Doctor insights on:
Treatment For Ig A Nephropathy
How do ACE inhibitors work for treatment of Iga nephropathy where a patient already has normal blood pressure?
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 2 more doctor answers
I have HSP with IgA nephropathy and were put on 40mg prednisolone but has not worked and rash hasnt gone what treatment would be next? Regards
See below: Iga nephropathy is a part of kidney involvement in hsp (henoch-schonlein purpura). There is no specific treatment other than symptomatic relief. I wonder you have developed nephrotic syndrome which is not amenable to steroid treatment. We do know individuals with IgA nephropathy complicated by nephrotic syndrome has a poorer prognosis compared to one without. Long-term follow-up is needed. ...Read moreSee 2 more doctor answers
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
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 It can be caused by autoimmune diseases, but also by certain heavy metals, outdated medications and genetic diseases.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
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