Understanding Nephrotic Syndrome & Glomerulonephritis in India
Glomerular diseases account for nearly 30% of chronic kidney disease in younger Indians. Frequent infections, genetic predispositions, and delayed biopsies increase complications. Ajuda Hospitals offers rapid diagnostics and precise immunotherapy tailored to histological subtypes, enabling remission while limiting steroid exposure.
Families from Hyderabad, Warangal, and Karimnagar trust our bilingual counselling to explain complex biopsy reports and medication schedules. We prioritise early intervention so students and working professionals can resume routines with confidence.
When to Consult Our Glomerular Specialists
⚠️ Seek Immediate Care If You Experience:
- ✓ Sudden facial or leg swelling with frothy urine
- ✓ Dark or blood-stained urine
- ✓ Severe hypertension or headaches
- ✓ Breathlessness or abdominal distension due to fluid
Consult Ajuda if previous nephrotic syndrome is relapsing, biopsy reports are pending interpretation, or systemic symptoms suggest autoimmune involvement. Early treatment prevents scarring and chronic kidney disease.
Our Diagnostic Approach
Comprehensive Labs
We quantify proteinuria, assess albumin levels, and screen for autoimmune markers (ANA, dsDNA, ANCA) and infections (HBV, HCV) to rule out secondary causes.
Imaging Support
Renal ultrasound evaluates size, structure, and venous flow. Doppler helps detect renal vein thrombosis in severe nephrotic syndrome.
Ultrasound-Guided Biopsy
Experienced nephrologists perform day-care biopsies with minimal discomfort. Samples undergo light microscopy, immunofluorescence, and electron microscopy when needed.
Multidisciplinary Review
Biopsy results are discussed with pathologists, intensivists, and rheumatologists to craft precise regimens considering fertility, pregnancy, or comorbidities.
Treatment Pathways
Our protocols align with KDIGO 2021 guidance:
- Steroid & Immunosuppressive Therapy: Prednisolone, tacrolimus, MMF, rituximab, or cyclophosphamide based on diagnosis.
- Supportive Care: ACE inhibitors/ARBs, diuretics, statins, and anticoagulation when needed.
- Plasma Exchange: For anti-GBM disease or severe ANCA vasculitis with pulmonary haemorrhage.
- Lifestyle & Nutrition: Tailored salt restriction, adequate protein intake, and vaccine schedules.
- Relapse Prevention: Home urine monitoring, tele check-ins, and rapid steroid restart plans.
- Long-term Surveillance: Annual CKD screening and bone health assessments to manage therapy side effects.
What to Expect: Your Care Journey
- Initial Evaluation: Clinical assessment, labs, and biopsy scheduling explained in detail.
- Diagnosis & Treatment Start (Week 1): Biopsy report discussed, personalised medication plan initiated, and side-effect counselling provided.
- Induction Phase (Week 4-8): Close monitoring of proteinuria, albumin levels, and blood pressure; adjust immunosuppressants.
- Maintenance & Follow-up (Month 3 onwards): Monthly checks taper to quarterly reviews once remission sustained, with tele support for rural patients.
Technology & Innovation
Our Glomerular Disease Registry captures biopsy subtype, medication course, and outcomes. Automated alerts flag overdue labs or rising protein, enabling faster response. Patients access bilingual education videos via WhatsApp for self-testing and symptom tracking.
Preventing Complications
Vaccination protocols, prophylactic antibiotics, and glucose monitoring minimise steroid side effects. Bone health clinics prevent osteoporosis. Anticoagulation is considered for severe hypoalbuminaemia to avoid thrombosis.
Why Ajuda for Glomerular Care?
🔬 Rapid Biopsy Access
Day-care biopsies with 7-day pathology including immunofluorescence for precise diagnosis.
🛡️ Steroid-Sparing Strategies
Use of rituximab, tacrolimus, and MMF reduces long-term side effects.
📞 Always-On Support
Tele follow-ups and WhatsApp symptom tracking keep relapses in check.
Take the First Step
If you or your child shows signs of nephrotic syndrome or glomerulonephritis, act early. Call 9010550550 or message Ajuda Hospitals to schedule a biopsy-led consultation and protect long-term kidney health.