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Suggest Treatment For Child Nephrotic Syndrome
Question: Sir, My son, age-3 years is suffering from Child nephrotic syndrome for last one and half years. As per Doctor,s advice he is given wysolone 10 two times, azithral-xl liquid 200 once ( for 5 days). But swelling in his body is not reduced. How can I cure him completely?
Brief Answer:
Treatment depends on the cause.
Detailed Answer:
Thanks for the query.
Children with neprotic syndrome are treated based on the cause, also it would take some time to decrease swelling.
A kidney biopsy to find the cause can be done.
But nephrotic syndrome can relapse anytime.
Monitor urine protien.
Furosemide (1 mg/kg/d) and spironolactone (2 mg/kg/d) will help to reduce swelling when fluid retention is severe.
Adequate energy (caloric) intake and adequate protein (1-2 g/kg/d) and no added salt will help to limit fluid overload.
If a child does not respond to steroids, another medicine called levamisole will be used alongside the steroids.
Other medicines that i will suggest if the symptoms do not respond to steroids and levamisole include cyclophosphamide, ciclosporin, tacrolimus and mycophenolate mofetil (after consulting the treating doctor).
Hope i help you.
Treatment depends on the cause.
Detailed Answer:
Thanks for the query.
Children with neprotic syndrome are treated based on the cause, also it would take some time to decrease swelling.
A kidney biopsy to find the cause can be done.
But nephrotic syndrome can relapse anytime.
Monitor urine protien.
Furosemide (1 mg/kg/d) and spironolactone (2 mg/kg/d) will help to reduce swelling when fluid retention is severe.
Adequate energy (caloric) intake and adequate protein (1-2 g/kg/d) and no added salt will help to limit fluid overload.
If a child does not respond to steroids, another medicine called levamisole will be used alongside the steroids.
Other medicines that i will suggest if the symptoms do not respond to steroids and levamisole include cyclophosphamide, ciclosporin, tacrolimus and mycophenolate mofetil (after consulting the treating doctor).
Hope i help you.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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