Nephrotic Syndrome Symptoms

If you have severe water retention, besides diuretics, steroids and immunosuppressants, you can try Chinese medicine. It can relieve swelling and prevent it relapse.

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Treatment for Nephrotic Syndrome Patients with Severe Water Retention

2019-02-21 18:22

Question: Hi, I was recently diagnosed with Nephrotic Syndrome. I have severe water retention and swelling of feet and abdomen. Please help.

Treatment for Nephrotic Syndrome Patients with Severe Water RetentionAnswer: For your swelling of feet and abdomen, it is caused by severe water retention, and while water retention can be caused by the following reasons.

1. Decreased plasma colloid osmotic pressure: The exchange of body fluid inside and outside blood vessels is regulated by osmotic pressure on both sides. In nephrotic syndrome, a large number of plasma proteins are lost from urine, resulting in hypoproteinemia so as to cause the decrease of plasma colloid osmotic pressure, and the movement of water in blood vessels to hypertonic interstitial fluid, resulting in edema.

2. Effective blood volume decreases: the effective blood volume decreases due to the outward movement of plasma water, which increases the sodium reabsorption in renal tubules, and inhibits the production of natriuretic factor, which reduces the sodium excretion in kidneys. The retention of water and sodium in the body further aggravates the edema.

The above reasons are attributed to the large amount of protein lost in urine, resulting in the decrease of plasma protein and the decrease of blood colloid osmotic pressure, which changes the balance of fluid exchange between capillaries and tissues. The decrease of effective blood volume promotes the secretion of renin, angiotensin and aldosterone system, which leads to water and sodium retention. In addition, the decrease of glomerular filtration rate due to the decrease of renal blood flow also promotes the occurrence of edema.

It can be seen that the main cause of high edema in nephrotic syndrome is the loss of protein, so the treatment of edema should first control urinary protein. There are two common ways to control urinary protein and relieve edema.

1. Adopting Western Medical Method with Steroids as the Major Part

Treatment includes the use of diuretics to control edema, prevention and control of concomitant infections, and proper use of adrenocortical hormones. Immunosuppressive drugs are used in patients with frequent relapse or steroid resistance. Steroid therapy has certain advantages in curative effect, but its side effects are large, and the condition is very easy to recur.

2. Traditional Chinese Medicine

In our hospital, systemic Chinese medicine treatment is often used to treat Nephrotic Syndrome, such as medicated bath, foot bath, enema therapy, steam therapy, cycle therapy, etc. Those therapies can work together to eliminate wastes and extra fluid from body to relieve swelling. They can also improve blood circulation and increase blood flow into kidneys so that enough essential elements such as oxygen, nutrients and active ingredients of medicine can be transported into nidus to speed up kidney recovery. Moreover, they can reduce renal inflammation and control the disease from getting worse. After a short period of treatment, water retention will disappear, and proteinuria will turn negative. After a long period of treatment, Nephrotic Syndrome will be under control. Because your renal function gets restored, excess fluid can be removed out of body naturally.

Now you know what treatment is good for Nephrotic Syndrome patients to relieve water retention. For more information on Nephrotic Syndrome treatment, please leave a message below or contact online doctor.

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