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IgA Nephropathy

You are here because you know someone with IgA Nephropathy. This section covers information related questions and concerns of IgA Nephropathy basics, treatments, symptoms and healthy living.

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When Does A Nephrotic Syndrome Patient Require Dialysis

When Does A Nephrotic Syndrome Patient Require DialysisDialysis is the process of removing waste products and excess water from body. When does a Nephrotic Syndrome patient require dialysis?

Generally speaking, Nephrotic Syndrome is not that severe to start dialysis. With treatment, it can reach clinical cure. But for some patients with secondary Nephrotic Syndrome, their primary disease may be difficult to control so that the disease deteriorates into kidney failure, and then dialysis should be started.

1) For patients with eGFR >15 mL/min/1.73m2, dialysis is not recommended even if uremic symptoms are present, because conservative treatment can bring them under control.

2) For asymptomatic patients with eGFR between 5 and 15 mL/min/1.73 m2, it is currently recommended to follow up once a month to be alert to the emergence of ESRD related emergency symptoms and signs. Hemodialysis is not recommended in the absence of symptoms.

3) For patients with eGFR in the range of 5 to 15 mL/min/1.73 m2 with uremic symptoms and signs, conservative treatment is currently recommended and other causes of these symptoms are excluded. Hemodialysis is currently recommended for patients who do have symptoms associated with uremia and cannot be relieved by conservative treatment.

4) For patients with uremic related pleurisy, pericarditis, and uremic encephalopathy, the guidelines recommend immediate hemodialysis.

5) For patients with eGFR less than 5 mL/min/1.73m2, hemodialysis is currently recommended.

Symptoms and signs associated with uremia include: malnutrition associated with uremia, persistent fluid overdose, fatigue, poor tolerance, mild cognitive impairment, and laboratory abnormalities that cannot be corrected, such as high potassium, acidosis, and phosphorus.

If your Nephrotic Syndrome is not that severe to start dialysis, you can try Toxin-Removing Treatment, which is a systemic treatment. It can make use of various therapies to eliminate waste products and extra fluid from urine, sweating and bowel movement. It can also improve blood circulation, increase blood flow into kidneys and provide corresponding essential elements so as to help kidneys heal themselves. After about one week’s treatment, swelling will fade away. After about half month’s treatment, proteinuria will be reduced. After about one month’s treatment, Nephrotic Syndrome will be under control, and renal function will get improved.

When does a Nephrotic Syndrome patient require dialysis? Now you get the answer. Note: this material is intended only for informational purpose. For specific treatment suggestions, please consult a physician.

Hope the above information is helpful for you. If you have any other questions on kidney disease or want to get more personalized and professional treatment suggestions, please leave a message below.

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