Treatment depends on the cause of the disorder, and the type and severity of symptoms. Controlling high blood pressure is usually the most important part of treatment.
Medicines that may be prescribed include:
Blood pressure drugs, most often angiotensin-converting enzyme inhibitors and angiotensin receptor blockers
Drugs that suppress the immune system
A procedure called plasmapheresis may sometimes be used for glomerulonephritis caused by immune problems. The fluid part of the blood that contains antibodies is removed and replaced with intravenous fluids or donated plasma (that does not contain antibodies). Removing antibodies may reduce inflammation in the kidney tissues.
You may need to limit salt, fluids, protein, and other substances.
People with this condition should be closely watched for signs of kidney failure. Dialysis or a kidney transplant may eventually be needed.
You can often ease the stress of illness by joining support groups where members share common experiences and problems.
Glomerulonephritis may be temporary and reversible, or it may get worse. Progressive glomerulonephritis may lead to:
Charles Silberberg, DO, private practice specializing in nephrology, affiliated with New York Medical College, Division of Nephrology, Valhalla, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.