Nephrotic Syndrome

Question

Nephrotic Syndrome

Asked for Male, 3 Years

Nephrotic SyndromeMale, 3FENS was detected in the month of August 2018. My daughter has completed the 6 weeks course of Omnacortil forte , Rentac and Calcimax on 21st Oct. Her protien in urine was Trace but from 2 days the protien is coming 2+. Doctor has said that if 2+ comes for 5 days and 3+ for 3 days then contact pediatric nephrologist. Do this diesease comes back so early just after 5 days of remission?

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Dr. Yahya V P Pediatrician 8 yrs exp Malappuram Consult Now · Accepted Answer

Dr. Yahya V P

Pediatrician 8 yrs exp Malappuram

Consult Now

Only by 6 weeks, treatment is not complete. Ideal treatment is 2mg/kg/day of prednisolone (omnacortil) for 6weeks and 1.5 mg/kg/day for 6weeks. If you have stopped before completing maintenance dose it will come back. So you have to take maintenance dose for 6 weeks now. If the child is getting any kind of infection also, proteinuria will come back. So child needs to be examined. 2+ proteinuria you wait currently, continue maintenance dose and repeat the test after 1 week. Nephrotic syndrome is a relapsing and remitting disease.

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