Conditions and Treatments

Nephrotic Syndrome (Children) - Other Information

What is relapse of Nephrotic Syndrome?

A relapse is the reappearance of proteinuria 3+ for >3 consecutive days or proteinuria with or without evidence of body swelling.

Over 70% of patients may relapse. Your child may be restarted on Prednisolone when he/she is in relapse.

How can I help my child after discharge from hospital?

Lifestyle:

Avoid high salt and high caloric food when on daily dose of prednisolone, particularly processed food, junk food, gravy and sauces.
Active daily lifestyle with no activity restriction when they are in remission (no proteinuria and no swelling) but avoid crowded area as there is increased risk of infection.
Fluid intake as per your doctor’s advice.

Monitoring:

Check your child’s urine with urine dipstick every morning (see appendix).
Record the urine protein result on Nephrotic Diary every day.
Record your child’s condition on the comments column available, if unwell eg. flu, diarrhoea etc.

Vaccinations:

Please consult your doctor when there is a need for vaccinations.