A pediatric nephrologist is a physician who specializes in the diagnosis and treatment of kidney diseases in children and teenagers. Professionals in this field use their understanding of human development to pinpoint the source of various physical symptoms. Nephrologists may prescribe medications, perform dialysis procedures, or recommend surgery to patients, depending on their specific problems. The majority of pediatric nephrologists work in group practices or private practices, but some work full-time in children’s hospitals, clinics, and teaching centers.
When kidney problems are suspected, pediatric patients are usually referred to nephrologists their primary care physicians. A pediatric nephrologist can evaluate a new patient with the help of nurses and aides reviewing his or her medical and family history, performing a physical exam, and ordering a series of tests. For example, a doctor might decide to take blood and urine samples to check for abnormal mineral or white blood cell levels. Congenital defects, swelling, and obstructions are frequently detected using X-rays and other types of diagnostic imaging scans.
Following the completion of testing, a pediatric nephrologist may diagnose one of several possible kidney disorders. Inherited renal disease, kidney stones, and spreading urinary tract infections are the most common problems found in pediatric patients. Pediatric nephrologists are aware that similar problems in children can result in different symptoms and complications than in adults, and they make treatment decisions based on their patients’ ages and overall health.
During testing and treatment, young patients may be scared or confused, and it is the pediatric nephrologist’s job to make them feel as relaxed as possible. The majority of professionals are warm, patient, and skilled at explaining procedures in simple terms that children can understand. Patients’ anxiety is reduced, which makes it easier for nephrologists to conduct examinations and gather important information about their symptoms.
Before obtaining licensure as a pediatric nephrologist, a person must typically complete at least 12 years of college and practical residency programs. A new doctor usually begins a three- to four-year residency in pediatrics at a children’s hospital after receiving a Doctor of Medicine from an accredited school. Following a residency, a doctor may pursue a one- to two-year fellowship in pediatric nephrology, during which time he or she diagnoses and treats patients under the supervision of experienced specialists. A pediatric nephrologist earns the right to work independently after completing training and passing an extensive board certification exam.