Great video and awesome explanation. I hope you can help me by giving me an answer to these questions Your answers will be highly appreciated. Do patients have a pain when they have NS? If so, is in the kidney or groin? Also, I read in the slides that they can have UTI , is it possible to treat that with medication? Again, thank you for this incredible class.
Yes, they can have pain due to various causes- eg. Abdominal distension as a result of massive ascites, spontaneous bacterial peritonitis (SBP), gastroenteritis, UTI, adverse effect of corticosteroids leading to gastritis, mesenteric ischemia due to thromboembolism, acute appendicitis, intussusception due to severe gut wall oedema and rarely even pancreatitis or retroperitoneal abscesses can occur in NS Yes, UTI can be treated with medication
Very informative video. Thanks mam. Request you to upload more videos on topics we face during routine pediatric practice. Please make videos on pediatric skin problems. Its very common in practice.
Hello Professor/Doctor, thanks a ton for the lights you shed on such a complication. My son has been under SDNS treatment since past 7 years, he's 11 yo now. Is it possible to contact you by any means for an online consultation when you have a few mins? I'd be thankful to you with all my life. Many Thanks in advance.
Hello Mr. Surendran, It's not possible to give advice online without seeing a patient for chronic disease. It's better to take pediatric nephrologist opinion in your city. God bless your son a healthy and happy life.
Thank you so much for uploading, it’s very informative. I do have a question - my 2.5yo son has been diagnosed with NS minimal change disease. He was prescribed with prednisolone 2mg/kg/day for 6 weeks and taper down to 1.5mg/kg/day for another 6 weeks. He responded quickly after one week of steroid, and stayed clear of proteinuria for 8 consecutive days. But while he’s still on high dosage of steroid, he started getting proteinuria again after these 8 consecutive days - so after 15 days on steroid. And it’s now been one week that he’s testing > 3+ with dipstick. Would this be considered steroid resistant? Or steroid dependent? Thank you so much!
@@learningpediatrics5347 thanks for your reply. But have you ever observed instances where patients would relapse while on full dose of steroid? Because based on what we’ve heard and searched so far, we couldn’t get an answer for why he’d relapse and has been consistently more than 3+ on his urine protein level after being clear for a week. And now it’s been more than a week that he’s positive with no sign of getting better. Thank you again!
Thanks professor , very informative what about if a child comes to you with acute appendicitis and persistent vomitting, can we give methyprednisolone IV and what about the dose and what about stress dose in this scenario added or not and how can we calculate it please ???
Dear Ahmed, If the child with known case of nephrotic syndrome is having acute appendicitis. First treat acute appendicitis with antibiotics. After two weeks of antibiotics, start oral prednisolone 2 mg/kg/day for nephrotic syndrome.
So the child is at risk of having infection when under prednisolone therapy... because prednisolone lowers the body immunity right?...... being so.... then MCD is an autoimmune disease?
Mam your videos are very helpful. Kindly solve my doubts. 1. Before starting prednisone therapy we rule out underlying infection in body. But if child is having fever and no loci of infection is found should we give antibiotic regime before starting steroid therapy? 2. We need to give 2 mg/kg/day with 2-3 divided dose of steroid for that child current weight should be considered? Cause weight may be high due to edema. 3. Enalapril should be used on all mcgn or only with associated hypertension.?
1. If you are suspecting viral infection then wait for one week before starting prednisolone. Because transient proteinuria can be present with all types of infection. Start antibiotics only if you are suspecting bacterial infection. Complete the course of antibiotics, then again evaluate for nephrotic range proteinuria is present or not. If it's present and child is having all others criteria of NS, then start prednisolone. 2. Always adjust the dose of prednisolone on every follow up. 3. Enalapril had both the actions as antihypertensive and decrease protein excretion. So if patient is having blood pressure even in prehypertension range, start this under BP monitoring.
