Recurrence of proteinuria more than 3+/4+ by dipstick testing, for 3 consecutive days with swelling constitutes a relapse. Prednisolone is given @ 2 mg/kg/day till urine protein is negative/trace for 3 consecutive days, followed by 1.5 mg/kg/day on alternate days for 4 weeks. Steroids are stopped without tapering.
During any relapse look for an infectious trigger. One can manage 2 to 3 relapses in a similar manner. After this refer to pediatric nephrologist.
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