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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for nephrotic syndrome

I'm here in Bali, Indonesia. My best friend was taken to a local hospital three days ago because he has edema all over his body (legs, belly, back, neck, face). Xray, ultrasound and blood test was done. Unfortunately the doctor doesn't want to explain to me what exactly is wrong with my friend. He just says: his kidneys are 'leaking', and something about infection...
He has prescribed him furosemide 40 mg, folic acid, calcium, captopril 25 mg twice daily. So far, his edema has not decreased, but rather got worse (Probably he should take a higher dose of furosemide?).
I have read a lot about this Nephrotic syndrome, and I have the feeling this doctor is just treating my friends symptoms and not the cause of his condition (maybe he doesn't know it?).
Today, the nurse said that my friend needs albumin infusions (which I've read are usually not that effective in this case - or at least don't have a long lasting effect).
The thing is: Albumin infusions are really expensive over here in Bali. My friend and his family are really poor and can't afford to buy a liter of albumin infusion...

A beg you for a little advice, because my friend looks really bad. And I think the doctor has little idea of what he's doing... (He only shows up once a day for about 1 Minute to see him, doesn't explain anything, and he said my friend can probably go home in 4 days - although nothing has changed so far!). I've yet to find a good doctor in my area. (Unfortunately there is only this one so called 'specialist' in this area!).

Do you have any advices? Anything I can do? I'm really desperate!
Sincerely yours
Ketut Sucra
Tue, 22 Aug 2017
Report Abuse
Question is related to
Diseases and Conditions
Drug/Medication ,  
Medical Topics
Nephrologist 's  Response
Can u pls make it clear the age of your friend and some Complete urine examination and 24 hour urine estimation.
We have to look into these two entities to label it as Nephrotic syndrome...
Once we have made this diagnosis's just a syndrome ..many diseases present this the next step is to find the cause of Nephrotic syndrome through renal biopsy.

Renal biopsy alone will help in making absolute diagnosis and help in specific management. of course diuretics may still be used , albumin infusion may be necessary even after that but making correct diagnosis like
MEMBRANOUS NEPHROPATHY , MCD , FSGS will help in prognosticating and starting of specific management options like steroids and immunosuppressants.

My advice is to have a consultation with nephrologists. Renal biopsy should be done if kidneys are of normal size.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on

Related questions you may be interested in

doctor1 MD

my child is suffering from nephrotic syndrome from last one & half year but he is responding good to defcot treatment .so can he get rid out of...

Recent questions on  Albumin

doctor1 MD

Trace albumin and 3-4 epithelial cells/hpf. I had a routine urine analysis done. Traces of albumin was reported. Also epithelial cell count of 3-4/...

doctor1 MD

sir , belo my knee there is swelling (Both of legs). I checked Micro albumin, creatinine, BP, Sugar, Cholestrol, Irone (105.8) etc. But all these...

doctor1 MD

i nlakeeb 33 age .i had apain in my right side back. i have did the ufr that says . pale yellow,app- clear,reaction...

doctor1 MD

hello. i want to consult about my problem. i had my urine tested because i experienced pain after urinating and my right is swollen when i wake up...

doctor1 MD

Hi my ferritin level is 555, I am female. I take ferrous sulfate . 2x a day. What would be the treatment, is it as easy as stopping the iron? I...

doctor1 MD

Hi Doctor, I have been doing my annual blood test every year since 2015. I have some concerns regarding my total protien, albumin and Bilirubin...

doctor1 MD

hello doctor I am 52 years of age. My liver function test scores are as follows Bilirubin .7mg/dl Bilirubin direct .1mg/dl AST 35U/L ALT 79 U/L ALP...