Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

121 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest remedy for lupus nephritis

Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 748 Questions

default
Posted on Thu, 5 Nov 2015 in Lupus
Question: dear dr Naval

thanks for the follow up. I got bit delayed answering you. As you remember the protien-creatinine ratio was 700 when I reported ulast. About a week back we checked again and we found it was 385. Do you think this is a normal improvement or a miraculous fast one? Our nephro has reduced it to 20 mg steroid. he had asked us to again get the test done after 2 weeks for further reduction.
doctor
Answered by Dr. Naval Mendiratta 1 hour later
Brief Answer:
Lupus Nephritis

Detailed Answer:
Good evening xxxxx

Well, good to know the improvement is significant. I think it is both the steroid dose and increasing the dose of Mycophenolate which is working. I just feel he wasnt being adequately treated till now, with rapid tapering of steroids which did not give chance to the medicines to heal the inflammation in the kidneys. Class III has a good prognosis and if treated properly can go back in remission.

That would be fair to repeat it after 2 weeks, but even if it is a bit slow dont worry about it. Protein leakage is the last thing to respond to it. You can ask your nephrologist when would be the best time to repeat Complement C3, C4, DsDNA and 24 hour urine protein as they would give us an exact picture of disease going in remission.

Do let me know for more queries. I am happy he is responding well. Kudos to you

REgards
Dr naval
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication
Medical Topics

Recent questions on  Creatinine

doctor1 MD

Hi, my dad, age, 65 had an infection removal from his abdomen on 29-Aug. He has been in the ICU since. He has WBC 0000, creatinine 2.5, is on ventilator and is being provided medicines to maintain his BP. I see you are in Mumbai. He is admitted in Kalyan. Is there any possibility that you come visit him? Alternatively I can send you his case summary. Any inputs will be helpful. Thanks.

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here... i was looking for the guidelines for a 24 hour urine test. i was told my creatinine alone was fine. i was told that the protein alone and the two together were high. for the one a good range was below 150, and I m at 180. the other was 118, but not sure what the suggested range was. i am a diabetic, and was having this test done because i am wanting to have a baby. can you help me?

doctor1 MD

I am 20 years old, and have Addison s Disease. Recently I have had rapid heart rate, orthostatic hypertension, petachie spots, fatigue, mood swings, pain in legs, head aches...etc What is most concerning is the high heart rate, it stays in the 80 s at the least at rest. And it is very difficult to get up after sitting, my heart starts racing and pumping harder. Here are some blood test results: at 12:27 PM WBC 4.0L RBC 4.92 Hemoglobin 16.4 Hematocrit 47.5 MCV 96.6 MCH 33.4 MCHC 34.6 RDW 12.1 Platelets 178 Neutrophuls 41.9 Lymphs 43.6 Monocytes 10.3 Eos 3.5 Basos 0.7 Neutrophils (Absolute) 1.70 Lymphs (Absolute) 1.7 Monocytes (absolute) 0.40 Eos (Absolute) 0.2 Baso (Absolute) 0.00 eGFR - unable to calculate due to inappropriate age/gender/creatinine value glucose 76 BUN 14 creatinine 0.9 sodium 138 potassiu, 4.5 chloride 102 carbon dioxide 28 calcium 9.7 protein 7.1 albumin 4.1 globulin 3.0 bilirubin 3.0 alkaline phosphatase 49 AST 13 vitamin b12 487 CT scan recently done with no tumor on adrenals, adrenals actually couldn t be seen due to my lack of fat they say. I take 0.1 fludrocortisone and 30mg hydrocortisone. Any advice would be greatly appreciated, thank you.

doctor1 MD

for nephrologist respected dr ,i am renal transplant recipient 3yr ago,my Hb is 10.2 gm/dl ,creatinine 1.4 .i am on mycophenolate 360mg tds and tacrolimus 1mg/1.5mg no steroid /earlier my creatinine remained around 1/1.2 mg my tacro level came out to be 15.7 today earlier 6 month back it was 6.0 / i m gonna get it repeated kindly advise thanx

doctor1 MD

Im a 70 year old stage two diabetic. I woke up in the night with dry heaves...I just went to the store and fell faint and nauseated. I rested for 30 minutes and felt a lot better. I home now and concerned ! I had low blood presure. Now its 128...

doctor1 MD

I feel completely dumb I can't concentrate I can't think straight I feel like I can't function has the time even though I am I'm having memory loss I sometimes blackout for a Split Second I had an MRI month ago and it showed nothing same with the...

doctor1 MD

Sir, I am 59 years with no sugar and blood pressure problem . During routine yearly blood test , my Amylase and Lipase tests showed elevated levels. Amylase level showed MORE THAN 1000 in Thyrocare lab and 3661 IN XXXXXXX HOSPITAL LAB, BENGALURU....