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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Can I Live Without Dialysis Having Diagnosed With Iga Nephropathy Last Year And Having Normal Reports Now ?

hi,i was diagnosed as iga nephropathy an year back,now my b.p is controlled and albumin creatinine ratio is 38.24 hrs protein in urine is 280 i want to know how long can i live without dialysis
Mon, 16 Jan 2012
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Pediatrician 's  Response
hello mehak,
welcome to hcm
thanks for the query
Currently there is no cure for IgA nephropathy, but therapies are there that can delay the onset of need for dialysis .
early treatment of hypertension is needed
ACE inhibitors are preferred for lowering blood pressure. they also help in decreasing proteinuria.
goal for proteinuria control is 500mg/day or less . since in your case is 280
prednisone for 4-6 months to preserve renal function
if you go for prednisolone early then it is very helpful
take care
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Nephrologist Dr. Ashwinikumar Khandekar's  Response
If 24 hr urine is 280 mg, we can just observe. Ramipril and/or Telmisartan or similar drugs should be continued. Follow up with your Nephrologist every 3 months.

Ask your Nephrologist if he/she believes in Fish Oil as a part of the treatment and whether you have already been started on it.
To answer question about Dialysis, only 20 to 30% of the patients who have severe protein loss in urine and/or have kidney dysfunction (NOTE THAT YOU HAVE NEITHER), will progress to dialysis requiring stage over 20 years !!
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How Long Can I Live Without Dialysis Having Diagnosed With Iga Nephropathy Last Year And Having Normal Reports Now ?

hello mehak, welcome to hcm thanks for the query Currently there is no cure for IgA nephropathy, but therapies are there that can delay the onset of need for dialysis . early treatment of hypertension is needed ACE inhibitors are preferred for lowering blood pressure. they also help in decreasing proteinuria. goal for proteinuria control is 500mg/day or less . since in your case is 280 prednisone for 4-6 months to preserve renal function if you go for prednisolone early then it is very helpful take care