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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Undergoing Treatment For Nephrotic Syndrome. Relapses When Medicines Are Stopped. Protein In Urine. Further Treatment?

hi my son was undergoin treatment for nephrotic syndrome since last august.................. medications was stopped on december and that month itself he relapsed .............again we restarted the medication with prednisone and stopped medication by february.................now he started spilling protein from last few days.............urine is 1+ today.....is it a relapse ? and are the further procedures in treatment..............expecting ur reply as soon as possible..........
Tue, 2 Apr 2013
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Nephrologist 's  Response
Hi
you have not mentioned your sons age.
Most of the childhood nephrotic syndrome are benign and respond to steroids.
Your son has again developed proteinuria , so he is probably in relapse. Check proteinuria again for next two days . If it remains >1+, he again requires prednisolone therapy.
You may require to continue prednisolone for long period of time or another immunosuppresive medicines.
If relapses are more frequent renal biopsy may be required.
Consult your nephrologist
Take care
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Undergoing Treatment For Nephrotic Syndrome. Relapses When Medicines Are Stopped. Protein In Urine. Further Treatment?

Hi you have not mentioned your sons age. Most of the childhood nephrotic syndrome are benign and respond to steroids. Your son has again developed proteinuria , so he is probably in relapse. Check proteinuria again for next two days . If it remains 1+, he again requires prednisolone therapy. You may require to continue prednisolone for long period of time or another immunosuppresive medicines. If relapses are more frequent renal biopsy may be required. Consult your nephrologist Take care