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Nephrotic syndrome, relapse fever, body swelling - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hi, I have a friends daughter suffering from Nephrotic syndrome. Even with medication there is relapse and fever with body swelling is common. Recently it was diagnoised that the protein loss is more than 4+. Please advise
User :   Hello is there a Nephrologist to advise?
Doctor :   Hi

User :   Are u a npehrologits?
Doctor :   I am General Physician
User :   I need u answer the question I asked about my friends kid
User :   R u able to view that or do I retype it?
Doctor :   yes i can
User :   please help me understand the criticality of the case...
Doctor :   ok
User :   she has been suffering from 2yrs. She is on steroids all this while
Doctor :   may i know her age please
User :   3 yrs
Doctor :   and now she has fever ?
User :   can we do a kidney transplant and last time after the report received we got to knw the protein loss is more than 4+ and the body has swollen like a baloon
User :   she does
Doctor :   no kidney transplant is not possible at this age
User :   so what are the options we have
User :   I need to know that even is if she can continue to live or not... We are worried about her
Doctor :   and swelling like this is a the presentation of the disease and steroids too cause the body to retain water and swell
Doctor :   Children who relapse frequently, or who seem to be dependent on prednisone or have side effects from it, may be given a second type of drug called a cytotoxic agent.
Doctor :   The agents most frequently used are cyclophosphamide, chlorambucil, and cyclosporine. After reducing protein in the urine with prednisone, the doctor may prescribe the cytotoxic agent for a while.
Doctor :   Treatment with cyclophosphamide and chlorambucil usually lasts for 8 to 12 weeks,
Doctor :   while treatment with cyclosporine frequently takes longer. The good news is that most children "outgrow" this disease by their late teens with no permanent damage to their kidneys.

Doctor :   so you have to now discuss this with the concerned doctor
User :   So you say that you don't see any danger in her case
Doctor :   the prognosis is good
Doctor :   children her age do overcome it
User :   its been 2yrs she has been suffering and we are dying to see her absolutely in normal health
User :   Is there a way we can fast cure for her?
Doctor :   no there is no way for that
Doctor :   but it has a good degree of full recovery
User :   how long it might take
Doctor :   it will take months and 1 year till her body responds
Doctor :   see its all individual . hwo the body takes it
User :   its been already 2yrs she has been suffering from Nephortiic..
Doctor :   the success rate is very very high, you have to be patience
Doctor :   like i said do discuss the treatement i told you with her doctor

User :   we are worried about that as the doctors are not giving any specifics and hopes
Doctor :   there are many factors
Doctor :   he prognosis of Childhood nephrotic syndrome may include the duration of Childhood nephrotic syndrome, chances of complications of Childhood nephrotic syndrome, probable outcomes
User :   Can u suggest a best Nephologist
Doctor :   Naturally, such forecast issues are by their nature unpredictable.
Doctor :   what is your location ?
User :   Bangalore
User :   Right now she has been taken to
User :   Any particular doctor woyld be great...
User :   Im aware of the Hospital names in
Doctor :  
User :   I need to know th best doctor as we are not interested in seeing any doctor
User :   do u have his contact number?
Doctor :   he is the chief nephrologist
User :   do u have his contact number?
Doctor :   he works at XXXXXXXX . you can call on the number i gave you and set up an appointment with hinm
Doctor :   91-80- 41791000
User :   thanks
Doctor :   your most welcome
Doctor :   take care
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