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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood In Urine, Frequent Urge To Urination, Painful Bladder Spasms, Lower Back Pain. How Is Lupus Nephritis Treated?

How is lupus nephritis treated? I m a 36 yr female diagnosed with SLE 12 years ago. I also have fibromyalgia , migraines, fibercycstic breast disease , TMJ , chronic dry mouth and eyes, Siracusa of the lower, and scoliosis. I m currently taking 2000mg of cellcept, 400mg plaquenil, 100mg savella, 100mg ultram er, tramadol/aet, voltren gel, voltren, omega 3, vitamin e, multi vitamin pack, and calcium. For the past 3 month I ve to several doctors trying to find out why I still had a uti. I recently found out on Friday I don t have and never had a uti. I have blood in my urine, chronic feeling of having to go urinate only to have nothing come out, painful spasms of the bladder, and some lower back pain.
Sat, 3 Aug 2013
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Nephrologist 's  Response
wht does your urine routine examination amd culture report say ?
the symptoms you described are very much suggestive of a UTI, urinary tract infection.
lupus nephritis treatment involves following :
1) control of symptoms like joint pains fever etc by medicines like plaqnil you are taking.
2) disease modifying drugs which control activity of disease and progression of complications like cellcept and wysolone
3) treatment of complications like nephritis with control of swelling and anemia, and if itis fairly advanced then even dislysis and kidney transplant.
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Blood In Urine, Frequent Urge To Urination, Painful Bladder Spasms, Lower Back Pain. How Is Lupus Nephritis Treated?

wht does your urine routine examination amd culture report say ? the symptoms you described are very much suggestive of a UTI, urinary tract infection. lupus nephritis treatment involves following : 1) control of symptoms like joint pains fever etc by medicines like plaqnil you are taking. 2) disease modifying drugs which control activity of disease and progression of complications like cellcept and wysolone 3) treatment of complications like nephritis with control of swelling and anemia, and if itis fairly advanced then even dislysis and kidney transplant.