@@learningpediatrics5347 thank you very much mam. As winter is approaching kindly make video on antihistamines and anti tussive medications rational approach in paediatrics special to infant and less than 2 years cause there is dillema in otc and various combinations of drugs. Again mam very appreciate for your efforts.
Excellent job mam.. We like u so much.. I have a question.. How to taper steroids in children??Asking this question when indicated for other condition for 4--6 weeks duration?
Ma'am for steroid dependent nephrotic syndrome.. We first start prednisolone at 1.5mg/kg/d and remission should be achieved then we start levamisole and also simultaneously we taper prednisolone to 0.75-1mg/kg/d Is it correct?
Hello Vishwa, In SDNS, First start prednisolone at 2 mg/kg/day till remission then start levamisole 2.5mg/kg alternate day for 1-2 years with prednisolone 1 mg/kg alternate day. Slowly taper prednisolone dose over 3-6 months and then stop prednisolone. Continue Levamisole for 1-2 years
Frequent oral Frusemide doses (2-8 mg/kg/day, QID) are more effective than injection Frusemide. Except in emergency situation ex. Acute pulmonary edema where we have to give injection Frusemide. Oral Frusemide with vitals monitoring are more effective and safe than injection, Specially less chance of precipitation of intravascular volume depletion
Dear, Steroid sensitive and steroid resistant NS are according to treatment responses, Not on the basis of etiology. Details of all these are in treatment portion. According to etiology, as I mentioned- Primary, secondary and congenital NS
Hello mam my son is 3 years old he has be diagnosed with nephrotic syndrome.....we have started Aminiocortel.....one of the pedestrian told initially don't give coconut water and things have more potassium content and citrus content....is it true?? Can we give all the fruits with low salt diet and coconut water please suggest me And also if he gets cold or fever in between can we give that medication since he is under steroids medication so does it have any effect
Hello Mr. Yogesh, Yes, you can give citrus fruits and coconut water with low salt and high protein diet. Also consult your paediatrician whenever your child is having cough-cold, fever. Drugs for fever and cough can be given with steroids. Take care.
Hi Dr. My child age 5 years old is having steroid dependent nephrotic syndrome and last one and half year treating physician tried with predo, and tacrolimus and now on mycophenolate, no cure yet. She will go to remission after using predo for few weeks and then with tapering protein spike can be seen. Now Dr said to go for Retuximab, so much confusion as she is just 5 years old and is this okay to go for retuxan at this age? Please help with your reply.
Hi. i am 40 years old. I had nephrotic syndrome when i was child (from age 5 to12), my belly, face and eyes would swell. Doctors forbad me to consume salty food, rice, tomatoes and other spicy food. No i am quite healthy. I daily go to gym for work out, all my friends consume whey protein... I also want to use whey protein but i am hesitant as i fear that my kidneys can become damaged again... Plz give me advice wether i should use whey protein or not?? I will be eagerly waiting for your response. Thank you
Hello, You should take opinion of nephrologist in your city. We advice natural high protein & low salt diet in children suffering from Nephrotic syndrome.
Hlw mam,my child is also diagnosed with nephrotic syndrome.. I wanna know about alternate day...6weeks means?The duration is 6weeks or the days he'll get prednisolone is 6weeks?
Dear, Total three months course of prednisolone 6 weeks continuous therapy + 6 weeks alternate days therapy So Duration is 6 weeks, Means alternate day for 6 weeks duration.
Mam, mera 2 saal Ka ladke ko neprothic Syndrom hua hai, 9 month Se Dr muje deflazacort 6mg daily 10ml aur protein powder and calcium syrup de rahai , deflazacort Ka dose kabi 10ml kabi 15ml karte Hai, abi 2 din deflazacort Nehi diya tha fir Se sujan agayaaaa,,, mam Keya karu plzzz batayeeeee
Thanks for this video related Nephrotic syndrome , I really wants to know about it as my six year daughter is suffering with it and i am very much tense due to thiis i really want to talk to you please share your contact details.
