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.