How is acute nephritis treated?
Disease description:
After dinner in the evening, my stomach started to hurt so badly that I couldn't walk. I went to the hospital and was diagnosed with acute nephritis. What should I do for acute nephritis?
Doctor's answer (1)
Dr. Yang Guang
Acute nephritis is a common kidney disease, primarily caused by bacterial, viral, or autoimmune reactions. It is characterized by acute onset, urinary abnormalities such as hematuria and proteinuria, as well as symptoms including edema and hypertension. Below are some treatment recommendations:
1. General treatment: Patients need bed rest until gross hematuria disappears, edema subsides, and blood pressure returns to normal. Rest should last at least six months, avoiding strenuous exercise and colds. Regarding diet, patients should be given high-carbohydrate, vitamin-rich, low-salt foods. If present, nitrogen retention requires limitation of protein intake.
2. Etiological treatment: The underlying cause should be identified. For infectious acute nephritis, antibiotics should be specifically selected; for non-infectious causes, treatment should target the underlying primary disease.
3. Pharmacological treatment: For patients with significant edema, diuretics such as hydrochlorothiazide may be used, although drug selection and dosage must be carefully considered for patients with severe oliguria. Patients with hypertension should receive antihypertensive medications such as nifedipine.
