Patient's question:
Expert, my son is 14 years old and has been experiencing microscopic hematuria for 7 months. His kidney function, liver function, and blood biochemistry tests are all normal. His vision is normal, and no abnormalities were found in his fundus examination. However, he has high-frequency hearing loss in his right ear. His mother also has microscopic hematuria and has undergone a kidney biopsy, which confirmed IgA nephropathy. There are no other kidney disease patients in the family. Could you please advise on how to diagnose hereditary nephritis? Can a kidney biopsy be used for diagnosis? Can it differentiate it from other types of kidney disease? Please reply, urgently!!!Doctor's answer:
Hello, there is currently no special treatment for chronic nephritis, and the basic approach is symptomatic treatment, including rest, preventing excessive salt intake, appropriately restricting protein-rich foods, diuretics to reduce edema; lowering high blood pressure, and preventing and treating heart failure.Be cautious not to use nephrotoxic drugs, such as gentamicin, streptomycin, sulfonamides, etc. Effective diuretics and antihypertensive medications should be administered, and hormones and other drugs may be used when necessary. Appropriate use of drugs that protect the kidneys, such as inosine, ATP, and cytochrome C, is recommended. Diuretics, lowering high blood pressure, and preventing heart and brain complications are the key focuses of treatment.