Patient visited doctor.

 For the doctor,  nephrologist Natalia  Tomilina shared history an own disease is glomerulonephritis by patient on 35 y.old.

1. When,  on my 20 y.old am endured angina, soon found acute glomerulonephritis and am lied at hospital , after cure felt better, pressure kept normal, as on 130/80 , in urine are little   destroys from norm, protein on 0.33-0.66 gr/l, erythrocytes on 5-1-15 in a vision field, sometimes single hyaline cylinders, am felt  satisfaction.

Why you are visited me?

2. But month ago am endured flu with a high temperature, urine test true worried my doctor, in ten days am repeated tested  ,that protein in urine increased till 2 gr, other stats are not changed, but last test am received on yesterday, that protein lowered on 1.32 gr/l, doctor advised me you, maybe am need again lie at hospital?

And what about edemas?

3. No, never had.

I think you not need in hospitalization, that acuted a chronic glomerulonephritis, that in this clinical stats you need at home regime, at home you need to lie, use prescribed diet, and doctor shared about salt limiting.

4. Yes, all these years, am less salted food eaten.

And now, on  acuting  time you must avoid salt as and sauerkraut avoid, protein to limit, from protein food are meat, fish, eggs, curd are 100 gr of boiled meat, or fish , or drink 2 glasses of milk, and this quantity going for cooking porridges or other food. Within a week, eat 3 eggs. Avoid cheese, canned food, not are of fruit, berries  ,that they are having lots of salt, avoid sausages, snacks, they are having protein.

5. An explain me please, why meat , fish I need to boil, but not to fry?

And in boiling these animal foods  in broth transferring a salt,in which her having ,and against bland food, you can add spices, mustard, radish back, pepper, and in a base you ration is vegetable and cereal food. Am inviting you on a next visiting to me in ten days, question will decide by your blood tests, but what do you think, if am ask you to do urine test? And  on which hours on this day you are drink last time?

6. Am never paid attention on this, that today am drunk tea or water, when am true wanting  it, what does it mean?

Certainly, take for rule every day before urine test time on this day on 18.00 add dinner, drink   tea, juice, or  compote and after this till a next morning nothing to eat ,drink , as vegetables and fruits, they  are too diuretic. Such conditions for ready to tests allowing a right to find a dynamic are all stats, as functions of kidneys and analyses will be more informative.

 And you must do test on the daily urine, that on the morning on 7.00 or 8.00  you need to pee. Since this moment take urine, which keeping continuing are 24 hours, take urine in jar, which is before cleaned, after measure size for all urine, take 100-150 gr and add label, give to laboratory as daily urine test.

In depending on from tests stats you must keep cure at home, or to hospitalize at nephrological palate , and not worry, by your tests and disease story, that hypertension is not having , and not   edema staying, thus kidneys function will to norm lead, thus you can keep to work and diet keep.

7. Diet and in future is a must to be a same, or  her is widening, for a what calculation?

Salted food, snacks are avoiding for all life, salt worsening inflammatory process in kidneys, rising pressure, and protein food, when are acutings,  not having eat by little, as for breakfast are   3 spoons of curd, or egg, for lunch are 100 gr of meat, or fish, 1-2 times/week you can eat soup on meat broth.

8. Am interesting about limiting liquid, or drinking more.

Not limiting, drink a how much you want, but not a mineral water,  that  salts of  natrium,  she is having, in Borzomi bottle having an  all daily norm a salt are 2 gr, if you will right keep salt-free diet, thus thirst will not worry you  , not drink through force, and more, as a how a few patients advising, washing  kidneys not needing.

9. Am planning for my holidays, all my relatives advise me visit Turkmen, or on a spa Byram-Ali, that where success cure nephritis, what do you think?

Not need to visit these countries. And  cure on these spas  recommending in normal pressure protein in test  is rises on 3 gr/day, but your disease displaying ,  other, thus rest  in habit climate zone, but stay away from sun, and to tan, ultraviolet radiation destroying immune balance in organism, where  in a base for displaying glomerulonephritis lying immune shifts ,which leading to inflammatory process in vessel balls, and on this warm weather time avoid sun rays.

10. Am informed about this, but visited beach ,that you are explained right this,thus am never visit beach. What about a sauna, am enjoying visiting her.

Against sauna am not objecting, avoid just after sauna right away enter in cold pond or water, or enter in snow ,take cold shower.  Over cooling very bad as provoking acuting  disease, remember for all life, avoiding over cooling organism, not at what conditions, just on hot weather you can swim at lake, pond, when water warming on 25-26C , on winter wear warm underwear, tight warm shoes, against wetting legs .

 And its not intimidate you, its warning you,that you are not must sick of flue, orther infection diseases, any infection are acutings inflammations in kidney balls as with all bad results, as on flu epidemic avoid staying between peoples ,accumulations at parks, clubs, shops, disco, or meetings , not visit, if nothing special you are not planning, and not visiting hospital . Grease nose passages with oxolyne ointment, if at home sicked, wear mask, all possible doing, that avoiding infecting, that  with every acuting kidney will damage as stronger, and destroying her functions. Remember this!

11. What about a sport, am  enjoying plays, hikes.

Yes, sport is OK, moderately but, and not force kinds, avoiding over loadings, long run, am not advising for you are hikes, that in tents you can to over cool ,and you must know are risks..

12. Yes, am understand, thank you. Am on the good feeling doing urine test on every 3-4 month, does am doing right?

A doctor prescribing test ,just for checking concentration in her creatinine and urine, also finding beginning kidney failure, that a timely for giving right advices. Teat urine on creatinine are importance , if lowering a tightness /specific weight/ of urine. When this stat leading to 120 and more , thus function for kidneys are kept, and blood test is not researching.

13. Am understood all, and last question , why, all these 15 years am sick, are nothing prescribing, as remedies, maybe scientists are not found these remedies, are curing patients, like me.

 And unfortunately  ,that remedies in our all world are not affecting clear effect, like in you a favourable displaying chronic glomerulonephritis, and nephrologists having are very active biologically remedies ,that causing side effects ,and we are prescribing on hard cases, when output is not having. Your   cure are diet, preventing over cooling, and different diseases, and more success here you are  leading, than  longer keeping kidneys functions, work capacity and health!

Report from consultative  reception conducted Tanicheva.