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Doctor insights on: Medicine For Membranous Nephropathy

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How serious is membranous nephropathy?

How serious is membranous nephropathy?

Depends: Depends on severity, response to treatment, also underlying contributors such as lupus, hepatitis b or c, cancer or meds such as Penicillamine (not penicillin) or nsaids.Not all cases have an obvious contributor. Mild cases frequently go into remission without treatment. Severe or refractory cases may lead to dialysis or kidney transplant. A nephrologist can give a more specific answer case-by-case. ...Read more

Dr. Lonnie Smith
104 Doctors shared insights

Nephropathy (Definition)

Nephropathy is a medical term that refers to disease of the kidney. There are many causes. It can be caused by high blood pressure, diabetes, uric acid, abnormal proteins, cancers, blood vessel blockages in the kidney, it can be minimal or or it can be severe ...Read more


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Do most people who get membranous nephropathy have many symptoms?

Do most people who get membranous nephropathy have many symptoms?

Yes: Membranous nephropathy causes a leak of Albumin and other proteins into the urine. This loss of Albumin is closely associated with the most prominent symptom which is swelling. Most patients with the disease have swelling, the degree of which is roughly correlated with how much Albumin is lost. Occasionally, folks may have a relatively small amount of Albumin loss so swelling isn't prominent. ...Read more

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I have membranous nephropathy and I see a nephrologist. Can the disease ever go away or am I most certain to eventually be on dialysis someday. Thanks?

I have membranous nephropathy and I see a nephrologist. Can the disease ever go away or am I most certain to eventually be on dialysis someday. Thanks?

Membranous GN: Membranous glomerulonephritis can remit in 25% of people, can partially remit and remain stable in 50% of people, and will progress in 25% of people. Effective therapy can make a difference. Therapies include Prograf, Cytoxan, (cyclophosphamide) Chlorambucil, Prednisone, ACE Inhibitors, and angiotensin receptor blockers. ...Read more

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Best natural treatment for membranous nephropathy?

Best natural treatment for membranous nephropathy?

Complex: 1/3 of patients recover spontaneously. Ask your nephrologist if features of your case put you in this favorable prognostic category.
Membranous nephropathy can also be associated with other underlying diseases. Treatment of the other disease can resolve the kidney issue. ...Read more

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Which drug is most effective and safe for treating proteinuria in someone with diabetic nephropathy?

Which drug is most effective and safe for treating proteinuria in someone with diabetic nephropathy?

Many options: There are many drugs that can be safe and typically lay in two classes of blood pressure medicine which are called: angiotensin receptor blockers, ace-inhibitors and possibly renin inhibitors (newer class). ...Read more

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Are there non-steroidal anti-inflammatory drugs to treat diabetic nephropathy?

Are there non-steroidal anti-inflammatory drugs to treat diabetic nephropathy?

NO: There are no drugs that treat diabetic nephropathy per se. Diabetic nephropathy is not a curable condition. Slowing it down can be achieved by several maneuvers including controlling diabetes and hypertension well and using drug group called ace inhibitors or arb under a close supervision of a doctor since these drugs may have significant side effects. ...Read more

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Does a six-month regimen of prednisone (for IGA nephropathy) risk damage to hips/joints? Husband is having hip pain after a month on the drug.

Does a six-month regimen of prednisone (for IGA nephropathy) risk damage to hips/joints? Husband is having hip pain after a month on the drug.

Prednisone effect: One of the major side effects of Prednisone is bone loss. The importance of it depends on the underlying bone health/condition of the individual. We generally acquire a bone density scan before starting long term steroid therapy and if we find signs of underlying osteoporosis we treat it at the same time (with Calcium, Vitamin D analogs, and Bisphosphonates). Your husband probably need one now! ...Read more

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What do you know about ign nephropathy?

What do you know about ign nephropathy?

Do you mean...: ... Igm nephropathy? It's usually rather mild. Most of the time, it's not especially treatable or especially troublesome. In fact, it's good news, since the other entities that can produce the same symptoms / signs are more aggressive. Good luck. ...Read more

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What exactly is reflux nephropathy?

Kidney issue/backflo: Occurs when there is obstruction to the flow of urine downstream, or when there is back flow of urine into kidney. Causes pressure problems which affect filtration and blood flow. ...Read more

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How can hypokalemic nephropathy be cured?

How can hypokalemic nephropathy be cured?

Hypokalemia: Doctors are concerned when a patient develops nephropathy and has associated fluid and electrolyte imbalances such as hypokalemia. The hypokalemia is usually due to blood pressure medications that deplete potassium so the doctor has to review the medications that the patient is on and if necessary and safe, supplement with potassium. Otherwise, the blood pressure medications may need changing. ...Read more

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What are some signs of reflux nephropathy?

What are some signs of reflux nephropathy?

Recurrent UTI: Reflux nephropathy is when urine doesn't stay in the bladder area due to weak valve. The urine can then flow back into the kidneys. This situation can lead to recurrent urinary tract infections, blood in the urine, fever, back pain, and eventually renal impairment. ...Read more

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What's the cure to hypokalemic nephropathy?

What's the cure to hypokalemic nephropathy?

Chronic Management?: Hypokalemic nephropathy (hn) arises from chronic low potassium. This can be caused by certain medications (e.g. Diuretics, laxitives) or diseases (e.g. Anorexia nervosa). Hn is the end effect of scarring that occurs. It reduces kidney blood flow and function, leading in some cases to kidney disease or need for dialysis. Potassium supplementation can be helpful in stabilizing or reversing hn. ...Read more

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What is analgesic nephropathy? What causes it?

