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Lupus Nephritis : Causes, Symptoms & Treatment - Dr. Vikram Chauhan

Posted 1/15/2019 2:05:00 AM By Dr. Vikram Chauhan
Dr. Vikram Chauhan
Lupus Nephritis : Causes, Symptoms & Treatment By Dr. Vikram Chauhan

 

What is lupus nephritis?

Lupus nephritis is a type of kidney  disease caused due to the complication of systemic lupus erythematosus (SLE).  It is an autoimmune disorder commonly known as lupus. In this  disease immune system start attacking own body at different  areas.

How immune system gets affected in lupus  nephritis?

In lupus nephritis, the immune  system starts attacking kidneys. The kidney is an organ that filter your blood and remove waste products. Its damage leads to  many complications.  Lupus  nephritis can rise a condition of a kidney transplant.

How kidney is affected in  lupus nephritis?

Lupus nephritis occurs when lupus  involves both the kidneys.  It causes  inflammation of kidneys, which affects the kidney functions and causes leakage of  protein. If it’s left untreated  can lead to kidney failure  and raises a condition for a kidney transplant.

Who is more prone to  lupus?

It is more common in women as  compared to men. It mostly affects at childhood age. It occurs commonly in  African and American than Caucasians.

What are the causes of  lupus nephritis?

     
  • The main cause  of lupus nephritis is lupus (SLE).  In this condition, a protein formed attack tissues and organs of the body. It leads to lupus  nephritis as proteins prevent kidneys to filter out waste material. It leads to  inflammation of the kidney, blood in urine, hinders kidney function, raise  blood pressure and can cause kidney failure.
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  • Family history
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  • Environmental  factors
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  • Toxic  chemicals or pollutant’s (fumes, smoke)

What are the symptoms of  lupus nephritis?

     
  • It causes  swelling in legs, ankles, and feet. In rare cases swelling over face and hands  occurs.
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  • Body weight  increases
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  • The color of  urine becomes dark due to  presence of blood in it  (hematuria)
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  • Raises blood  pressure
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  • Protein in  urine ( proteinuria)
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  • Foam and froth  is seen in urine
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  • The frequency  of urination increases at night time.
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  • UTI infections  are common
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  • Joint pain and  muscle pain
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  • Fever present  without a known cause
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  • A butterfly,  red rash over face, nose, cheeks.

What are the stages of  lupus nephritis?

Stage I: Minimal mesangial lupus nephritis, it is a starting stage.

Stage II: Mesangial proliferative lupus nephritis, in this it starts proliferating.

Stage III: Focal lupus nephritis (active and chronic, proliferative and sclerosing). It can be serious.

Stage IV: Diffuse lupus nephritis (active and chronic, proliferative and  sclerosing, segmental and global)

Stage V: Membranous lupus nephritis. It affects the membranes of kidneys

Stage VI: Advanced sclerosis lupus nephritis. It is the advanced stage,  if not treated leads to kidney failure.

What are the complications of lupus nephritis?

     
  • Acute kidney  disease
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  • Chronic kidney  disease
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  • Kidney failure  or end-stage renal disease
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  • Cancer
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  • Heart problems
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  • Blood vessels  problems

How it can be diagnosed?

     
  • Urine test: It is done to test  protein in the urine.
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  • Blood test: To check protein and  cholesterol level in the blood
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  • Check ANA  (antinuclear antibodies)
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  • To measure  creatinine (waste product due to the breakdown of muscles in the body)
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  • To check the  glomerular filtration rate (GFR RATE)
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  • Kidney biopsy:  A small piece of the kidney to  check under a microscope
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  • USG
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  • CT  scan

What should be the  treatment goals?

     
  • Prevent the  disease from getting worse.
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  • Prevent or  reduce symptoms
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  • Prevent  dialysis
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  • Maintain the  remission of disease

What is the modern  treatment of lupus nephritis?

Drugs like  steroids, corticosteroids, diuretics, ACE inhibitors and dialysis in case of  kidney patient. Medications to prevent blood clots and high blood pressure.

