Doctor insights on:
Diet Patient Ig A Nephropathy
Low antigen diet: Patients with IgAN have an immune problem. An Italian study by Ferri reported a marked reduction in proteinuria in IgAN patients put on a strict low-antigen diet (a diet free of foods likely to cause immune response- http://www. Ncbi. Nlm. Nih. Gov/pubmed/8302454). Such diets are low in wheat, soy, food preservatives, and food coloring. Contact Claudio Ferri Univ L'Aquila Coppito, Italy for more info ...Read more
Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Can cessation of nicotine (not smoking, but NRT) reduce proteinuria in an iga nephropathy patient?
How do ACE inhibitors work for treatment of Iga nephropathy where a patient already has normal blood pressure?
Low-protein & salt: Nephropathy, kidney disease, regardless of cause, generally dictates a diet lower in protein and in sodium (table salt). The degree of restriction depends on the degree of current kidney compromise, the expectation of future damage, & the presence of other contributory risk factors like diabetes or hypertension. ...Read more
Blood in the urine: Iga nephropathy usually does not present with any noticable symptoms. However when you see your doctor, the doctor may notice blood in your urine. Also the doctor may notice protein in your urine. In some occassions, you may develop swelling in your feet. ...Read moreSee 1 more doctor answer
Not short.: Iga nephropathy sometimes resolves spontaneously. Many cases have stable disease i.e. With no deterioration for long years. Severe cases however, will develop end-stage renal disease and require dialysis. They will be eligible for transplant that can be repeated if needed. Each transplant could give on the average 90%+ of 10-15 years renal graft survival. ...Read more
Proteinuria IgAN: Good question. Conventional approach is to commence an ACE Inhibitor and then titrate the dose upward slowly while measuring urine protein. Goal is to reduce proteinuria by at least 50%. Your BP program may require modification. Prednisone is also occasionally used for a flare of IgAN. ...Read moreSee 4 more doctor answers
Sussceptibility: Iga nephropathy is a one of the most common glomerulonephritis ie a type of kidney disease in the world. The cause is not completely clear. Its a form of immunoglobulin ie a protein normally made in all of us, which gets deposited in the filter of the kidney, ie glomerulus and causes damage as it is slightly altered in those individuals. ...Read moreSee 1 more doctor answer
How many people are suffering from IgA nephropathy disease in Canada? (%) Thank you for your time. :)
Hard to tell: There are some incidence reports for several countries, but didn't see a report for Canada. Canada may be in the low end of the range of about 15-40 new cases per million people per year. That would be ~525 new cases per year, for Canada's 35 million people. The prevalence number is the number of total living patients with it, not just the annual new cases (Ministry of Health may know the number). ...Read more
Supportive care: Igan can cause sig back/flank pain. This may be unrelated to severity of disease (you may have severe pain but normal kidney function); treatment is challenging. Narcotics are addictive and will make you sleepy; nsaids (like ibuprofen) are toxic to kidney; tyelenol is safe but may not help. Try exercise/yoga/acupuncture/gabapentin/tricyclic anti-depressants. ...Read more
Kidney disease: In nephrotic syndrome the kidney excretes large amounts of protein. It can be caused by autoimmune diseases, but also by certain heavy metals, outdated medications and genetic diseases. Iga nephropathy is an autoimmune disease, actually glomerulonephritis that can lead to renal failure. It is frequently associated with a vasculitic rash, typically on legs and buttock (henoch-schoenlein purpura). ...Read more
I've had IgA nephropathy, are there methods to self-medicate, and is this disease serious or really incurable?
Fishoil, fishoil: So far no other options to self medicate. It is usually incurable. Some people do better spontaneously or with fishoil. Others do worse and may need dialysis in the future and/or transplant. People tend to ignore f/u since there is no proven treatment. F/u will save you bad surprises also new treatments may develop.Blood pressure is ideal. Aggressive salt restriction under 2000mg/day if high bp. ...Read moreSee 1 more doctor answer
I was told recently that I have IgA nephropathy. What are the treatments and complications? What to avoid? (eating or activities) Thank you very much!
Bergers Dz: Ig A nephropathy can be benign in 1/3rd patients, in the other 1/3rd, it can cause a small drop in kidney function, give rise to some protein in urine and raise BP years later, in the remaining 1/3rd patients, it can cause persistent drop in kidney function, give rise to elevated protein in urine and cause rise in BP. It can be controlled with medications. Avoid longterm nsaids, fish oil can help. ...Read more
Talk to renal doc: While I'm not specifically familiar with shakeology, many of those preparations contain quite high levels of proteins. This may be quite hard for your kidneys to handle if you have renal problems. It is going to make a difference how much renal function you have left, etc. Also, some of these products have higher levels of potassium, so that, too, may be tough on you. Share info with renal doc. ...Read more
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