What should be done about focal segmental glomerulosclerosis (FSGS) after renal biopsy?

Patient's question:

I discovered proteinuria during a health check-up and also developed mild lower limb edema, so I went to the hospital for treatment. I had a CT scan, which showed no specific changes. My kidney biopsy revealed focal segmental glomerulosclerosis (FSGS). I don't have symptoms like frequent urination or urgency, but I was diagnosed with focal segmental glomerulosclerosis (FSGS). What should I do?

Doctor's answer:

According to the situation you described, proteinuria with lower limb edema, confirmed by renal biopsy as focal segmental glomerulosclerosis (FSGS). Generally speaking, compared to minimal change disease (MCD), FSGS has relatively poor treatment outcomes and drug response, and it is prone to relapse. It is recommended to use medication under the guidance of a nephrologist, and hormones should not be stopped arbitrarily. Regular follow-up of urine protein and renal function is necessary. If taking traditional Chinese medicine (TCM), it must be from a regular hospital.

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