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Chronic glomerulonephritis

  • Alternative Names

    Glomerulonephritis - chronic; Chronic nephritis


    Treatment

    Treatment varies depending on the cause of the disorder, and the type and severity of symptoms. The primary treatment goal is control of symptoms. High blood pressure may be difficult to control, and it is generally the most important aspect of treatment. Current therapy includes aggressive treatment of high blood pressure with ACE inhibitors or angiotensin receptor blockers to slow the progression of kidney failure.

    Various medications may be used to attempt to control high blood pressure. Corticosteroids, immunosuppressives, or other medications may be used to treat some of the causes of chronic glomerulonephritis.

    Dietary restrictions on salt, fluids, protein, and other substances may be recommended to help control of high blood pressure or kidney failure.

    Dialysis or kidney transplantation may be necessary to control symptoms of kidney failure and to sustain life.


    Support Groups

    For information and support, see kidney disease support groups.


    Expectations (prognosis)

    The outcome varies depending on the cause. Some types of glomerulonephritis may get better on their own.

    If nephrotic syndrome is present and can be controlled, other symptoms may be controlled. If nephrotic syndrome is present and cannot be controlled, end-stage kidney disease is likely.

    The disorder worsens at widely variable rates.


    Complications
    • Nephrotic syndrome
    • Acute nephritic syndrome
    • Chronic renal failure
    • End-stage renal disease
    • Hypertension
    • Malignant hypertension
    • Fluid overload -- congestive heart failure, pulmonary edema
    • Chronic or recurrent urinary tract infection
    • Increased susceptibility to other infections

    Calling your health care provider

    Call your health care provider if disorders associated with increased risk of chronic glomerulonephritis are present, or if symptoms indicating glomerulonephritis develop.