Patient's question:
When having a cold, the number of red blood cells in the urine rapidly increases to over 800, with urine protein 2+, occult blood 3+, and white blood cells 4. After receiving a period of penicillin treatment, the red blood cells decrease to 54, urine protein to 1+, occult blood to 3+, and white blood cells to 4. The cold is severe. Red blood cells were first detected in September 2008 without protein, and urine protein was discovered in January 2010.Doctor's answer:
Disease Analysis: Regarding medication, immunotherapy, hormones + immunosuppressants, such as prednisone, cyclosporine, etc., are generally used. Regarding diet - parents face increasing swelling in their children with nephrotic syndrome and a declining serum albumin level and physical condition, causing them great anxiety. Some parents, regardless of their financial constraints, try their best to buy nutritional supplements for their children. However, for children with nephrotic syndrome, such dietary management for nephrotic syndrome may not yield entirely satisfactory results and may even cause side effects. The correct approach to dietary adjustment for nephrotic syndrome is as follows:Recommendations:
1. Low-sodium diet for nephrotic syndrome: Patients with edema or hypertension should follow a low-sodium diet, with a daily sodium intake of 1–3g, or use low-sodium salt. In traditional Chinese medicine, salted rock salt can also be used as a low-sodium diet. The method is to cook an appropriate amount of salted rock salt in water, filter it, and then cook the filtered liquid into a powder form to use as salt. The low-sodium diet should be gradually discontinued once the edema subsides.
2. Protein content in the diet for nephrotic syndrome: The recommended protein intake is 1g/kg/d. For patients with high proteinuria, the protein intake can be appropriately increased, with high-quality proteins such as fish and meat being preferred. However, patients with azotemia should reduce their protein intake.
3. Vegetables and fruits can be consumed in moderation. Patients with low urine output are particularly suitable for eating winter melon and watermelon. Avoid grilled, fried, and spicy foods such as chili peppers.