What medicine should be taken for chronic nephritis and diarrhea?
Chronic nephritis is a common kidney disease in which patients often experience digestive symptoms such as diarrhea (diarrhoea). Diarrhea not only affects the quality of life, but may also increase the burden on the kidneys. Therefore, rational selection of drugs is crucial. This article will combine the hot topics and hot content on the Internet in the past 10 days to provide diarrhea medication suggestions for patients with chronic nephritis.
1. Common causes of diarrhea in patients with chronic nephritis
Diarrhea in patients with chronic nephritis may be related to the following factors:
| reason | illustrate |
|---|---|
| drug side effects | Some kidney disease treatments (such as immunosuppressants) may cause diarrhea |
| Intestinal flora imbalance | Intestinal microbial imbalance caused by long-term antibiotic use or renal insufficiency |
| uremic toxin | In kidney failure, accumulation of toxins irritates the intestines |
| Improper diet | Excessive intake of high-potassium, high-phosphorus foods or foods that are difficult to digest |
2. Principles of medication for chronic nephritis and diarrhea
1.Avoid nephrotoxic drugs: Choose antidiarrheal drugs that have less impact on the kidneys
2.Symptomatic treatment:Select drugs according to type of diarrhea (infectious/non-infectious)
3.Pay attention to electrolyte balance: Patients with chronic nephritis are prone to electrolyte imbalance
4.Seek medical attention if necessary: Severe diarrhea requires prompt medical treatment
3. List of recommended drugs
| drug type | Representative medicine | Applicable situations | Things to note |
|---|---|---|---|
| adsorbent | Montmorillonite powder | Various types of diarrhea | Almost no nephrotoxicity and safe to use |
| Microecological preparations | Bifidobacterium triple live bacteria | dysbiosis diarrhea | Need to be separated by 2 hours between antibiotics |
| antidiarrheal medicine | Loperamide | non-infectious diarrhea | Reduce dosage in patients with renal insufficiency |
| Chinese patent medicine | Shenling Baizhu Powder | Spleen deficiency type diarrhea | Need to use traditional Chinese medicine for syndrome differentiation |
4. Dietary conditioning suggestions
1.low protein diet: Reduce the burden on the kidneys, but ensure the intake of essential amino acids
2.hydration: Prevent dehydration, but the total amount needs to be controlled (adjusted according to urine output)
3.easily digestible food: Such as rice porridge, noodles, etc.
4.avoid irritating foods: Spicy, greasy, raw and cold food
5. Answers to recent popular related questions
| Popular questions | Professional answers |
|---|---|
| Can I drink rehydration salt if I have chronic nephritis and diarrhea? | Be careful. Rehydration salts contain sodium and potassium, which may increase the burden on the kidneys. It is recommended to use them under the guidance of a doctor. |
| Do antihypertensive medications need to be adjusted during diarrhea? | Diarrhea may lead to hypovolemia, so blood pressure needs to be monitored and dosage adjusted if necessary by consulting a doctor. |
| Are probiotics effective for nephritis and diarrhea? | It is effective for dysbiosis diarrhea, but it is necessary to choose preparations that do not contain potassium and phosphorus. |
6. When Do You Need Medical Treatment?
You should seek medical treatment promptly if the following situations occur:
1. Diarrhea that persists for more than 3 days without relief
2. Obvious symptoms of dehydration (thirst, oliguria, fatigue)
3. Blood or pus in the stool
4. Accompanied by high fever or severe abdominal pain
5. Renal function indicators deteriorate significantly
7. Preventive measures
1. Standardized medication use: Take medications as directed by your doctor and do not adjust medication dosage without authorization
2. Food hygiene: avoid unclean food and prevent infectious diarrhea
3. Regular review: monitor kidney function and electrolyte levels
4. Moderate exercise: enhance physical fitness and improve gastrointestinal function
When patients with chronic nephritis experience diarrhea, kidney function and the cause of diarrhea should be comprehensively considered and drugs should be selected rationally. The suggestions provided in this article are for reference only. Please be sure to consult a professional doctor for specific medication. At the same time, maintaining good living habits and dietary structure can help reduce the occurrence of diarrhea and maintain kidney health.
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