Treatment Stories

Comprehensive Pediatric Kidney Care

Tuntun Children's Hospital is here for every step of your baby's growth journey.

Pediatric Nephrology

Comprehensive Pediatric Kidney Care

A child's kidneys Infection, dehydration, high fever, medication use
Even in relatively common situations, temporary damage can occur.

Especially in children, changes in kidney function can occur even without obvious symptoms.
They often begin first, making early detection and accurate evaluation very important.

Tuntun Children's Hospital does not judge solely by the disease name,
from the child's symptoms and functional evaluation through urine and blood, to structural evaluation if necessary,
and provides pediatric nephrology precision care that makes comprehensive judgments in stages.

Pediatric Kidney Conditions:
'Early Diagnosis'is important?

Pediatric kidney disease often presents with vague symptoms or appears normal in routine blood tests,
making it easy to miss the optimal time for diagnosis.
If not detected early, acute kidney injury can progress to chronic kidney disease,
hence, precise evaluation in the early stages is crucial.

In These Cases
Renal EvaluationMay be necessary

When Renal Evaluation is Needed
Rapid deterioration of the child's overall condition after a high fever or infection
Significantly decreased urine output after dehydration, vomiting, or diarrhea
Elevated inflammatory markers in blood tests with an unclear cause
After using medications that may burden the kidneys, such as antibiotics or antipyretics
Abnormal findings such as proteinuria or hematuria confirmed in urine tests

Common Pediatric Kidney and Urinary Tract Diseases

Urinary Tract Infection (UTI) · Pyelonephritis

A disease commonly occurring in children,
requiring more than just simple infection treatment,
evaluation for renal involvement is crucial.

If high fever recurs or urinary tract infection is recurrent,
→ Need to confirm the presence of kidney damage and/or structural abnormalities.

Nephrotic Syndrome

Edema, Proteinuria a disease characterized by these symptoms,
requiring accurate diagnosis and
continuous monitoring of renal function.

Acute Kidney Injury (AKI)

After infection, dehydration, or medication use,
a condition where renal function temporarily declines.로,
There is a very high chance of recovery if detected early.

Our Step-by-Step Evaluation Process

A pediatric kidney evaluation is not about rushing to a diagnosis or immediately starting treatment.
Based on the child's symptoms and test findings,
we determine whether renal function evaluation is necessary.is a stepwise evaluation process for careful determination.

We do not perform the same tests on every child,
and we determine the next steps based on test results.

How We Conduct
A pediatric growth evaluation is not a simple comparison of height or growth speed.

STEP 01

We assess the ‘need for kidney evaluation’ based on clinical symptoms and basic tests.
The child’s symptoms, physical examination findings, urine test, and
By integrating basic blood test results,
we first confirm whether a detailed evaluation is necessary.

If no kidney issues are suspected:

→ We will monitor their progress.

If inflammation or decreased kidney function is suspected:

→ Proceed to the initial precision evaluation phase.

STEP 02

Initial Precision Evaluation (Blood & Urine Tests)

Blood Test

→ To assess overall kidney function and systemic inflammation.

Urine Tests

→ To check for abnormalities like proteinuria or hematuria.

Depending on the results
No abnormal findings → We will monitor their progress.
Additional evaluation needed → Proceed to next step

STEP 03

Kidney and Urinary Tract Structural Evaluation (if needed)
In cases of recurrent urinary tract infections or
pyelonephritis or suspected kidney damage,
we also check for structural abnormalities of the kidney and urinary tract.

Ultrasound

→ Evaluates kidney size, structure, and checks for hydronephrosis.

Urinary Tract Structural Assessment

→ Checks for underlying structural issues like vesicoureteral reflux (VUR).

Radiation Exposure, is it really necessary?

In the past, to check for kidney damage or urinary reflux,
examinations involving radiation exposure were considered an unavoidable choice.
However, Tuntun Children's Hospital asked:

“Must this process necessarily Radiation Exposureand should it be conducted together?”

Currently, in advanced medical countries, to minimize children's radiation exposure,
the approach of prioritizing precise ultrasound-based evaluation has already become a standard.

Repeat examinations possible without radiation exposure

Minimization of the child's physical burden

Real-time explanation possible with the guardian present

Our hospital, based on global clinical evidence and guidelines,
prioritizes the safest yet most accurate evaluation methods for children.

Traditional Radiation vs.
Tuntun Children's Hospital's
Precise Ultrasound Examination
We compared [something].

Evaluation of pediatric kidney and urinary tract diseases, rather than ‘performing many tests’,
It is important to choose the safest and most accurate method for your child.
Below compares the existing radiation examination method with the one primarily employed by our hospital,
highlighting the differences in precision ultrasound-based assessment.

Conventional Radiation Examination Method
(Radioactive Isotope and Fluoroscopy)
Category Our Hospital's Latest Precision Ultrasound System
Radioactive Isotope Injection or X-ray Fluoroscopy Required Radiation
Exposure
No Radiation Exposure Whatsoever
Standard Examination Method with a Long History Global
Status
Latest Standard Examination Recommended by American and European Societies
Standard for Confirming Kidney Damage and Reflux Diagnosis
Precision
High Precision Proven by Global Academic Literature
Requires Meticulous Caution from Medical Staff Regarding Cumulative Radiation Test
Safety
Harmless to the Human Body Even with Repeated Examinations, Thus Very Safe
Conducted in a Radiation Isolation Zone, Limiting Observation Guardian
Observation
Conducted with Real-time Explanations While the Guardian is Present

Test Results
Our neonatal jaundice assessment

We never base a pediatric kidney diagnosis on a single test result.
We take a holistic approach, carefully considering the following factors together:

  • 1

    The child's symptoms and clinical progression

  • 2

    Blood and urine test results

  • 3

    Imaging findings (if applicable)

  • 4

    The child's age and overall physical condition

Treatment and management direction Decision

Whether treatment is needed depends on the child's kidney function and
when there is a possibility of affecting the long-term prognosis.
we make a cautious decision after thorough explanation with the guardian.

In many cases, medical
treatment is not required.

Without Treatment
observation alone, without active intervention.

Follow-up Observation, Too
It is an important part of management.

Good to Know

To Parents/Guardians
A Message
  • The kidneys are vital organs that require lifelong care once damaged.
  • At Tuntun Children's Hospital, we are dedicated to vigilance and proactive care. We provide parents with peace of mind by offering: We minimize unnecessary radiation exposure and perform only essential evaluations for your child.This policy is enforced.
  • We practice pediatric nephrology with a focus not just on your child's immediate condition, but on protecting their kidney health for a lifetime.