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What To Do With Proteinuria In Hypertensive Nephropathy

2014-10-27 15:15

What To Do With Proteinuria In Hypertensive Nephropathy How to treat proteinuria in hypertensive nephropathy? Proteinuria in hypertensive nephropathy is a common sign and it is experienced by many patients. Treatments for proteinuria include medications, alternative treatments and lifestyle changes.

1. What is the cause of proteinuria in hypertensive nephropathy?

Many years of high blood pressure easily cause kidney lesions. Kidneys are supplied with dense blood vessels, and high volumes of blood flow through them. Over time, uncontrolled or poor controlled high blood pressure can cause arteries around the kidneys to narrow, weaken or harden. In this condition, damaged arteries cannot deliver enough blood to the kidney tissues. Deficient blood supply will lead to insufficient oxygen exchange. Renal ischemia and renal hypoxia will damage endothelial cells in glomerular capillary. Injured endothelial cells will exposure outside, so that massive inflammatory cells will attack the kidneys. Long time of inflammation will damage cell structure and then barrier function will also be impaired. Injured endothelial cells cannot block protein leakage from urine. Therefore, in clinical, there is protein in urine. As for the treatment of proteinuria, experts recommend a series of therapeutic plans.

2. How to treat proteinuria in Hypertensive Nephropathy?

Blood pressure management

Control blood pressure and maintain blood pressure index

Diet management

Have a proper diet and limit sodium intake strictly. At the same time, you should follow a low sugar, low fat diet. Quit smoking and alcohol.


Under the guidance of a doctor, some medications can have better therapeutic effects on lowering high blood pressure, like angiotensin-Converting Enzyme Inhibitors (ACEI) and Angiotensin Receptor Blockers (ARBs). These medications can not only reduce proteinuria but also delay the development of kidney disease as well as alleviate damages on capillaries. This kind of medication is always used together with calcium antagonist or diuresis. In this way, blood pressure can be regulated, and renal fuction can be protected. What’s more, it can improve capillaries condition.

Comprehensive tests

Patients should take a comprehensive test and have a knowledge of dangerous factors of high blood pressure. This aims to have a comprehensive prevention and consolidate the therapeutic effects as well as prevent further kidney damage caused by hypertension.

Alternative treatment

Medication and diet can only control symptoms but fail to treat the disease from the root. To alleviate proteinuria fundamentally, we use Chinese herbal medicine treatment to repair injured kidney cells, improve renal ischemia and hypoxia state, provide more blood for kidneys as well as improve kidney function. This is the radical therapy for proteinuria in hypertensive nephropathy.

If you have any doubt, please feel free to contact our online doctor directly or leave us a message to kidneycares@hotmail.com. We will give you reply as soon as possible.

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