Question
My child developed nephritis due to tonsillitis, which recurred after a cough. After taking medication myself, the problem seemed to be temporarily resolved. However, half a month later, allergic symptoms appeared on the face, with red cheeks and facial swelling. After visiting the hospital, blood in the urine (red blood cells 227, hemoglobin 3+) was found; I was on intravenous fluids for a week. The red blood cell count dropped to 63, and hemoglobin to 2+. The doctor did not continue the intravenous fluids, but prescribed ceftriaxone and Pudendal Blue for a week. The next check still showed hemoglobin 2+, no red blood cells, and the doctor suggested drinking more water. But yesterday’s test still showed hemoglobin 2+, no improvement. I visited a traditional Chinese medicine doctor (Wang Gang at Nanjing Dabao Kidney Hospital) yesterday. The doctor prescribed traditional Chinese medicine (42 days), but I haven’t continued taking the medication. What should I do?
Answer
On November 18, 2010, a child experienced tonsillar hemorrhage after a cough, which might have been caused by acute glomerulonephritis due to tonsillitis infection. Streptococcal infection can lead to symptoms 1-3 weeks later, accompanied by a decrease in serum C3, with the condition gradually improving to complete recovery within 8 weeks. Treatment mainly involves rest and symptomatic therapy, gradually increasing activity after visible hematuria returns to normal. A low-sodium diet (less than 3g) and high-quality protein (animal protein) diet are recommended. At the beginning of the illness, intravenous penicillin for 10-14 days (alternatives for allergic individuals include macrolides) is used to treat the infection focus. For hematuria 2+, timely follow-up is required. Children have stronger self-repair capabilities; therefore, it’s advisable not to take medication.