Patient's question:
Hello, proteinuria 1+ in late pregnancy, after giving birth for three months, have been taking Chinese medicine for three months, now proteinuria 2+ with no symptoms, should there be a kidney biopsy?Doctor's answer:
Based on the examination results you provided, it is considered that nephritis may be the cause. Protein in the urine is due to damage to the kidney's filtration barrier, primarily the charge barrier, which leads to persistent protein leakage, exacerbating damage to the glomeruli and tubules. Biopsy is the gold standard for diagnosing kidney disease, as it can clearly determine the pathological type, the severity of the condition, guide treatment, and assess prognosis. Chronic nephritis generally has a milder condition and progresses chronically. Biopsy has little guiding significance for treatment plans, so chronic nephritis may not require a kidney biopsy.