Nephrotic Syndrome: Therapy

Therapy for nephrotic syndrome depends on the etiology (cause) of the disease.

General measures

  • Physical rest
  • Drug treatment of concomitant diseases – arterial hypertension (high blood pressure), hypercholesterolemia (lipid metabolism disorder; a too high level of cholesterol in the blood).
  • Nicotine restriction (abstaining from tobacco use) – tobacco use is a risk factor for kidney function!
  • Preservation of normal weight strive!Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis.
    • Falling below the BMI lower limit (from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
  • Review of permanent medication due topossible effect on the existing disease.
  • Avoidance of environmental stress:
    • Cadmium
    • Gold
    • Palladium
    • Mercury

Vaccinations

The following vaccinations are advised:

  • Flu vaccination
  • Hepatitis B vaccination
  • Pneumococcal vaccination

Caveat (attention): no live vaccines in immunosuppression!

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Observance of the following specific nutritional recommendations:
    • Daily energy intake: about 35 kcal per kg body weight.
    • Low protein (low protein) diet – daily protein intake (per kg body weight) depends on the stage of renal insufficiency (renal dysfunction) – please contact us!
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
    • High-fiber diet (whole grain products).
    • Diet low in table salt
    • Fluid restriction, if necessary
    • In advanced renal impairment:
      • Daily drinking amount of 2-3 l to be able to excrete urinary substances and avoid dehydration (fluid deficiency).
      • Not be consumed more than 1 g of phosphate per day to mitigate the consequences of disturbances on vitamin D and bone metabolism. Foods rich in phosphate are cheese, especially processed cheese, nuts, dried vegetables and wheat bran.
  • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.