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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Therapy To Control Proteinuria

sir, my son suffered with Cresentic Anti Gbm antibody Glomerulonephritis at the age of 14 years and was treated with steroids, dialysis for some time, immunesupresion with mycophenalate sodium for 18 months, and plasma exchange for nearly 6 sittings with 36 units of plasma, luckily Anti gbm became negative. creatinine levels became normal. but 24 hrs albumin loss is 5000 mcg. now he is on losartan 50 once daily, and shelcal os once daily. now he is 19 years old, protein urea is not becoming normal. pls suggest. any specific therapy to control proteinurea. if it contineous for long time., doctor told us it may lead to creatinine levels increase in long run. and no studies are avaliable on this complaint. advance thanks and regards. pratap
Wed, 25 Apr 2018
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General Surgeon 's  Response
Hello,

Antibiotics usually are the first line of treatment for urinary tract infections. Which drugs are prescribed and for how long depend on your health condition and the type of bacteria found in your urine?

Simple infection
Drugs commonly recommended for simple UTIs include:
- Trimethoprim/sulfamethoxazole (Bactrim, Septra, others)
- Fosfomycin (Monurol)
- Nitrofurantoin (Macrodantin, Macrobid)
- Cephalexin (Keflex)
- Ceftriaxone
- The group of antibiotic medicines known as fluoroquinolones — such as ciprofloxacin (Cipro), levofloxacin (Levaquin) and others — isn't commonly recommended for simple UTIs, as the risks of these medicines generally outweigh the benefits for treating uncomplicated UTIs. In some cases, such as a complicated UTI or kidney infection, your doctor might prescribe a fluoroquinolone medicine if no other treatment options exist.

Often, symptoms clear up within a few days of treatment. But you may need to continue antibiotics for a week or more. Take the entire course of antibiotics as prescribed.

For an uncomplicated UTI that occurs when you're otherwise healthy, your doctor may recommend a shorter course of treatment, such as taking an antibiotic for one to three days. But whether this short course of treatment is enough to treat your infection depends on your particular symptoms and medical history.

Your doctor may also prescribe a pain medication (analgesic) that numbs your bladder and urethra to relieve burning while urinating, but the pain usually is relieved soon after starting an antibiotic.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Abhishek Kumar
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Suggest Therapy To Control Proteinuria

Hello, Antibiotics usually are the first line of treatment for urinary tract infections. Which drugs are prescribed and for how long depend on your health condition and the type of bacteria found in your urine? Simple infection Drugs commonly recommended for simple UTIs include: - Trimethoprim/sulfamethoxazole (Bactrim, Septra, others) - Fosfomycin (Monurol) - Nitrofurantoin (Macrodantin, Macrobid) - Cephalexin (Keflex) - Ceftriaxone - The group of antibiotic medicines known as fluoroquinolones — such as ciprofloxacin (Cipro), levofloxacin (Levaquin) and others — isn t commonly recommended for simple UTIs, as the risks of these medicines generally outweigh the benefits for treating uncomplicated UTIs. In some cases, such as a complicated UTI or kidney infection, your doctor might prescribe a fluoroquinolone medicine if no other treatment options exist. Often, symptoms clear up within a few days of treatment. But you may need to continue antibiotics for a week or more. Take the entire course of antibiotics as prescribed. For an uncomplicated UTI that occurs when you re otherwise healthy, your doctor may recommend a shorter course of treatment, such as taking an antibiotic for one to three days. But whether this short course of treatment is enough to treat your infection depends on your particular symptoms and medical history. Your doctor may also prescribe a pain medication (analgesic) that numbs your bladder and urethra to relieve burning while urinating, but the pain usually is relieved soon after starting an antibiotic. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Abhishek Kumar