Welcome Neha I think you should consult a pediatrician in your city. It's not possible to advise treatment on phonecall because there are lots of side effects due to drugs treatment which should be monitored regularly by physical examination and investigations.
Mam...my daughter also suffering a lot with this problem..all medication tried.from oral wysolone to retuximab...but not responded to treatment..now going to plasmapheresis..this also 2 ND cycle....
Dear Shyamali, If he is having steroid dependent NS. Levamisol should be started along with prednisolone. There are side effects of all drugs which should be monitored on regular basis. So Consult a pediatrician or pediatric nephrologist for this.
Hello Mam, My son age 2 year suffering from 6 month , nephrotic syndrome problem and mcd is negative, Omnacortil forte not responding and Cyclosporine not responding, he is admit in pgi chandigarh from 2 month ,Kindly guide us advice urgent.
Mam my 6month baby suffered with NS. We are given blood samples to check Gene test and waiting for it report. Perviously we lost our first baby in same NS in one year of age.It’s our second baby it also suffered NS is 6 months. Please give your s address for consultation. Mam please help us and save my baby.
Dear Raj, I can understand your suffering. But In congenital NS, medicines are not effective. In this, early bilateral nephrectomy and peritoneal dialysis will be required. Renal transplantation is curative for this condition which should be performed when the child weighs >9 kg. So consult Paediatric Nephrologist and Nephrosurgeon in your city. God bless you.
My son 3¹/2 yrs old, has been diagnosed with this condition. He started swelling in the eyes, then whole face,stomach and legs. Very stressed. Is it curable
Ma'am my cousin sister is suffering from nefrotic syndrome. U acr 1300mg. Having wysolon30 mg, with other medicine. Wanted to know only whether this disease is curable or it will last till her life long.
i’m 18 years old and i have swelling on my face and sometimes on my legs also maybe on abdomen i will see a nephrologist soon. but i am really scared cause i don’t want to suffer from a chronic disease all my life my 24hour protein report is 2.80 will it cure?
You can not change the treatment. Other drugs for NS are having more side effects. Side effects should be monitored by doctor Incomplete treatment will lead to more complications
Thankyou mam very useful for getting an idea about NS as my 2 years son is suffering. Please tell me how can we find out relapse as my kid got 2+ in cue in 2.5mg omnicrtl we told to my neph. Then they strart 20 mg again is it correct mam..
Whenever there is relapse, first rule out infection because transient proteinuria can be present. Only when persistent proteinuria even after infection subside then treat as a relapse.
Total protein is 5.6 gm/DL Albumin 2.2 mg/ dl Globulin 3.4 mg/dl Ratio A/G is 0:6 Blood urea is 52 mg/dl Spot urine for protein 358 mg/dl Spot urine for Creatinine 26 mg/dl Ration 13.7 But treatment is not started right she is in observation it's been 3 day upto now. So please guide us in right path right now we are in AIMS hospital vijayawada
Dear Rakesh, Before starting treatment for NS, we have to rule out any acute or chronic infection in body eg Tuberculosis. Because if patient is having infection and we start steroids for treatment of NS, Infection will be worsen. Mostly they are doing all these workup.
@@learningpediatrics5347 Actually they are saying it is nephrotic are nephritic syndrome. I'm requesting mam I will all reports will check them and guide us. Mail are WhatsApp no.
@@learningpediatrics5347 doctor confirmed nephrotic syndrome they are they will start steroids from tomorrow. I'm in fearing is it right decision are not mam.
I can understand. You should consult a pediatrician in your city. It's not possible to advise treatment on phonecall because there are lots of side effects due to drugs treatment which should be monitored regularly by physical examination and investigations.
Hello Dr. , my son is 2.5 years old he is facing proteinuria diagnosed a week ago. His reports are as: Urine protein spot 563 mg/dl (reference should be less than 14 mg/dl) Protein creatinine ratio 6.54 mg/dl (reference should be less than 0.20) Serum albumin 1.4 g/dl (Reference : 3.5 - 4.2) Serum total cholesterol 381 mg/dl (Reference : should be less than 200) Serum creatinine 0.26 mg/dl (Reference:0.72-1.25) Egfr >60 Doctor prescription: Deltacortril 5 mg Digex MP Ossobon D. kindly suggest will he recover from this disease only by these medication and what I have to plan for my child diet.