What diet to be followed  in lupus nephritis?

healthily and plan your meals. Eating  healthy and good food will manage your kidney functions . Avoid sodium in your diet if you have  high blood pressure.

What are the side effects  of modern medicines?

     
  • Steroids  affect body metabolic rate.
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  • Pregnant women  should take these  medicines  only under medical supervision.

What are the home  remedies?

     
  • Turmeric: Take  a half tsp. of turmeric in a glass of milk daily. You can add honey to enhance  its taste
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  • Ginger: Due to  its anti-inflammatory and anti-oxidant properties, it reduces pain and  swelling. You can include ginger in your diet or have ginger tea twice daily.
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  • Apple cider  vinegar:  Drink this  in a glass of warm water. It helps in detoxification and absorbs  nutrients in the body.
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  • Coconut oil:  Use this oil for cooking purpose. It helps to  treat the negative response of the immune system on your body.  Also controls BP, sugar and improves digestion.
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  • Tulsi: Include  tulsi in your diet. It prevents the lupus flare-ups. It has antioxidant and  anti-inflammatory properties.

What is Ayurvedic concept?

It is caused due to pitta doshas  imbalance. It leads to ama formation. It  results in swelling and inflammation and hence immune system  gets hampered. As  pitta cause vitiation of rakta dhatu and leads to  lupus nephritis.

What foods should be taken or avoided?

     
  • Eat food rich  in calcium
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  • Eat less Trans  and processed, canned foods
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  • Try to eat  garlic
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  • Avoid salt

What does Planet  Ayurveda offer?

1. Chanderprabha Vati

These tablets are made with the  combination of different herbs  . These can be used by the patients who are suffering from excessive urination which is one of the symptom of this  particular disease.  Many more problems such  as diabetic neuropathy, burning sensation during urination, retention of urine,  anemia, jaundice, ovarian cysts, low sex drive in men and women, inability to  conceive due to inflammation in the ovaries and pelvic organs can be treated by it  effectively.

Each tablet is of 500 mg and  consists of herbs such as shilajit, guggul, katpoor, sunthi, pippali, danti,  dalchini, tejpatta, ela, maricha, amla, Chavya and many more.

Dosage: 2 tablets twice a day  (after meals with plain water).

2. Punarnava Capsules

Punarnava is a plant found mostly  in India and Brazil. Different parts of the plants are having different  properties. The roots of the plants are considered to be beneficial for a kidney problem. The  leaves of the plant are helpful in relieving joint pain. The seeds of the plant  are used as a blood purifier. Due to its diuretic properties, these capsules  are best recommended for kidney failure.

Dosage: 1 or 2 capsules twice a day  (only with plain water after meals).

3. Arjuna Capsules

These capsules are manufactured  using the bark of Arjuna tree. The bark of the tree is considered to have heart  protecting properties in addition to strengthening the heart. The bark of the  tree is rich in minerals like copper, magnesium, zinc that are considered as an important elements for  the proper functioning of the heart.

Arjuna is also considered as a good  astringent and  consists of some  anti-inflammatory properties. This herb proves to do wonders in case of heart  problems as it tones the cardiac muscles and protects the heart. So, the intake  of this capsule may eliminate many heart problems and may prevent the situation  from getting worse.

Dosage: Regular intake 1 capsule a  day (with plain water after meals.

4. Sarpgandhaghan Vati

Sarapgandha which is known as  Indian snakeroot is considered to be efficient in problems such as insomnia,  high blood pressure, hysteria, and psychological disorders. The tablets consist  of pure extracts of sarapgandha. To cure this particular type of diseases, this  herb plays a very vital role. Sarapgandha vati is completely natural and free  from any chemical and has been used since ages as medicine for relieving  hypertension. The alkaloid present  in it known as reserpine is useful as a tranquilizer and acts as a  hypotensive agent prescribed for relieving psychoneurotic conditions.

People suffering from high blood  pressure, insomnia or epilepsy can use this herbal remedy.

Dosage: 1 tablet twice a day (with  plain water after meals).

 


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