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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For IgA Nephropathy

Sir, I was diagnosed with iga nephropathy in Feb,11 at C.M.C.,Vellore.At the outset, I was given prednisolone-10mg, alt day,Renfor-360mg, 2tabs,twice, sandical-500mg, telma-80mg & folic acid . having performed Mpa test after 1mnth, it was reduced to 3tabs for 1st 3mnth & presently 2tabs (720mg) only.After 7 mnths of medication, my cretinine level was reduced to 0.6, k= 4mmol\l, TC=6900\cumm, haemo from 15.5GM% to 13.2gm%. But after the medication, my wt was reduced to 48kg from 55 kg in 7mnths. There is weakness, anger, memory loss, I presume, feeling cold, sleeping problem, constipation, little burning sensation with pain at the back side..i am again going to Vellore on 11thSept,11 for a checkup.MPA TEST= 63.5MGH/L , 6 mnths ago. Urine protein was come down to 570mg from 629mg. That sir treatment is very expensive, & I can"t afford to continue the same for a long period of time. Moreover, the medicines have lots of side effects. What should I do? My age is 45.5 yrs.

With regards,

Jibananda Pal, good day ,Sir .

N.B.

AGE : 45.5YRS; Ht: 5.5ft, Wt: 48kg

There is no history of kidney problems in our family.Even I did not have any complication earlier.

AlthoughI have suffered from amoebiosis & Russian vaccine problem during my childhood. The doctor in vellore told me that I have been suffering from Irritating Bowel syndrome& advised me to take fruits and water.

Mon, 7 Aug 2017
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Nephrologist 's  Response
Dear Patient,

reviewing the data, you probably had a quite proliferative IgAN. The treatment you are receiving is excellent since it is able to make in remission the disease reducing the amount of steroids, and I have a personal good experience. In general, I provide 6 months of treatment with steroids and MMF and, if urine sediment is negative, I stop the treatment. This is also what literature suggest. Thus, I would see a urine sediment, a 24h proteinuria to make further decisions. Let me know,
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Suggest Treatment For IgA Nephropathy

Dear Patient, reviewing the data, you probably had a quite proliferative IgAN. The treatment you are receiving is excellent since it is able to make in remission the disease reducing the amount of steroids, and I have a personal good experience. In general, I provide 6 months of treatment with steroids and MMF and, if urine sediment is negative, I stop the treatment. This is also what literature suggest. Thus, I would see a urine sediment, a 24h proteinuria to make further decisions. Let me know,