How long does it take to cure acute nephritis?

Written by Li Liu Sheng
Nephrology
Updated on June 26, 2025
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Acute nephritis is commonly seen in children. About 1 to 3 weeks before the onset of acute nephritis, many patients have a history of infections in the throat, upper respiratory tract, or skin. Once acute nephritis occurs, the symptoms typically include obvious signs such as hematuria, edema, and high blood pressure. In severe cases, renal dysfunction may also occur. How long does it take to cure acute nephritis? The duration largely depends on the severity of the patient's condition and the timeliness of the treatment. Most patients with acute nephitis can be cured in about two to three weeks with appropriate treatment. That is to say, after two to three weeks of treatment, the patient's hematuria will disappear, the edema will subside, and the blood pressure will return to normal. At this point, the patient can get out of bed and move around indoors.

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Written by Zhou Qi
Nephrology
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Can acute nephritis patients eat red dates?

In cases of acute nephritis, it is recommended that patients avoid eating red dates. During the acute phase of acute nephritis, there is severe inflammatory reaction in the glomeruli of the patient, and the extensive cellular proliferation may affect the filtration barrier of the glomeruli. If the glomeruli cannot filter blood, it leads to the accumulation of metabolic waste in the body, reduced urine output, and also affects the regulation of electrolytes and acid-base balance. Therefore, patients with acute nephritis may experience kidney failure and hyperkalemia, among other issues. Red dates contain a high amount of potassium ions, making them a high-potassium food, especially dried dates, which are even richer in potassium ions. Therefore, in cases of acute nephritis, especially if the patient has renal failure, it is advised to avoid eating red dates.

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Written by Li Liu Sheng
Nephrology
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Acute Nephritis Pathological Characteristics

The pathological features of acute nephritis include enlarged kidneys, and under the light microscope, there is diffuse proliferation of glomeruli, capillary endothelial cells, and mesangial cells. During the acute phase, there can be infiltration of neutrophils and mononuclear cells. In severe cases, constriction or occlusion of the capillary loops occurs, and the renal interstitium has edema and infiltration of inflammatory cells. Under immunofluorescence, there are deposits of IgG and C3 appearing as granular deposits along the glomerular capillary walls and mesangial areas. Under electron microscopy, there are hump-shaped electron-dense deposits beneath the glomerular epithelium. Acute nephritis is commonly seen in children, characterized by a sudden onset and symptoms such as hematuria, increased urinary protein, edema, and elevated blood pressure, even transient renal function decline may occur.

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Written by Hu Lin
Nephrology
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Symptoms of acute nephritis.

The symptoms of acute nephritis are mainly manifested as acute nephritic syndrome, that is, hematuria, proteinuria, edema, hypertension, and transient acute kidney injury. Hematuria is a symptom present in almost all cases of acute nephritis, but it is mostly microscopic hematuria, meaning during examination, the routine urine analysis shows positive occult blood, or red blood cells are found in the urinary sediment. About 40% of the patients may exhibit gross hematuria, where the urine color appears like wash-water or may be bright red, deep tea-colored, and so on. The second symptom is proteinuria, which is also often indicated by a positive urine protein test during routine checks. The third symptom is edema, an early symptom of acute nephritis. Mildly, it presents as swelling of the eyelids in the morning and can spread to the whole body if severe. The fourth symptom is hypertension, with about 80% of patients showing a moderate increase in blood pressure. In severe cases, patients might experience oliguria, with urine output less than 400ml/d, accompanied by transient mild increases in blood creatinine and urea nitrogen, indicating acute kidney injury. This condition is mostly self-limiting, and many patients can recover within a few weeks.

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Written by Zhou Qi
Nephrology
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Is acute nephritis contagious?

Acute nephritis is not contagious. Although acute nephritis often follows a history of streptococcal infection, when such streptococci infect the human body, they can cause an immune complex reaction, which circulates through the bloodstream to the kidneys causing inflammation. Furthermore, these streptococci can have a cross-immune reaction with kidney tissue. These mechanisms together lead to diffuse proliferation of glomerular capillary cells, causing hematuria, proteinuria, and even renal failure. However, this condition generally is not contagious. Although this disease is related to streptococcal infection, these streptococci are mostly opportunistic pathogens and are unlikely to cause harm to people other than the patient, making it difficult to trigger a nephritis reaction again.

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Written by Li Liu Sheng
Nephrology
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How long does it take to cure acute nephritis?

Acute nephritis is commonly seen in children. About 1 to 3 weeks before the onset of acute nephritis, many patients have a history of infections in the throat, upper respiratory tract, or skin. Once acute nephritis occurs, the symptoms typically include obvious signs such as hematuria, edema, and high blood pressure. In severe cases, renal dysfunction may also occur. How long does it take to cure acute nephritis? The duration largely depends on the severity of the patient's condition and the timeliness of the treatment. Most patients with acute nephitis can be cured in about two to three weeks with appropriate treatment. That is to say, after two to three weeks of treatment, the patient's hematuria will disappear, the edema will subside, and the blood pressure will return to normal. At this point, the patient can get out of bed and move around indoors.