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Nephrotic syndrome, migraines and constipation, high cholesterol. Taking Gasex. What can help me? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User:Hello sir
Doctor:Good Evening
Doctor:How can I help you?
User:good evening sir.
User:i have been diagonised with Nephrotic syndrome
User:my outflow of urine is about 6000mg for 3800ml of urine last time when i took the test
User:however consistently either this comes down or goes up
User:i do have sometimes migrain headaches and constipation.
User:i also have cholestral
User:MY BP also varies.
User:current medications are
User:neoral (Cyclosporin) - 100mg morning and evening, storvas 20mg for cholestral, dilzem sr 90 for BP, i do take Gasex along with this and for headache (SOS) Sibilium
User:is there a permanent cure to stop this outflow of urine
User:sorry, is there a permanent cure to stop this outflow of urine protein
Doctor:Let me explain.
Doctor:The prognosis of nephrotic syndrome depends on its cause.
Doctor:And most of the patients remains proteinuric.
Doctor:Some people do respond to the treatment. But the proteinuria usually remains.
Doctor:So there is no permanent cure as such to stop the protein outflow with the urine.
Doctor:Are you following me?
User:yes yes sir
Doctor:Is there any other question which you would like me to answer?
User:sometimes i do see that my legs are swollen and my faces are swollen.
Doctor:Ok. That is mainly due to the protein loss.
User:so what is the solution.. do we continue to take the cyclosporin medicine for life time.
Doctor:Yes. You will have to continue with the treatment for a long time.
User:will there be any damage to my kidney or will this cyclosporin safeguards my kidney.
User:what does cyclosporin actually do?
Doctor:Sometimes nephrologists prescribe steroids to treat the condition. The decision whether it can be prescribed to you depends on the treating nephrologist.
Doctor:Cyclosporin is given to prevent the relapse.
Doctor:When it is discontinued there is a chance of relapse.
Doctor:So continuing and discontinuing can be decided only by your nephrologist.
User:ok understood. will steroid if at all given will it have any major side effects.
User:does it mean steroid will definetely stop the outflow of urine protein
Doctor:Any medicines given has side effects. Again the treatment itself will cause your BP changes.
Doctor:Steroid use is determined according to the cause for nephrotic syndrome.
Doctor:So its effect also depends on the cause.
User:what could be the cause of nephortic syndrome is it something which can develop at any stage?
Doctor:The causes could be any kidney disease such as minimal change nephropathy, membranous nephropathy or focal glomerulosclerosis.
Doctor:yes, they can develop at any stage.
Doctor:Don't worry about the big names mentioned earlier.
Doctor:They are not to worry you.
Doctor:They are given by doctor's to identify the cause.
User:Np understandable sir.
Doctor:The cause in you would have been identified earlier when you were diagnosed with nephrotic syndrome.
User:if i can say the cause is written as "membranous nephropathy".
User:not sure what it means...
User:the final conclusion what i have understood is it is a life time disease and with medicines we need to live with it. hopefully not get into kidney issues
Doctor:Membranous nephropathy means, in simple words, there is a damage in the nephrons (Kidney cells).
Doctor:Yes. It is very important to stick to the treatment plan for life long to prevent sudden deterioration of the kidney function.
User:currently i have been diagonised by a nephrologist from Manipal.
User:do you think i should take a second opininon from another nephrologist or is it fine to continue
Doctor:It is best to continue with the nephrologist who first treated you.
Doctor:Because, they will know how your body reacts to different medications.
User:thankyou very much for your valuable time sir.
Doctor:And all nephrologists will be competent enough to handle nephrotic syndrome well.
Doctor:Hope I had been able to clear all your doubts.
Doctor:Is there anything else I can help you on?
Doctor:I assume nothing else is there. Please login back if you have any health related queries.
Doctor:Thanks for consulting me.
Doctor:Have a nice evening!!
Doctor:Bye for now.
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