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Treatments for Glomerulosclerosis

Treatment List for Glomerulosclerosis

The list of treatments mentioned in various sources for Glomerulosclerosis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Treatment of glomerulosclerosis is dependant upon the underlying cause of the kidney damage, the severity of the kidney damage, the age of the patient, and any other health problems that the patient might have. Treatments include:
    • Treatment of underlying cause - e.g. diabetes, autoimmune diseases. This is very important in order to limit or slow the progression of renal disease
    • Avoidance of medications that may contribute to further renal damage - NSAID's, IV contrast
    • Smoking cessation - people who continue to smoke progress to end stage renal failure sooner
    • Close management of high blood pressure, whether it is a cause or result of renal disease
    • Diuretics - for management of fluid overload and hypertension
    • Use of ACE inhibitors and ARB's - in patients both with and without proteinuria, has been shown to slow the progression of renal failure
    • Corticosteroids and immunosuppressants - for autoimmune causes
    • Dietary management dependant upon the severity of renal impairment:
      • Protein management - dependant upon degree of protein loss and severity of renal impairment
      • Salt and water restriction as necessary to manage fluid overload
      • Phosphate restriction
      • Potassium restriction as necessary
    • Management of chronic renal failure:
      • Erythropoietin agonists - for management of anaemia associated with chronic renal failure
      • Phosphate binders - for management of hyperphosphatemia in chronic renal failure
      • Calcium supplements - for hypocalcaemia
      • Calcitriol and other Vitamin D supplements - for hypocalcaemia and hyperparathyroidism associated with chronic renal failure
      • Sodium bicarbonate - for acid-base disturbance
      • Diuretics - may be used in situation of volume overload
      • Renal dialysis - used when there are manifestations of uraemia and the GFR is < 10mL/min
      • Renal transplantation

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Hospitals & Medical Clinics: Glomerulosclerosis

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