It’s precise and up to the point explaining each and everything.... thank you so much Ma’am
Need more videos like it on common Paediatric topics
Welcome
Thanks mam...your lectures are always very concise and informative
Welcome
Thank you for compliment
Precise and well explained mam , blessed to subscribe this channel 🙏
Thank you
Ver informative, thanks alot professor keep going on
Welcome
Vry understandable explanation and really useful for my exam , just watching this one day before my exam really helpful
All the best
Thanks you Ma'am. I have put down notes of all your lectures.
Welcome
It's passed 3 weeks now how is your daughter condition ??
Can u share with me please
Thank you sooo much fOr such a beautiful explaination ♥️
Welcome
Maam your video's were really helpful for passing my DNB exam. Thank you for the efforts you are taking.
Thank you ma'am.
Glad to hear that
Thank you very much
Welcome
Thank you very much Dr for these magnificent chat. I subscribed to your channel, greetings from Mexico.
Welcome
Thanks mam....I am making notes of your vidios...very helpfull
Great
thanks doctors you make my time count for GOOD. could you make a video on bacterial meningitis and and tb meningitis
Welcome
great presentation , thank you
Glad you liked it!
Tq for ur teaching....it's very usefull ♥️
Welcome
Thank you so much
You're most welcome
Thanks a lot mam
Nice explanations 👍
Welcome
Nice information and explaination👌👌👌
Thank you
Very nice nd informative presentation
Thank you
Most important video plz upload more video madam..
Definitely Sagar
Superb explained 👍
Thank you
Thank you
Welcome
Great video and awesome explanation.
I hope you can help me by giving me an answer to these questions
Your answers will be highly appreciated.
Do patients have a pain when they have NS? If so, is in the kidney or groin?
Also, I read in the slides that they can have UTI , is it possible to treat that with medication?
Again, thank you for this incredible class.
Yes, they can have pain due to various causes- eg. Abdominal distension as a result of massive ascites, spontaneous bacterial peritonitis (SBP), gastroenteritis, UTI, adverse effect of corticosteroids leading to gastritis, mesenteric ischemia due to thromboembolism, acute appendicitis, intussusception due to severe gut wall oedema and rarely even pancreatitis or retroperitoneal abscesses can occur in NS
Yes, UTI can be treated with medication
Very informative video. Thanks mam. Request you to upload more videos on topics we face during routine pediatric practice. Please make videos on pediatric skin problems. Its very common in practice.
Ok dear
Thank you mum
Welcome
Thank u ❤️
Welcome
Thank you ma'am 👍👍
Welcome
Thanks
Welcome
Thank you mam 🙏
Welcome
MashAllah interesting lecture
🙏
Hello Professor/Doctor, thanks a ton for the lights you shed on such a complication. My son has been under SDNS treatment since past 7 years, he's 11 yo now. Is it possible to contact you by any means for an online consultation when you have a few mins? I'd be thankful to you with all my life. Many Thanks in advance.
Hello Mr. Surendran,
It's not possible to give advice online without seeing a patient for chronic disease.
It's better to take pediatric nephrologist opinion in your city.
God bless your son a healthy and happy life.
Thank you so much for uploading, it’s very informative. I do have a question - my 2.5yo son has been diagnosed with NS minimal change disease. He was prescribed with prednisolone 2mg/kg/day for 6 weeks and taper down to 1.5mg/kg/day for another 6 weeks. He responded quickly after one week of steroid, and stayed clear of proteinuria for 8 consecutive days. But while he’s still on high dosage of steroid, he started getting proteinuria again after these 8 consecutive days - so after 15 days on steroid. And it’s now been one week that he’s testing > 3+ with dipstick. Would this be considered steroid resistant? Or steroid dependent? Thank you so much!
