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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should IGA Nephropathy With Urination Frequency And Pain Be Treated?

ive been diagnosed with iga nephropathy about 6 months ago and i jsut recently started having problems where ihave to pee 2-3 times everynight after sleeping and all the time during the day if i dont it hurts i also have been having alot of fatigue and flank pain but the usual dark urine hasnt came this time could something else be going on im a 20 yr old male with no other health problems
Tue, 1 Aug 2017
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Nephrologist 's  Response
Dear Patient,

your symptoms may be secondary to a large number of causes. However, you should focus your attention to three categories: 1) drugs, as diuretics, because they simply increase the urine output, thus causing a rapid filling of the bladder and finally urgency to urinate; 2) renal insufficiency, since it one of the most important symptoms is nicturia (and IgAN gives, in general, a slowly progressive renal failure if it is not sufficiently controlled by treatment; 3) urine tract infection, although it is rare in male, but became frequent in patients on immunosuppressive drugs (but this I don't know if it applies to you). I would recommend to perform a urine culture and a new urinalysis to make sure there are not bacteria in the urine. Let me know,
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How Should IGA Nephropathy With Urination Frequency And Pain Be Treated?

Dear Patient, your symptoms may be secondary to a large number of causes. However, you should focus your attention to three categories: 1) drugs, as diuretics, because they simply increase the urine output, thus causing a rapid filling of the bladder and finally urgency to urinate; 2) renal insufficiency, since it one of the most important symptoms is nicturia (and IgAN gives, in general, a slowly progressive renal failure if it is not sufficiently controlled by treatment; 3) urine tract infection, although it is rare in male, but became frequent in patients on immunosuppressive drugs (but this I don t know if it applies to you). I would recommend to perform a urine culture and a new urinalysis to make sure there are not bacteria in the urine. Let me know,