Is a kidney biopsy necessary to confirm nephrotic syndrome?

Patient's question:

Is a kidney biopsy necessary for the definitive diagnosis of nephrotic syndrome? How should such a disease be treated? Is it safer with traditional Chinese medicine or Western medicine?

Doctor's answer:

Nephrotic syndrome refers to a group of clinical symptoms. Clinical characteristics: "three highs and one low," which is massive proteinuria (≥3.5g/d), edema, hyperlipidemia, and low plasma protein (≤30g/L). It can generally be diagnosed through clinical manifestations and laboratory tests, and a kidney biopsy may not be necessary. Suggestions: This condition requires hospitalization for standardized treatment, and combining it with traditional Chinese medicine will yield better results.

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