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Nephrotic syndrome

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Overview

Nephrotic syndrome is a kidney disorder that causes excessive protein loss in urine. It is a condition where the kidneys are unable to filter waste and excess water from the blood properly, leading to the excretion of too much protein in the urine. This condition can cause a range of symptoms, including swelling, particularly in the feet and ankles, and increases the risk of other health problems.

Types of Nephrotic syndrome

There are several types of nephrotic syndrome, including:

  1. Primary nephrotic syndrome: This is the most common type of nephrotic syndrome, where the kidneys are damaged due to unknown causes.
  2. Secondary nephrotic syndrome: This type of nephrotic syndrome is caused by another underlying condition, such as diabetes or lupus.

Causes of Nephrotic syndrome

Nephrotic syndrome is usually caused by damage to the clusters of small blood vessels in the kidneys that filter waste and excess water from the blood. The damage can be caused by:

  1. Autoimmune disorders: Conditions such as lupus or rheumatoid arthritis can cause inflammation and damage to the kidneys.
  2. Infections: Certain infections, such as malaria or viral infections, can damage the kidneys.
  3. Cancer: Certain types of cancer, such as lymphoma or leukemia, can cause damage to the kidneys.
  4. Inherited disorders: Certain inherited disorders, such as Alport syndrome, can cause damage to the kidneys.

Risk Factors of Nephrotic syndrome

The risk factors for developing nephrotic syndrome include:

  1. Family history: Having a family history of kidney disease increases the risk of developing nephrotic syndrome.
  2. Age: Nephrotic syndrome is more common in older adults.
  3. Sex: Men are more likely to develop nephrotic syndrome than women.
  4. Ethnicity: Certain ethnic groups, such as African Americans, are more likely to develop nephrotic syndrome.

Symptoms of Nephrotic syndrome

The symptoms of nephrotic syndrome can include:
1. Swelling: Swelling in the feet and ankles is a common symptom of nephrotic syndrome.
2. Foamy Urine: Excessive protein loss in urine can cause foamy urine.
3. Fatigue: Nephrotic syndrome can cause fatigue and weakness.
4. Chest Pain or Discomfort: In some cases, nephrotic syndrome can cause chest pain.

Preventions of Nephrotic syndrome

Preventing nephrotic syndrome involves managing underlying conditions that can cause kidney damage. This includes:

  1. Managing blood pressure: High blood pressure can increase the risk of kidney damage.
  2. Controlling blood sugar: Uncontrolled blood sugar can increase the risk of kidney damage.
  3. Managing autoimmune disorders: Managing autoimmune disorders through medication and lifestyle changes can help reduce the risk of kidney damage.

Diagnosis of Nephrotic syndrome

Diagnosing nephrotic syndrome typically involves a comprehensive evaluation that includes:

  1. Physical examination: A physical examination is performed to assess for swelling and other symptoms.
  2. Laboratory tests: Laboratory tests are performed to assess kidney function and detect proteinuria (excess protein in urine).
  3. Imaging tests: Imaging tests may be performed to assess kidney function and detect any signs of kidney damage.

Treatment for Nephrotic syndrome

Treating nephrotic syndrome involves managing underlying conditions and reducing protein loss in urine. This may include:

  1. Medications: Medications may be prescribed to reduce inflammation and prevent further kidney damage.
  2. Dietary changes: Dietary changes may be recommended to reduce protein intake and manage blood sugar levels.
  3. Fluid management: Fluid management may be necessary to manage swelling and prevent further complications.

When to seek medical attention ?

If you are experiencing symptoms of nephrotic syndrome or have concerns about your kidney function, it is essential to see a doctor for evaluation and treatment.

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