What is important is not only to resolve this episode but to also prevent further similar episodes.
DMSA will look at scarring in the kidney.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.