Which dietary modifications are used in the treatment of pediatric nephrotic syndrome?

Updated: Mar 04, 2020
  • Author: Jerome C Lane, MD; Chief Editor: Craig B Langman, MD  more...
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Answer

A sodium-restricted diet should be maintained while a patient is edematous and until proteinuria remits. Thereafter, a normal diet can be followed. During severe edema, careful and modest fluid restriction may be appropriate, but the patient must be monitored closely for excessive intravascular volume depletion.

Protein restriction is not indicated, except in cases of acute or chronic kidney failure when severe azotemia is present. Even then, protein restriction should be done carefully so as to avoid impaired somatic growth.


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