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Suggest Treatment For Bilateral Flank Pain Long After Being Diagnosed For Lupus Nephritis

Posted on Tue, 1 Dec 2015

Question: Yes I have bl "old in urine and pain booth flank I have lupus nephritis. Yet everyone thinks it is Not

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
Lupus nephritis

Detailed Answer:
Hello

Thanks for the query

Bilateral flank pain need not be lupus nephritis, it most often signifies infection of the kidneys known as pyelonephritis. To know whether or not lupus is present one has to send 1. ana profile 2. complement factors 3. urine routine will
show protein loss and sometimes rbc in urine

If you can furnish me the reports I will be more than happy to interpret it

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rakesh Madhyastha (5 hours later)

I have lupus nephritis diagnose seven years ago. H/o XXXXXXX twice.concerned that he atria and hematmeis might be pre cursor to bladder ca
Thank you XXXX

Blood in urine can see and vomiting

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
Need treatment protocol

Detailed Answer:
Hello

Thanks for getting back

Bladder cancer is known with cyclophosphamide, it is commonly used in class iv Lupus nephritis. Please let me know what treatment you are currently on for lupus nephritis and what you have received so far
Could you also tell me the full form of 'BRIA'? It is not a standard short form

Please get back to me, I am awaiting your reply

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Rakesh Madhyastha (4 days later)

I am being treated with cellcept. 500mg 2 bid
Breast cancer twice.just really concernealso treated with 2.5 my prednisone for RA
seeing urologist on 4Nov15 being scheduled for ct and cysto XXXXXXX

Answered by Dr. Rakesh Madhyastha (27 hours later)

Brief Answer:
Not cancer

Detailed Answer:
Hello

Thanks for getting back. I am extremely sorry for the short delay in my reply. I was on call at my hospital.
I do not think it is bladder cancer. Activity of the lupus can cause blood in urine. Please get the following tests done along with Ct and cysto
1. C4 and c3 levels
2. Urine routine
3. dsDNA titres

I hope I was of help, i am once again sorry for the delay

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj