Nephrotic Syndrome | Pediatrics

[@harpindersingh549]

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

[@learningpediatrics5347]

Welcome

[@angeljoe102]

Vry understandable explanation and really useful for my exam , just watching this one day before my exam really helpful

[@learningpediatrics5347]

All the best

[@Vikasgoodvibes]

Maam your video's were really helpful for passing my DNB exam. Thank you for the efforts you are taking. Thank you ma'am.

[@learningpediatrics5347]

Glad to hear that

[@gs35364]

Thanks mam...your lectures are always very concise and informative

[@learningpediatrics5347]

Welcome Thank you for compliment

[@rajendragaikaredits4424]

Thanks you Ma'am. I have put down notes of all your lectures.

[@learningpediatrics5347]

Welcome

[@nomannomi8246]

It's passed 3 weeks now how is your daughter condition ??

[@healthtips5316]

Can u share with me please

[@dasdr4594]

Thanks mam....I am making notes of your vidios...very helpfull

[@learningpediatrics5347]

Great

[@shabirdraayatmalla9]

Excellent presentation... Keep it up

[@learningpediatrics5347]

Thanks a lot

[@sagarbajad1786]

Most important video plz upload more video madam..

[@learningpediatrics5347]

Definitely Sagar

[@arslanshabbir5588]

Very helpful lecture😊

[@learningpediatrics5347]

Glad to hear that

[@sharodpatniker5370]

Precise and well explained mam , blessed to subscribe this channel 🙏

[@learningpediatrics5347]

Thank you

[@94.vandhana.d10]

Tq for ur teaching....it's very usefull ♥️

[@learningpediatrics5347]

Welcome

[@ahmedsalim8157]

Ver informative, thanks alot professor keep going on

[@learningpediatrics5347]

Welcome

[@gera9518]

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.

[@learningpediatrics5347]

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

[@jafarsaif182]

Thanks dr. Very helpful....

[@learningpediatrics5347]

My pleasure

[@poornimas6624]

Nice information and explaination👌👌👌

[@learningpediatrics5347]

Thank you

[@docsanti8971]

Thank you very much Dr for these magnificent chat. I subscribed to your channel, greetings from Mexico.

[@learningpediatrics5347]

Welcome

[@easymedicalmnemonics]

Thanks a lot mam Nice explanations 👍

[@learningpediatrics5347]

Welcome

[@vishnuprasadsoren511]

Very nice nd informative presentation

[@learningpediatrics5347]

Thank you

[@Zahra-ee9su]

Thank you sooo much fOr such a beautiful explaination ♥️

[@learningpediatrics5347]

Welcome

[@hassaanyousaf5109]

MashAllah interesting lecture

[@learningpediatrics5347]

🙏

[@michaeljulius7938]

great presentation , thank you

[@learningpediatrics5347]

Glad you liked it!

[@surendranmohan9419]

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.

[@learningpediatrics5347]

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.

[@mayurbramhane4737]

Superb explained 👍

[@learningpediatrics5347]

Thank you

[@misterkhan9324]

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?

[@learningpediatrics5347]

Always taper slowly over a period of 1- 2 weeks

[@Kangwa22]

Beautiful ❤

[@learningpediatrics5347]

🙏

[@birukgidey2781]

thanks doctors you make my time count for GOOD. could you make a video on bacterial meningitis and and tb meningitis

[@learningpediatrics5347]

Welcome

[@slyx5in1]

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]

Can't label steroid dependent or resistant at such an early stage. He will respond by 4-8 weeks.

[@slyx5in1]

@@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!

[@siobhandango]

thank you for very informative video >

[@learningpediatrics5347]

My pleasure!

[@anwayagreeshmam8579]

Nice class❤

[@learningpediatrics5347]

Thank you!

[@dhruvpatel5675]

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.

[@learningpediatrics5347]

Ok dear

[@savank627]

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.?

[@learningpediatrics5347]

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.

[@savank627]

@@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.

[@RJ-hm5ol]

Every video is awesome 👍

[@learningpediatrics5347]

🙏

[@sunilpetker4339]

Thank you very much lecture is very informative.madam Are there any neurological complications.such as hemiplegia.

[@learningpediatrics5347]

Welcome, Yes, this complication can occur

[@PediatriciansintheMaking]

Very informative and helpful video, very clinically oriented, plz if u can tell us about ur reference book

[@learningpediatrics5347]

Nelson

[@learningpediatrics5347]

Welcome

[@ahmadabdulsalam207]

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 ???

[@learningpediatrics5347]

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.

[@neetuyadav4433]

Thank you ma'am 👍👍

[@learningpediatrics5347]

Welcome

[@manjulalakkundimath5983]

Tq u mam its nice information

[@learningpediatrics5347]

Welcome

[@dr.sadaffirdous3122]

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

[@learningpediatrics5347]

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

[@drabdulrashiid6306]

Upload more vedio systemic pediatric lectures

[@learningpediatrics5347]

Okay

[@clouddboo]

Thank you ma’am

[@learningpediatrics5347]

Most welcome

[@ankuraggarwal8848]

Mam. What we need to avoid in terms of food or eating habits?

[@learningpediatrics5347]

Dear Ankur, High protein diet eg. Egg white, dal, beans should be included in daily diet of nephrotic syndrome patient & Low salt also

[@subhadarshinipradhan3400]

Thank u so much....Mam Pls advice about what type of food give to nephrotic syndrome child...

[@learningpediatrics5347]

High protein and low salt diet

[@simonkapufi4636]

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?

[@trinetra6707]

Mam any pdf please Thankyou for ur excellent work n presentation mam

[@learningpediatrics5347]

🙏

[@medicoboy3155]

Will possible increase Hyperlipidemia for CLD?

[@arbindsingh3429]

Thanks ma'am , what is the definition of SRNS?. microphenolate ?

[@learningpediatrics5347]

Please go through video, you will get the details of all these SRNS-steroid resistance nephrotic syndrome

[@thanujathilakawardana4143]

Thank you very much

[@learningpediatrics5347]

Welcome

[@ahmadabdulsalam207]

How can we give diuretics and the intravascular volume depleted ??? Please explain

[@learningpediatrics5347]

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

[@rachit3711]

mam whats the reason for low blood sodium inspite of sodium retention/edema

[@learningpediatrics5347]

It's dilutional hyponatremia because of water retention

[@princenebert3142]

Thank you mum

[@learningpediatrics5347]

Welcome

[@suhalahamed4185]

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

[@learningpediatrics5347]

Mr. Suhal, It's a steroid dependence if regular and proper 12 weeks treatment of steroid is completed. Consult your physician. Take care.

[@JitendraKumar-vq1yp]

Kya ab aapka baby thik hai same problem se mera baccha bhi jujh raha. Hai

[@nishachandran2830]

Hi mam my son was diagnosed ns on march with albumin ++. After two days of taking steroid omnacortile albumin level came nil til today. We stopped steroid from june 19. Nw he is not taking steroid and from june his albumin report nil. Is there any problem

[@learningpediatrics5347]

For the first episode of nephrotic syndrome, steroid treatment is typically recommended for a duration of about three months to achieve better control and reduce the risk of recurrence Many children with nephrotic syndrome may experience relapses. If you notice early signs of a relapse, such as swelling or changes in urine, it's important to consult your doctor promptly.

[@vishwavachharajani6112]

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?

[@learningpediatrics5347]

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

[@vishwavachharajani6112]

@@learningpediatrics5347 okay ma'am... Thank you for reply.. And thank you for informative video🙏🏻

[@learningpediatrics5347]

Welcome

[@sandycaspe4058]

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

[@learningpediatrics5347]

Hello Sandy, It's not because of this

[@krishnavenip4517]

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....

[@learningpediatrics5347]

God bless her a long & healthy life

[@venus2644]

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

[@learningpediatrics5347]

Hello, You should take opinion of nephrologist in your city. We advice natural high protein & low salt diet in children suffering from Nephrotic syndrome.

[@tanveerbhat8262]

My 1 month baby is suffering from congenital nephrotic syndrome. Suggest a specialist or provide contact

[@learningpediatrics5347]

Pediatric nephrologist

[@tanveerbhat8262]

@ Name and contact no of specialist pediatric nephrologist

[@thekkedath12]

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.

[@learningpediatrics5347]

Dear, Continue treatment with complete faith in treating doctor God bless her a healthy life forever.

[@thekkedath12]

@@learningpediatrics5347 thank you. Thats what we do with prayers

[@SM-he7vn]

Thank you mam 🙏

[@learningpediatrics5347]

Welcome

[@SumyaAkter-d4b]

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?

[@learningpediatrics5347]

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.

[@amnazafar368]

Mam what are the reference books of your videos?

[@learningpediatrics5347]

Nelson Arvind bagga

[@SumitGoswami]

Can you please help me?

[@Utkalcraft]

My son now on 4th relapse, doctor why giving mychophenolate mofetil 250 mg for 3 month. Pls reply Is it complicated

[@Cricket_reacts]

Howz ur son now?plz reply

[@ajaybisht3533]

Mem 🙏🙏please levamisole is best medicine for 5 year old steroid dependent baby

[@learningpediatrics5347]

Consult doctor All drugs have some side effects.

[@amarnathmishra5442]

Ma'am the value of furosemide is differ in ghai .. what will I do

[@learningpediatrics5347]

Pediatric Nephrology by Arvind Bagga, RN Srivastava

[@norhanizahbasni438]

Hello ma'am, my son is 3 years old.. He was charge with nefrotik syndrome.. And he still admitted at hospital.. He doesn't want to eat and have limited water intake.. 800ml for 24hours only.. What shall i give him in order for him to eat.. His autism and speech delay.. His stomach, legs swelling.. What shall i do

[@learningpediatrics5347]

Dear, Give protein diet with low salt. Also add foods like bananas and leafy greens vegetables

[@preciouslovinggirl6248]

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.

[@learningpediatrics5347]

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.

[@nomannomi8246]

It's passed 3 weeks now how is your daughter ?

[@divyabharathi5827]

Cure panna mudiuma pls ask

[@mulugetagebrie5393]

Please guide me which pedatrics book is best to unde😅rstand and consider alot of disease related in

[@learningpediatrics5347]

Nelson pediatrics textbook

[@ShyamaliRoy]

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

[@learningpediatrics5347]

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.

[@ShyamaliRoy]

Thank you mam

[@emeraldjenifer9923]

Total 2time came 1st 2.5year 2nd 4year its curable or not mam

[@emeraldjenifer9923]

@@learningpediatrics5347 its curable or not mam?

[@cutesisters2516]

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

[@learningpediatrics5347]

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.

[@cutesisters2516]

@@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]

What is the level of serum cholesterol?

[@cutesisters2516]

@@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

[@cutesisters2516]

@@learningpediatrics5347 doctor confirmed nephrotic syndrome they are they will start steroids from tomorrow. I'm in fearing is it right decision are not mam.

[@yogeshgowda5935]

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

[@learningpediatrics5347]

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.

[@Utkalcraft]

How is your child now? My son who suffered from n syndrome, he is ok now Because ok our bhadrak doctor..

[@judithchebet4512]

Precise ✔️✔️

[@learningpediatrics5347]

Thanks🙏

[@jagritikant5732]

Thank you

[@learningpediatrics5347]

Welcome

[@MrMozzzzza]

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.

[@learningpediatrics5347]

Curable

[@geletmote]

is she better now?

[@TanveerAhDar-w4s]

how can i book an appointment with you madam?

[@learningpediatrics5347]

OPD number-24, Gujarat Adani Institute of medical sciences, Bhuj, Kutch.

[@TanveerAhDar-w4s]

Madam I am from kashmir, can I book an online appointment?

[@afiihaider4506]

Upload video on nephritic syndrome too....

[@learningpediatrics5347]

Sure

[@afiihaider4506]

@@learningpediatrics5347 If possible then plz upload it before 25th October

[@keepgoing5541]

Thank u ❤️

[@learningpediatrics5347]

Welcome

[@fathimatanveez907]

Is steroid medicine good for kids at this age !? Or should we change the treatment

[@learningpediatrics5347]

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

[@tejikhanna7853]

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.

[@learningpediatrics5347]

Hello, Don't worry, You are taking treatment from pgi, it's one of the best Institute in India. God bless him

[@Cricket_reacts]

How’s ur son now?plz reply

[@tejikhanna7853]

He passed away in January ​@@Cricket_reacts

[@kumarsonu1693]

Mam plz case presentation ka video baneye plz mam🥺🥺🥺🥺

[@learningpediatrics5347]

Definitely

[@jesurajraj3086]

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.

[@learningpediatrics5347]

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.

[@vishu9904]

Enlightened

[@learningpediatrics5347]

🙏

[@vickykadam2523]

1.5 years baby suffering from nephortic syndrome plz

[@thespiantochi]

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

[@learningpediatrics5347]

Yes

[@thespiantochi]

@@learningpediatrics5347 thank you so much. Your videos are very good

[@learningpediatrics5347]

Welcome

[@Nihi12346]

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..

[@learningpediatrics5347]

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.

[@Nihi12346]

Thank you mam...

[@tusharware1722]

Nice

[@learningpediatrics5347]

🙏

[@jagrajsingh6494]

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.

[@punithamathankumar7147]

Contacts please

[@aravinths5344]

Nice class mam

[@learningpediatrics5347]

Thank you

[@harshvardhankore9107]

Thanks

[@learningpediatrics5347]

Welcome

[@chtnyya3862]

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?

[@learningpediatrics5347]

Prognosis will depends on etiology. Take proper treatment. God bless you

[@nirupamabariha2911]

Thank u mam

[@learningpediatrics5347]

Welcome

[@vlogersanupam1655]

Nephrotic syndrome is curable?

[@learningpediatrics5347]

Yes

[@mushtaqahmedkhan2888]

Reference book pls?

[@learningpediatrics5347]

Nelson

[@pranjaligajbhiye2225]

Thanks mam

[@learningpediatrics5347]

Welcome

[@rashmikatti9114]

Ma’am thank u ma’am🙏

[@learningpediatrics5347]

Welcome

[@rizwan5515]

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.

[@learningpediatrics5347]

Give high protein and low salt diet Follow the advice of treating doctor.

[@rizwan5515]

@@learningpediatrics5347 thanks .

[@abuzarshaikh7137]

Thanx mam very informative

[@learningpediatrics5347]

Welcome

[@medicoboy3155]

Inj lasix 1/2 amp OD

[@shamimmorbiwala7549]

Please make more videos Ma'am.

[@learningpediatrics5347]

Yes dear