How to treat bilateral renal atrophy

Jul 02, 2024 Source: Cainiu Health
Disease description:

Grandpa's health is not very good currently; he previously had chronic glomerulonephritis, which later progressed to renal failure. How is bilateral renal atrophy treated?

Doctor's answer (1)
Dr. Yang Ziqi
The treatment for bilateral renal atrophy requires comprehensive measures based on the severity of the condition: 1. **Medication therapy**: Use ACEI/ARB drugs (such as captopril, valsartan, etc.) to control blood pressure and protect kidney function. Compound α-keto acid tablets may help reduce kidney damage. For conditions such as kidney stones or chronic kidney disease, anti-infective agents (e.g., penicillin, cephalosporins) or glucocorticoids (e.g., prednisone, methylprednisolone) may be used. 2. **Renal replacement therapy**: Hemodialysis and peritoneal dialysis are used to remove toxins and metabolic waste from the body and maintain electrolyte balance. 3. **Surgical treatment**: For patients with severe bilateral renal atrophy, kidney transplantation may be considered to replace the damaged kidney function. 4. **Lifestyle modifications**: Dietary adjustments include a low-salt, low-protein diet to control salt and protein intake, along with adequate supplementation of vitamins and minerals. Smoking and alcohol consumption should be avoided, as should spicy and irritating foods. Appropriate physical exercise is recommended to enhance immune function.