Understanding Glomerulonephritis

A Comprehensive Guide to Kidney Inflammation

Internal Medicine

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Last updated: Mar 24, 2025

What is Glomerulonephritis?

Glomerulonephritis (GN) is inflammation of the glomeruli - tiny filtering units in your kidneys. These microscopic structures filter your blood, removing excess water, electrolytes, and waste products.

Types of Glomerulonephritis

Acute Glomerulonephritis

  • Develops suddenly
  • Often follows a strep throat infection
  • May resolve on its own

Chronic Glomerulonephritis

  • Develops gradually
  • May result from long-term diseases
  • Usually requires ongoing management

Common Symptoms

  • Blood in urine (hematuria)
  • Foamy urine due to protein content
  • Swelling (edema), especially in:
    • Face
    • Hands and feet
    • Abdomen
  • High blood pressure
  • Decreased urination

Causes and Risk Factors

Primary Causes

  • Immune system disorders
  • Genetic conditions
  • Infections

Secondary Causes

  • Diabetes
  • Lupus
  • Goodpasture's syndrome
  • IgA nephropathy

Diagnosis

  1. Blood Tests

    • Kidney function tests
    • Antibody levels
    • Complement levels
  2. Urine Tests

    • Protein levels
    • Red blood cell count
    • Creatinine clearance
  3. Kidney Biopsy

    • May be necessary for definitive diagnosis

Treatment Options

Conservative Management

  • Dietary modifications
  • Blood pressure control
  • Regular monitoring

Medications

  • Immunosuppressants
  • Corticosteroids
  • Blood pressure medications
  • Diuretics

Advanced Treatment

  • Plasmapheresis (in severe cases)
  • Dialysis if kidney function severely declines
  • Kidney transplant in end-stage disease

Prevention and Management

  • Regular medical check-ups
  • Prompt treatment of infections
  • Blood pressure control
  • Healthy lifestyle choices
  • Medication compliance

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Severe swelling
  • Significant decrease in urination
  • Blood in urine
  • Unexplained fatigue
  • Shortness of breath

Long-term Outlook

Prognosis varies depending on:

  • Type of glomerulonephritis
  • Early detection and treatment
  • Underlying conditions
  • Response to therapy

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