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Suggest treatment for nephrotic syndrome in child

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Posted on Wed, 13 May 2015
Question: Myname is XXXXXXX I belongs in a middle calls family. My 3 years old son Geen have been suffering from Nephrotic syndrome since last 35 days. He hospitalized sine 23rd March 2015 to 16 April 2015 he was under treatement of Dr XXXXXXX XXXXXXX Cochin Hospital, Ernakulam. We checked regularly his urin's albumi and some times it show 2+, 3+, 1+ and yesterday it shows 3+ . Dr. XXXXXXX XXXXXXX said we can see for 01 more week and consult a Pediatric Nephrologist.
The medicine he using is : wysolone, kidlan.

Please advise.
doctor
Answered by Dr. Divakara (30 minutes later)
Brief Answer:
Requires Evaluation for the Cause of Nephrotic Syndrome

Detailed Answer:
HI XXXXXXX

Greetings from Dr.Divakara.P
Thanks for posting your query.

First of all let me tell you what Nephrotic syndrome mean. It means due to some problem there is significant protein leakage in the urine. So the cause for Nephrotic syndrome has to be found out as there are certain causes like Infections which treated properly , Nephrotic syndrome goes off.

But there are certain causes of Nephrotic syndrome which cannot be cured but can be controlled through medicines ( has to be taken for years ) So it becomes essential to know the cause of Nephrotic syndrome.

For the evaluation of the cause many tests has to be done among which Renal Biopsy is the most important and for that a Pediatric Nephrologist is the right person. Do consult him .

The treatment as of now is fine . But I need to know since how many days he is on these treatment. Kindly let me know that.

Hope this information was useful to you.
Any clarifications feel free to ask .

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (34 minutes later)
Sir,

The treatment started on 25th Evening and the medicine is wysolone, kidlan.
He eating foods without salt.
Sir, now (at 10 am) we checked the albumin and the result is : 2+

Could you please suggest any Pediatric Nephrologist in Cochin ? I have to do any thing at the earliest.
Please advise.
doctor
Answered by Dr. Divakara (18 minutes later)
Brief Answer:
Continue same medication.

Detailed Answer:
HI

Thanks for the reply.

Treatment started on 25th of last month ? If so its been just a month of treatment .

See Nephrotic syndrome can be broadly classified into two categories .

1. Steroid Responsive : Responds well to Wysolone
2. Steroid resistant : Doesn't respond to Wysolone .

The first category has a better outcome when compared to the second . But it takes 2-3 months to show responsiveness for steroids . My advise is to continue the same medication for 1 more month and repeat Urine Albumin levels.

However you do need to Consult a pediatric Nephrologist as advised but you can take time of 1 month to search for him . Very sorry I don't know any personally.

Any clarification feel free to ask .

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Divakara

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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Suggest treatment for nephrotic syndrome in child

Brief Answer: Requires Evaluation for the Cause of Nephrotic Syndrome Detailed Answer: HI XXXXXXX Greetings from Dr.Divakara.P Thanks for posting your query. First of all let me tell you what Nephrotic syndrome mean. It means due to some problem there is significant protein leakage in the urine. So the cause for Nephrotic syndrome has to be found out as there are certain causes like Infections which treated properly , Nephrotic syndrome goes off. But there are certain causes of Nephrotic syndrome which cannot be cured but can be controlled through medicines ( has to be taken for years ) So it becomes essential to know the cause of Nephrotic syndrome. For the evaluation of the cause many tests has to be done among which Renal Biopsy is the most important and for that a Pediatric Nephrologist is the right person. Do consult him . The treatment as of now is fine . But I need to know since how many days he is on these treatment. Kindly let me know that. Hope this information was useful to you. Any clarifications feel free to ask . Regards.