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Dear
Dr. Mike,
My brother's three year old daughter has vesicoureteral reflux problem
(between
grade III and IV). She has been on antibiotics for the last one year.
Although
there was no UTI or kidney scarring etc., there was also no improvement
in the
reflux. Her doctor is recommending Deflux. Since Deflux was approved by
FDA,
just in December 2001, we are concerned about the long term effects.
Could you
please help us decide whether we should go for Deflux or open surgery?
Or should
we just stick to the antibiotics for now? How long can we give her
antibiotics
before we decide to have the surgical procedures done? Are there any
long term
effects of prolonged use of antibiotics?
Thanks
--Arvinder
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Hello,
I would continue antibiotics for another year, and determine if
improvement in
the reflux occurs. If after that time, there is no improvement you can
see how
Deflux has been working on other patients over the past year, and get a
better
handle on side effects (if any) it may have.
Surgery is probably not necessary yet, especially with no worsening in
your
little one's reflux.
Significant complications from long term antibiotic therapy are
unlikely.
I hope that helps. Dr. Mike
This
article was reviewed
04/23/2010 07:24 AM
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