The severity of chronic nephritis is not evaluated primarily by urinary occult blood; urinary occult blood 3+ may or may not be serious. The severity of the lesion depends mainly on the type and severity of renal pathology.
The main symptoms of chronic nephritis are hypertension, proteinuria and edema, in addition to hematuria. The main treatments are blood pressure control, dietary restriction of protein and phosphorus intake, and the need to be careful to avoid exertion or aggravation with nephrotoxic drugs (such as aminoglycoside antibiotics).
Chronic nephritis condition is prolonged, the lesions are slowly progressing, the rate of progression of lesions varies greatly among individuals, depending on the type and severity of renal pathology, whether to take effective measures to slow down the progression of renal function, whether the treatment is appropriate, and whether to avoid various risk factors, etc. If the pathology is mild, the urinary bladder is not as severe as in other cases.
If the pathology is mild, urine occult blood is only 3+, no proteinuria, tubular urine, and there is no clinical comorbidity, such as hypertension, and after active and effective treatment, the condition is mild, the development is slow, and the patient may not develop renal failure until the end of his/her life.
If the patient’s pathology is more serious, urinary occult blood 3 + combined with a large amount of proteinuria, hypertension, etc., then the condition is more serious, the development is faster, can develop into uremia, and ultimately need renal replacement therapy.
Patients with chronic nephritis are advised to consult regular hospitals and standardize treatment under the guidance of physicians.