What is analgesic nephropathy? What causes it?

Kidney damage: Caused by chronic use or overdosage of OTC pain meds like Tyleno or NSAIDs. As the functional parts of the inner Kidney are destroyed, kidney function will decrease manifesting in numerous ways including irregular/elevated blood pressure, changes in urination, weakness, neuropathy, etc. ...Read more

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What is analgesic nephropathy? What causes it?

What is analgesic nephropathy? What causes it?

Kidney damage: Caused by chronic use or overdosage of OTC pain meds like Tyleno or NSAIDs. As the functional parts of the inner Kidney are destroyed, kidney function will decrease manifesting in numerous ways including irregular/elevated blood pressure, changes in urination, weakness, neuropathy, etc. ...Read more

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What exactly is analgesic nephropathy syndrome?

What exactly is analgesic nephropathy syndrome?

Phenacetin: Analgesic nephropathy is chronic kidney disease caused by long term use of phenacetin, Acetaminophen (tylenol) and certain nsaid's such as ibuprofen. The incidence of this disease is much lower nowadays due to less availability of phenacetin. ...Read more

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What are some symptoms of analgesic nephropathy?

What are some symptoms of analgesic nephropathy?

May be none: Other possibilities include seeing matter in urine versus in advanced disease, foamy urine and leg swelling may take place. Of course in the context of taking non steroidal analgesics (arthritis meds). This is a rare condition.

There used to be an old drug called phenacetin that was calssically associated with this problem when abused but this drug is not available now. ...Read more

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What are some complications of reflux nephropathy?

What are some complications of reflux nephropathy?

UTI's: Reflux nephropathy occurs when urine is not completely excreted from the kidneys or bladders. It can lead to mulitple urinary tract infections, pyelonephritis (infection within the kidney) or a hydronephrosis (fluid build up into the kidneys causing it to enlarge). If the reflux nephropathy is not corrected, it can lead to worsening renal disease and possibly dialysis. ...Read more

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Is it possible for young adults get analgesic nephropathy?

Is it possible for young adults get analgesic nephropathy?

Yes: Any individual whether young or old who consumes too much nsaids like alleve or advil can damage their kidneys. If you are taking several pills daily to deal with pain issues for a long period of time, then you are at great risk for analgesic nephropathy. Would try tylenol (acetaminophen) or minimize your NSAID use to control your pain. ...Read more

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How is diabetic nephropathy diagnosed?

How is diabetic nephropathy diagnosed?

Protein in urine: If you have diabetes, early diabetic nephropathy can be suspected if your doctor tests the urine for microalbumin, and then later for protein.Usually no need to do a kidney biopsy especially if the retina of the eye also has diabetic changes. Your nephrologists determines this. ...Read more

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What are major symptoms of IgA nephropathy?

What are major symptoms of IgA nephropathy?

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 more

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What are the tests for diabetic nephropathy?

What are the tests for diabetic nephropathy?

Urine tests: Urinalysis, urine Albumin to creatinine ratio, blood biochemistry, serum creatinine with GFR estimation, kidney ultrasound. Tests to consider- 24 hour urine collection, ct abdomen, magnetic resonance angiography, doppler ultrasound and kidney biopsy. ...Read more

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What are the symptoms of diabetic nephropathy?

Edema: Diabetic nephropathy causes glomerular damage and leakage of proteins in the urine. If left untreated it may progress to generalized edema, and renal failure with symptoms of weakness, anemia, high blood pressure and heart disease. ...Read more

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Is a biopsy necessary for IgA nephropathy?

IgA Nephropathy: Urine and blood tests can be done but the only way for your doctor to confirm a diagnosis of IgA nephropathy is with a kidney biopsy. ...Read more

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Is IGA Nephropathy genetic/hereditary?

Is IGA Nephropathy genetic/hereditary?

IgA neph: Data have shown a genetic clustering for IgA nephropathy - however its genetic nature is not certain - ...Read more

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What is the treatment for proteinuria in IgA nephropathy?

What is the treatment for proteinuria in IgA nephropathy?

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 more

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What does myoglobinuric nephropathy mean?

Myoglobin in urine: Myoglobin is in muscle and rupture or any condition causing leakage of myoglobin into urine. Can cause kidney tubule damage, acute kidney failure and complications. ...Read more

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What is the definition or description of: nephropathy?

What is the definition or description of: nephropathy?

Kidney disease: Nephropathy is a medical term that refers to disease of the kidney. There are many causes. It can be caused by high blood pressure, diabetes, uric acid, abnormal proteins, cancers, blood vessel blockages in the kidney, it can be minimal or or it can be severe and suggest kidney failure. ...Read more

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What is obstructive nephropathy?, and how can it be cured.

What is obstructive nephropathy?, and how can it be cured.

Urine flow blocked: A condition which arises when the outflow of urine is blocked thereby leading to loss of kidney function. Relieving the obstruction can reverse the kidney damage in some cases. A referral to a urologist would be helpful. ...Read more

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What exactly is balkan nephropathy?

Kidney disease: This is a type of kidney disease found in rural areas along tributaries of the danube river in the balkan countries of bosnia, bulgaria, croatia, romania, and serbia. Although the exact cause is still being investigated, it is now though that it is related to consumption of certain herbs containing aristolochic acid. ...Read more

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What exactly is acute phosphate nephropathy?

What exactly is acute phosphate nephropathy?

Phosphorus toxicity: Acute kidney injury or acute renal failure caused by high phosphate either with phosphate enema for colonoscopy or other reasons. Can form phosphate crystals in kidney. ...Read more

Dr. Tarek Naguib
2,396 Doctors shared insights