Protein urea and chyle urea

Patient

Q: I am having protein and chyle in urine since 2 years.once the protein got to 19 grams but now its reduced to 400mg.i also had a considerable weight loss of 20 kgs.Minimal change disease and FSGS were detected in the biopsy report.Since 6 months the weight has remained constant.But rest all blood reports and urine reports are normal.So what can be ailment that i am suffering from?is it chyleurea or proteinurea?will it be completely curable?And what can be the diet that i should take?

Doctor

A:   Hello
Welcome to Ask The Doctor.
You are suffering from Nephrotic Syndrome, FSGS variant.
In most of the cases it is Idiopathic. However, we should evaluate, Tuberculosis, Hepatitis B and C, Autoimmune diseases.
Treatment is mainly with steroids.
Usually treatment is given for 6 months. Once remission is achieved, steroids are tapered and withdrawn.
As far as diet is concerned, you should not take high protein diet. Protein intake should be kept in moderation.

I hope it helps.
Stay Healthy.

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