Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment questions for doctor specialist Home Care cough in adults cough in children diet warning signs Outlook Underlying Cause Types Anatomy

Goodpasture's Syndrome Home Care

Home care for Goodpasture's syndrome includes:

  • Drink plenty of liquids.
  • Eat a kidney disease diet.
    • As directed by your doctor
  • Take cough medication that contains dextromethorphan.
  • Take your prescribed medications as directed:
    • Don't skip doses of your medication. This makes them less effective.
    • Avoid running out of your medication. Refill your prescriptions early.
    • Don't stop taking your medication just because you feel better.
    • If you feel worse, talk to your doctor before you stop your medication.
    • Be aware of the common side effects that may be caused by your medication.
    • Do not stop prescription medications without talking to your doctor.
  • Learn everything you can about Goodpasture's syndrome:
    • The more you know about your condition, the easier it will be to participate with your doctor in making treatment decisions.
    • Ask your doctor about good sources for information.
    • Write down questions to ask your doctor.

Goodpasture's Syndrome Cough in Adults

Home treatment of a cough in adults with Goodpasture's syndrome includes:

  • Avoid respiratory irritants, such as pollution, pollen, mold, dust and chemical fumes
  • Change A/C and furnace filters regularly.
  • Do not smoke and avoid exposure to secondary smoke.
  • Drink warm liquids to relieve coughing spasms.
  • Raise the head of your bed at night and sleep on your left side: this minimizes acid reflux.
  • Use throat lozenges.
  • Place a vaporizer or nebulizer in the bedroom at night.

Cough medications:

Cough medication precautions:

Goodpasture's Syndrome Cough in Children

Home treatment of a cough in children with Goodpasture's syndrome includes:

  • Avoid respiratory irritants, such as pollution, pollen, mold, dust and chemical fumes
  • Change A/C and furnace filters regularly.
  • Avoid exposure to secondary smoke.
  • Drink warm liquids to relieve coughing spasms.
  • Use throat lozenges, but do not use them in children under 5 years of age.
  • Place a vaporizer or nebulizer in the bedroom at night.

Cough medicines:

Dosing Dextromethorphan
Childs WeightDextromethorphan Dose
22 lb (10 kg)5 mg every 8 hrs
33 lb (15 kg)7.5 mg every 8 hrs
44 lb (20 kg)10 mg every 8 hrs
55 lb (25 kg)12.5 mg every 8 hrs
66 lb (30 kg)15 mg every 8 hrs
88 lb (40 kg)20 mg every 8 hrs
110 lb (50 kg)25 mg every 8 hrs
132 lb-adult (60 kg)30 mg every 8 hrs

Cough medicine precautions:

Goodpasture's Syndrome Diet

It is important to follow a healthy diet if you have Goodpasture's syndrome.

Kidney Disease Diet
A person with advanced kidney disease may need to follow a kidney diet.

General Dietary Restrictions
When the kidneys are not working normally, waste products build up in the bloodstream. Kidney dialysis removes waste from the bloodstream, while a kidney disease diet reduces the amount of waste that builds up in the bloodstream.

Calories
Calories are a measurement of the energy value of food. A healthy diet must give your body enough calories for your energy needs. Your doctor will provide guidelines for the number of calories that your diet should contain.

Fluids
When the kidneys are no longer functioning efficiently, fluids accumulate in the body. Fluid overload can cause congestive heart failure and fluid in the lungs. This can lead to difficulty breathing and swelling of the hands, legs and feet. People with kidney disease must limit the amount of fluid in the diet. Measuring your weight every day can allow you to identify weight gain caused by a diet that contains too much fluid.

Sodium
The balance of fluid in the body is regulated by sodium, which is in salt. Excessive amounts of salt in the diet can cause the body to retain water. Foods that contain large amounts of salt include canned food, processed meat and smoked meat, as well as foods with salt toppings, such as chips, pretzel or nuts. People with kidney disease must limit their sodium intake to 2 grams per day.

Potassium
Potassium plays a role in the function of nerves and muscles, including the heart. High potassium levels may cause muscle weakness and abnormal heart rhythms. Potassium is found in almost all foods. Your doctor will monitor your potassium level closely.

Protein
The body uses protein to make substances that regulate cell activity. Normally, protein byproducts are excreted in the urine as urea. Urea becomes toxic when it builds up in the bloodstream. People with kidney disease should consume no more protein than is needed by the body. Your doctor will provide guidelines for the correct amount of protein in your diet.

Calcium and Phosphorus
Calcium and phosphorus maintain healthy bones, muscles, and nerves. Renal disease can cause an imbalance between these minerals. People with kidney disease usually take calcium supplements, and reduce the amount of phosphorus in the diet.

Vitamins and Minerals
People with kidney disease may require vitamin supplements, but they should take these supplements only as directed by a doctor.

Goodpasture's Syndrome Warning Signs

Notify your doctor if you have Goodpasture's syndrome and any of the following:

Continue to Goodpasture's Syndrome Outlook

Last Updated: Feb 28, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Goodpasture's Syndrome References
  1. Ball JA, Young KR Jr. Pulmonary manifestations of Goodpasture's syndrome. Antiglomerular basement membrane disease and related disorders. Clin Chest Med. 1998 Dec;19(4):777-91, ix. [9917968]
  2. Shah MK, Hugghins SY. Characteristics and outcomes of patients with Goodpasture's syndrome. South Med J. 2002 Dec;95(12):1411-8. [12597309]
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