Acute Glomerulonephritis 

The kidneys remove waste products and extra fluid from the blood. Glomerulonephritis (GN) is an inflammation of the kidney that affects how well the kidneys filter blood and get rid of wastes. You may also hear the terms nephritis and nephrotic syndrome used. This condition may last weeks to months (acute) or may last many years (chronic).

It can follow a bacterial or viral infection such as a strep infection of the throat or skin. An immune reaction or inflammation of the blood vessels in the kidney may also be the cause. 

Symptoms of GN include:

  • Cola- or iced tea-colored urine due to small amounts of blood in the urine

  • Swelling of the face, hands, feet, and abdomen (edema)

  • Tiredness

  • Making less urine than before

Treatment depends on the exact cause of GN. Most types of acute GN recover fully. In some cases, acute GN can become chronic and lead to problems requiring dialysis. It's important that your healthcare provider monitor you closely.

Home care

These guidelines will help you care for yourself at home:

  • If a bacterial infection is the cause of your acute GN, you will be given antibiotics. Take them all as directed. People who have had close contact with you should see their healthcare provider for testing and possible antibiotic treatment.

  • Short-term bed rest is advised until kidney function improves.

  • If you have signs of swelling, eat less salt. Your healthcare provider may suggest a strict kidney diet.

  • Don't take any of the following over-the-counter medicines, or talk with your healthcare provider before using:

    • Aspirin and anti-inflammatory medicines such as ibuprofen and naproxen. Short-term use of acetaminophen for fever or pain may be OK. Talk with your healthcare provider.

    • Laxatives and antacids that contain magnesium or aluminum

    • Certain stomach acid-blocking medicine such as cimetidine or ranitidine

    • Herbal supplements

Follow-up care

Follow up with your healthcare provider, or as advised. The following resources may be helpful:

  • American Association of Kidney Patients 800-749-2257 www.aakp.org

  • National Kidney Foundation 800-622-9010 www.kidney.org

Call 911

Call 911 if you have any of these:

  • Severe weakness, dizziness, fainting, drowsiness, or confusion

  • Chest pain or shortness of breath

  • Fast, slow, or irregular heartbeat

When to seek medical advice

Call your healthcare provider right away if any of these occur:

  • Nausea or vomiting

  • Unexpected weight gain or swelling in the legs, ankles, or around the eyes

  • Decreased or absent urine output

  • New or worsening symptoms

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