Oligomeganephronia Treatment & Management

Updated: Oct 04, 2018
  • Author: Pascale H Lane, MD; Chief Editor: Craig B Langman, MD  more...
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Treatment

Medical Care

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  • Medical care in patients with oligomeganephronia is supportive, including fluid and electrolyte balance, nutritional support, and management of the manifestations of chronic renal failure.

  • Treatment with angiotensin-converting enzyme inhibitors may be of benefit in slowing progression. [3, 4, 5]

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Consultations

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  • Once diagnosis of renal hypoplasia is suspected or established based on renal ultrasonography findings, refer patients to a pediatric nephrologist for ongoing management of chronic renal failure.

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Diet

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  • Dietary recommendations depend on the degree of renal functional impairment.

  • Most patients with oligomeganephronia have renal salt wasting and require no restriction of dietary salt or water.

  • As renal failure advances, potassium and phosphorus level balance may become problematic and require dietary restrictions.

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Activity

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  • In general, no restriction of normal activity is required. Advise patients with oligomeganephronia to maintain an active, healthy lifestyle.

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