Can't label steroid dependent or resistant at such an early stage. He will respond by 4-8 weeks.
@@learningpediatrics5347 thanks for your reply. But have you ever observed instances where patients would relapse while on full dose of steroid? Because based on what we’ve heard and searched so far, we couldn’t get an answer for why he’d relapse and has been consistently more than 3+ on his urine protein level after being clear for a week. And now it’s been more than a week that he’s positive with no sign of getting better. Thank you again!
thank you for very informative video >
My pleasure!
Tq u mam its nice information
Welcome
Enlightened
🙏
🙌🏻🙌🏻
Thanks professor , very informative what about if a child comes to you with acute appendicitis and persistent vomitting, can we give methyprednisolone IV and what about the dose and what about stress dose in this scenario added or not and how can we calculate it please ???
Dear Ahmed,
If the child with known case of nephrotic syndrome is having acute appendicitis.
First treat acute appendicitis with antibiotics. After two weeks of antibiotics, start oral prednisolone 2 mg/kg/day for nephrotic syndrome.
Will possible increase Hyperlipidemia for CLD?
Precise ✔️✔️
Thanks🙏
Thanks mam
Welcome
So the child is at risk of having infection when under prednisolone therapy... because prednisolone lowers the body immunity right?...... being so.... then MCD is an autoimmune disease?
Tq
Welcome
My son now on 4th relapse, doctor why giving mychophenolate mofetil 250 mg for 3 month. Pls reply
Is it complicated
Ma’am thank u ma’am🙏
Welcome
Very informative and helpful video, very clinically oriented, plz if u can tell us about ur reference book
Nelson
Welcome
Cure panna mudiuma pls ask
👍👍
Thank you very much lecture is very informative.madam
Are there any neurological complications.such as hemiplegia.
Welcome,
Yes, this complication can occur
Can you please help me?
Mam your videos are very helpful.
Kindly solve my doubts.
1. Before starting prednisone therapy we rule out underlying infection in body. But if child is having fever and no loci of infection is found should we give antibiotic regime before starting steroid therapy?
2. We need to give 2 mg/kg/day with 2-3 divided dose of steroid for that child current weight should be considered? Cause weight may be high due to edema.
3. Enalapril should be used on all mcgn or only with associated hypertension.?
1. If you are suspecting viral infection then wait for one week before starting prednisolone. Because transient proteinuria can be present with all types of infection.
Start antibiotics only if you are suspecting bacterial infection.
Complete the course of antibiotics, then again evaluate for nephrotic range proteinuria is present or not.
If it's present and child is having all others criteria of NS, then start prednisolone.
2. Always adjust the dose of prednisolone on every follow up.
3. Enalapril had both the actions as antihypertensive and decrease protein excretion.
So if patient is having blood pressure even in prehypertension range, start this under BP monitoring.
@@learningpediatrics5347 thank you very much mam.
As winter is approaching kindly make video on antihistamines and anti tussive medications rational approach in paediatrics special to infant and less than 2 years cause there is dillema in otc and various combinations of drugs. Again mam very appreciate for your efforts.
Every video is awesome 👍
🙏
Excellent job mam.. We like u so much.. I have a question.. How to taper steroids in children??Asking this question when indicated for other condition for 4--6 weeks duration?
Always taper slowly over a period of 1- 2 weeks
Ma'am for steroid dependent nephrotic syndrome.. We first start prednisolone at 1.5mg/kg/d and remission should be achieved then we start levamisole and also simultaneously we taper prednisolone to 0.75-1mg/kg/d
Is it correct?
Hello Vishwa,
In SDNS,
First start prednisolone at 2 mg/kg/day till remission then start levamisole 2.5mg/kg alternate day for 1-2 years with prednisolone 1 mg/kg alternate day.
Slowly taper prednisolone dose over 3-6 months and then stop prednisolone. Continue Levamisole for 1-2 years
@@learningpediatrics5347 okay ma'am... Thank you for reply.. And thank you for informative video🙏🏻
Welcome
How can we give diuretics and the intravascular volume depleted ??? Please explain
Frequent oral Frusemide doses (2-8 mg/kg/day, QID) are more effective than injection Frusemide.
Except in emergency situation ex. Acute pulmonary edema where we have to give injection Frusemide.
Oral Frusemide with vitals monitoring are more effective and safe than injection,
Specially less chance of precipitation of intravascular volume depletion
mam whats the reason for low blood sodium inspite of sodium retention/edema
It's dilutional hyponatremia because of water retention
Upload more vedio systemic pediatric lectures
Okay
Thanks ma'am , what is the definition of SRNS?. microphenolate ?
Please go through video, you will get the details of all these
SRNS-steroid resistance nephrotic syndrome
On the basis of etiopathogenesis it is of three types
1.Steroid sensitive NS
2.Steroid resistent NS
3.Congenital NS
these r not explained in this vid
Dear,
Steroid sensitive and steroid resistant NS are according to treatment responses,
Not on the basis of etiology.
Details of all these are in treatment portion.
According to etiology, as I mentioned-
Primary, secondary and congenital NS
Nice class mam
Thank you
Mam. What we need to avoid in terms of food or eating habits?
Dear Ankur,
High protein diet eg. Egg white, dal, beans should be included in daily diet of nephrotic syndrome patient
&
Low salt also
Inj lasix 1/2 amp OD
Thank u so much....Mam
Pls advice about what type of food give to nephrotic syndrome child...
High protein and low salt diet
Nice
🙏
Hello mam my son is 3 years old he has be diagnosed with nephrotic syndrome.....we have started Aminiocortel.....one of the pedestrian told initially don't give coconut water and things have more potassium content and citrus content....is it true?? Can we give all the fruits with low salt diet and coconut water please suggest me
And also if he gets cold or fever in between can we give that medication since he is under steroids medication so does it have any effect
Hello Mr. Yogesh,
Yes, you can give citrus fruits and coconut water with low salt and high protein diet.
Also consult your paediatrician whenever your child is having cough-cold, fever.
Drugs for fever and cough can be given with steroids.
Take care.
How is your child now? My son who suffered from n syndrome, he is ok now
Because ok our bhadrak doctor..
Is these because of lack of water or genetic history. My 3 years old son also suffer from NS. They say because he doesn't drink water more on milk
Hello Sandy,
It's not because of this
Hi Dr. My child age 5 years old is having steroid dependent nephrotic syndrome and last one and half year treating physician tried with predo, and tacrolimus and now on mycophenolate, no cure yet. She will go to remission after using predo for few weeks and then with tapering protein spike can be seen. Now Dr said to go for Retuximab, so much confusion as she is just 5 years old and is this okay to go for retuxan at this age? Please help with your reply.
Dear,
Continue treatment with complete faith in treating doctor
God bless her a healthy life forever.
@@learningpediatrics5347 thank you. Thats what we do with prayers
Hi. i am 40 years old. I had nephrotic syndrome when i was child (from age 5 to12), my belly, face and eyes would swell. Doctors forbad me to consume salty food, rice, tomatoes and other spicy food. No i am quite healthy. I daily go to gym for work out, all my friends consume whey protein... I also want to use whey protein but i am hesitant as i fear that my kidneys can become damaged again... Plz give me advice wether i should use whey protein or not?? I will be eagerly waiting for your response. Thank you
Hello,
You should take opinion of nephrologist in your city.
We advice natural high protein & low salt diet in children suffering from Nephrotic syndrome.
Please make more videos Ma'am.
Yes dear
Hlw mam,my child is also diagnosed with nephrotic syndrome.. I wanna know about alternate day...6weeks means?The duration is 6weeks or the days he'll get prednisolone is 6weeks?
Dear,
Total three months course of prednisolone
6 weeks continuous therapy
+
6 weeks alternate days therapy
So Duration is 6 weeks,
Means alternate day for 6 weeks duration.
Mam any pdf please
Thankyou for ur excellent work n presentation mam
🙏
Mam, mera 2 saal Ka ladke ko neprothic Syndrom hua hai, 9 month Se
Dr muje deflazacort 6mg daily 10ml aur protein powder and calcium syrup de rahai , deflazacort Ka dose kabi 10ml kabi 15ml karte Hai, abi 2 din deflazacort Nehi diya tha fir Se sujan agayaaaa,,, mam Keya karu plzzz batayeeeee
Mr. Suhal,
It's a steroid dependence if regular and proper 12 weeks treatment of steroid is completed. Consult your physician. Take care.
Kya ab aapka baby thik hai same problem se mera baccha bhi jujh raha. Hai
Thanks for this video related Nephrotic syndrome , I really wants to know about it as my six year daughter is suffering with it and i am very much tense due to thiis i really want to talk to you please share your contact details.
Welcome Neha
I think you should consult a pediatrician in your city.
It's not possible to advise treatment on phonecall because there are lots of side effects due to drugs treatment which should be monitored regularly by physical examination and investigations.
It's passed 3 weeks now how is your daughter ?
Mam what are the reference books of your videos?
Nelson
Arvind bagga
Mam...my daughter also suffering a lot with this problem..all medication tried.from oral wysolone to retuximab...but not responded to treatment..now going to plasmapheresis..this also 2 ND cycle....
God bless her a long & healthy life
thank You mam
I have a son .He suffering nephrotic syndrome for 13 your.now his ege 15 year 6 months. He is a steroid dependent.mam please advise me
Dear Shyamali,
If he is having steroid dependent NS. Levamisol should be started along with prednisolone. There are side effects of all drugs which should be monitored on regular basis. So Consult a pediatrician or pediatric nephrologist for this.
Thank you mam
Total 2time came
1st 2.5year
2nd 4year its curable or not mam
@@learningpediatrics5347 its curable or not mam?
Thanx mam very informative
Welcome
✔️👏💚
🙏
Hello Mam,
My son age 2 year suffering from 6 month , nephrotic syndrome problem and mcd is negative, Omnacortil forte not responding and Cyclosporine not responding, he is admit in pgi chandigarh from 2 month ,Kindly guide us advice urgent.
Hello,
Don't worry, You are taking treatment from pgi, it's one of the best Institute in India.
God bless him
1.5 years baby suffering from nephortic syndrome plz
Mam my 6month baby suffered with NS. We are given blood samples to check Gene test and waiting for it report. Perviously we lost our first baby in same NS in one year of age.It’s our second baby it also suffered NS is 6 months. Please give your s address for consultation. Mam please help us and save my baby.
Dear Raj,
I can understand your suffering. But
In congenital NS, medicines are not effective. In this, early bilateral nephrectomy and peritoneal dialysis will be required. Renal transplantation is curative for this condition which should be performed when the child weighs >9 kg.
So consult Paediatric Nephrologist and Nephrosurgeon in your city.
God bless you.
My son 3¹/2 yrs old, has been diagnosed with this condition. He started swelling in the eyes, then whole face,stomach and legs. Very stressed. Is it curable
Yes
@@learningpediatrics5347 thank you so much. Your videos are very good
Welcome
Ma'am my cousin sister is suffering from nefrotic syndrome. U acr 1300mg.
Having wysolon30 mg, with other medicine. Wanted to know only whether this disease is curable or it will last till her life long.
Curable
is she better now?
I had also suffered from Nephrotic syndrome but my suggests me to take a Nephrotic syndrome care pack by Planet Ayurveda. I used it and now I am fine.
Contacts please
i’m 18 years old and i have swelling on my face and sometimes on my legs also maybe on abdomen i will see a nephrologist soon. but i am really scared cause i don’t want to suffer from a chronic disease all my life my 24hour protein report is 2.80 will it cure?
Prognosis will depends on etiology.
Take proper treatment.
God bless you
Is steroid medicine good for kids at this age !? Or should we change the treatment
You can not change the treatment. Other drugs for NS are having more side effects.
Side effects should be monitored by doctor
Incomplete treatment will lead to more complications
Please guide me which pedatrics book is best to unde😅rstand and consider alot of disease related in
Nelson pediatrics textbook
Mem 🙏🙏please levamisole is best medicine for 5 year old steroid dependent baby
Consult doctor
All drugs have some side effects.
Thankyou mam very useful for getting an idea about NS as my 2 years son is suffering. Please tell me how can we find out relapse as my kid got 2+ in cue in 2.5mg omnicrtl we told to my neph. Then they strart 20 mg again is it correct mam..
Whenever there is relapse, first rule out infection because transient proteinuria can be present.
Only when persistent proteinuria even after infection subside then treat as a relapse.
Thank you mam...
Upload video on nephritic syndrome too....
Sure
@@learningpediatrics5347 If possible then plz upload it before 25th October
Reference book pls?
Nelson
Mam plz case presentation ka video baneye plz mam🥺🥺🥺🥺
Definitely
how can i book an appointment with you madam?
OPD number-24, Gujarat Adani Institute of medical sciences, Bhuj, Kutch.
Madam I am from kashmir, can I book an online appointment?
1:17
Total protein is 5.6 gm/DL
Albumin 2.2 mg/ dl
Globulin 3.4 mg/dl
Ratio A/G is 0:6
Blood urea is 52 mg/dl
Spot urine for protein 358 mg/dl
Spot urine for Creatinine 26 mg/dl
Ration 13.7
But treatment is not started right she is in observation it's been 3 day upto now. So please guide us in right path right now we are in AIMS hospital vijayawada
Dear Rakesh,
Before starting treatment for NS, we have to rule out any acute or chronic infection in body eg Tuberculosis.
Because if patient is having infection and we start steroids for treatment of NS,
Infection will be worsen.
Mostly they are doing all these workup.
@@learningpediatrics5347 Actually they are saying it is nephrotic are nephritic syndrome. I'm requesting mam I will all reports will check them and guide us. Mail are WhatsApp no.
What is the level of serum cholesterol?
@@learningpediatrics5347 nothing mentioned mam. Total cholesterol 212 mg/dl
Triglycerides 109 mg/dl
HDL cholesterol 43 mg/dl
LDL cholesterol 147 mg/dl
Vldl cholesterol 22 mg/dl
NonHdl cholesterol 169 mg/dl
Cholesterol/HDL ratio 4.9
@@learningpediatrics5347 doctor confirmed nephrotic syndrome they are they will start steroids from tomorrow. I'm in fearing is it right decision are not mam.
Nephrotic syndrome is curable?
Yes
My bhanji suffering this diseases
I can understand. You should consult a pediatrician in your city.
It's not possible to advise treatment on phonecall because there are lots of side effects due to drugs treatment which should be monitored regularly by physical examination and investigations.
L
can anyone give me ph.number,name or address of this madam..it is urgent please
are you from pakistan
Hello Dr. , my son is 2.5 years old he is facing proteinuria diagnosed a week ago. His reports are as:
Urine protein spot 563 mg/dl (reference should be less than 14 mg/dl)
Protein creatinine ratio 6.54 mg/dl (reference should be less than 0.20)
Serum albumin 1.4 g/dl
(Reference : 3.5 - 4.2)
Serum total cholesterol 381 mg/dl
(Reference : should be less than 200)
Serum creatinine 0.26 mg/dl
(Reference:0.72-1.25)
Egfr >60
Doctor prescription:
Deltacortril 5 mg
Digex MP
Ossobon D.
kindly suggest will he recover from this disease only by these medication and what I have to plan for my child diet.
Give high protein and low salt diet
Follow the advice of treating doctor.
@@learningpediatrics5347 thanks .
🎉😢 mm mm kl