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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Nephrotic Syndrome For A 4 Year Old

Hello: Doctors Please help and guide me!!My 4 yrs baby suffering in nephrotic syndrome!!!when she was diagnosed!!! Protein (++++) and iwe did her hospitalize Doctors start treatment (CEFTRIAXONE (ROCEPHIN ®) daily 1gram she was 13 days admitted !!!now she only 5 teblates Deltacortril 5mg Gastro-resistant .Now protin is nill but epith cells counted (+)please help me and give me nutrition chart for this patient !!!!!
Tue, 21 Oct 2014
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Pediatrician 's  Response
Hi , I'm Dr Suresh K Yadav M D (paediatrics) , I have gone through your question and understand your concerns ,

Nephrotic Syndrome is a protein losing , mostly autoimmune disease , in children between 1-8 years of age it mostly get cured after regular treatment ,although relapses may occur . Mostly it does not lead to chronic effect on kidney. Most important for you is to take regular treatment as prescribed by your doctor, keep immunisation of your child up to date, specially hib, PCV ,meningococcal and yearly influenza vaccines .( to be taken when in remission or as decided by your health care provider ) . keep good hygiene and keep child away from persons suffering from infectious diseases.

A balanced diet, adequate in protein (1.5-2 g/kg) and calories is enough . As your child is now not passing proteins , higher protein diet is not required . Not more than 30% calories should be derived from fat and saturated fats avoided. For a menu based plan you can consult a dietician .

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Take care.
Thanks.


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Suggest Treatment For Nephrotic Syndrome For A 4 Year Old

Hi , I m Dr Suresh K Yadav M D (paediatrics) , I have gone through your question and understand your concerns , Nephrotic Syndrome is a protein losing , mostly autoimmune disease , in children between 1-8 years of age it mostly get cured after regular treatment ,although relapses may occur . Mostly it does not lead to chronic effect on kidney. Most important for you is to take regular treatment as prescribed by your doctor, keep immunisation of your child up to date, specially hib, PCV ,meningococcal and yearly influenza vaccines .( to be taken when in remission or as decided by your health care provider ) . keep good hygiene and keep child away from persons suffering from infectious diseases. A balanced diet, adequate in protein (1.5-2 g/kg) and calories is enough . As your child is now not passing proteins , higher protein diet is not required . Not more than 30% calories should be derived from fat and saturated fats avoided. For a menu based plan you can consult a dietician . Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Take care. Thanks.