Paediatric Nephrology Specialist

Nephrotic Syndrome Treatment & Glomerular Diseases

Comprehensive medical management for childhood proteinuria, periorbital swelling, and glomerulonephritis.

Nephrotic syndrome causes the kidney filtration units (glomeruli) to leak massive amounts of albumin into the urine, resulting in facial puffiness, abdominal swelling (ascites), and low blood protein levels. We specialize in evidence-based steroid induction, steroid-sparing immunosuppressive therapy, home urine monitoring protocols, and relapse prevention.

Common Symptoms & When to Consult

Signs and clinical presentations evaluated by our pediatric team

Swelling around the eyes (periorbital edema) that worsens after waking
Swelling in the feet, ankles, and abdomen (ascites)
Marked decrease in urine volume and frothy or foamy urine
Unexplained rapid weight gain due to retained fluid
Lethargy, irritability, and decreased appetite

Diagnostic Workup & Clinical Evaluation

Precision testing protocols avoiding unnecessary invasive tests

1

Urine Dipstick and spot Urine Protein-to-Creatinine Ratio (UPCR)

2

Serum Albumin, Total Protein, and Serum Lipid Profile (Hypercholesterolemia)

3

Kidney function tests (Serum Creatinine, Blood Urea) and serum electrolytes

4

Complete blood count (CBC) to screen for hemoconcentration and thrombotic risk

5

Screening for secondary causes and complement levels (C3, C4, ANA, ASOT)

Treatment & Therapeutic Protocols

Evidence-based, child-safe management strategies

Standard international steroid induction therapy (Oral Prednisolone) with planned taper

Comprehensive home urine dipstick albumin testing training for parents

Management of Steroid-Dependent (SDNS) and Frequently Relapsing (FRNS) courses

Judicious introduction of second-line steroid-sparing agents (Levamisole, MMF, Calcineurin inhibitors)

Salt-restricted dietary guidance and judicious diuretic usage to alleviate severe edema

The Pravas Care Guarantee

Protocol-driven care designed to minimize cumulative steroid side effects
Clear home relapse management protocols empowering parents to act quickly
Zero unnecessary hospitalizations through structured outpatient monitoring
Strict infection prevention guidelines during active nephrotic relapse
Physician's Clinical Perspective
“Meticulous daily urine dipstick tracking during morning first-void urine allows parents to catch relapses at trace protein levels before significant edema sets in.”
Dr. Pratima VermaMBBS, MD Pediatrics • MRCPCH (UK)

Frequently Asked Questions

Is nephrotic syndrome curable?

Steroid-sensitive nephrotic syndrome typically goes into remission with treatment. Although relapses can occur in childhood triggered by colds or viral fevers, the vast majority of children outgrow the condition as they enter adolescence without long-term kidney damage.

Can my child attend school during treatment?

Yes, once protein spillage clears and swelling resolves, children can resume normal school and physical activities. Precautions are taken to avoid exposure to active infections while on immunosuppression.

Consultation Desk

Kondapur, Hyderabad

ConsultantDr. Pratima Verma
QualificationsMRCPCH (UK)
Wait TimesSame-Day Priority
Book Appointment OnlineCall 077023 45996

Clinic Location

Shop no 1, above Karachi Bakery, Narsingi, Hyderabad, Telangana 500089.

Hours (Mon - Sat):9:00 AM – 8:00 PM