Return to first page Treating glomerulonephritis: If you have glomerulonephritis the doctor treating you will focus on treating the cause as well as the condition. You may be advised to drink less fluid (restrict your fluid intake) and to avoid certain drinks such as alcohol and drinks with a lot of sodium chloride (salt) and/or potassium in them. Your diet should be controlled carefully. Your GP or dietician will give you advice on eating protein and controlling the your intake of potassium and salt. Your blood chemistry will be regularly reviewed to ensure that levels of potassium, sodium and chloride are at the right level and that the amount of fluid in your diet is correct. Your treatment may include corticosteroids and a drug called cyclophosphamide. Other drugs used will relate to the underlying cause of the condition and the body’s response to glomerulonephritis. Treating high blood pressure: High blood pressure damages the kidney further and causes other health problems. Your blood pressure will be monitored by the doctor treating you and may need to take drugs such as ACE (Angiotensin Converting Enzyme) inhibitors which relax the blood vessels and reduce the workload of the heart. Treating chronic kidney disease or kidney failure: In cases of chronic kidney disease or kidney failure, kidney dialysis (using a machine to do the kidneys’ job of removing waste products from the body) or a kidney transplant will be needed. Complications Possible complications vary according to the type of glomerulonephritis but can include: High blood pressure: This is a common complication of glomerulonephritis, because the kidneys help control the blood pressure in the body. Many people with glomerulonephritis are prescribed drugs to lower blood pressure. It is important to take these to protect the kidneys against further damage and also to reduce the risks of heart disease and stroke. If blood pressure is untreated it can lead to heart failure and fluid in the lungs (pulmonary oedema). Disease in other internal organs: In most patients, glomerulonephritis affects only the kidneys. However, in some cases, the immune system that damages the kidneys can also affect other parts of the body, for example giving a blotchy red rash on the skin or pain in the joints. Discuss any symptoms you may have with your doctor to see if they could be related to glomerulonephritis. If you develop a blotchy red skin rash you should see your GP immediately. Kidney disease or kidney failure: This is rare, but glomerulonephritis can cause so much damage to the kidneys that they fail completely. |
Prevention Glomerulonephritis is not generally preventable. Early detection (especially for people who have conditions linked to the disease), diagnosis and treatment are important to avoid other complications. Streptococcal throat infections should be treated as early as possible with antibiotics, to avoid kidney damage occurring. |