Symptoms
By Mayo Clinic staffIgA nephropathy usually doesn't cause symptoms in the early stages. The disease can go unnoticed for decades and is sometimes first suspected when routine tests reveal protein and red blood cells in your urine.
Signs and symptoms of IgA nephropathy include:
- Cola- or tea-colored urine (caused by red blood cells in the urine)
- Repeated episodes of cola- or tea-colored urine, sometimes even visible blood in your urine, usually during or following an upper respiratory infection
- Pain in your side(s)
- Foam in the toilet water from protein in your urine
- Swelling (edema) in your hands and feet
- High blood pressure
- Low-grade fever
When to see a doctor
Make an appointment with your doctor if you notice blood in your urine. Urinary bleeding may not be serious if it occurs only occasionally. It may be caused by strenuous exercise and some foods and medications. But prolonged or repeated bleeding may indicate a medical problem and should always be evaluated. Also see your doctor if your urine is foamy or if you develop sudden swelling in your hands and feet.
- IgA nephropathy. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/iganephropathy/. Accessed Sept. 21, 2010.
- Nephrotic syndrome. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec17/ch235/ch235b.html. Accessed Sept. 22, 2010.
- Barrat J, et al. Clinical presentation and diagnosis of IgA nephropathy. http://www.uptodate.com/home/index.html. Accessed Sept. 15, 2010.
- Barrat J, et al. Pathogenesis of IgA nephropathy. http://www.uptodate.com/home/index.html. Accessed Sept. 15, 2010.
- Donadio JV, et al. IgA nephropathy. The New England Journal of Medicine. 2002;347:738.
- Cattran DC, et al. Treatment and prognosis of IgA nephropathy. http://www.uptodate.com/home/index.html. Accessed Sept. 15, 2010.
- Cheng J, et al. Efficacy and safety of glucocorticoids therapy for IgA nephropathy: A meta-analysis of randomized controlled trials. American Journal of Nephrology. 2009;30:315.
- IgA nephropathy. National Kidney Foundation. http://www.kidney.org/atoz/content/iganeph.cfm. Accessed Sept. 22, 2010.
- Anderson CF (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 23, 2010.


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