Category Archives: Proteinuria

I have CKD caused by undiagnosed high blood pressure. My gfr 40 just gone down to 32. Urine test shows protein. What can I do?

You should have careful follow up of your high blood pressure. You have protein in your urine (proteinuria) and this should be treated with an ACE-inhibitor or ARB agent.  Your blood pressure should be less than 130/80. You should follow … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Proteinuria

Hello Doctor, I am age 39 years. I am living in Denmark from May 2015 but I am originally from India. My urine report says that I have protein in my urine. I have undergone 4 tests from May 2018 onwards till now. My father was having kidney disease and high blood pressure and he died to kidney failure at age of 78. My elder brother is of 49 years and both of his kidneys have failed and he is on dialysis from December 2016 onwards. This is the reason I am worried. I read on internet and found that protein in urine because kidney is unable to filter it out from blood. If protein in urine comes for 4 consecutive times at interval of each month, it means there is some problem with kidney. I also suffer from high blood pressure and I take following medicine every day once: 1. Tolura 80 mg (Telmisartan) 2. Simvastatin 40 mg. I was taking above medicine as advised by Indian doctor from 2013 onwards and doctor in Denmark continue the same medicine. Doctor in Denmark increased the dosage of Tolura from 40 to 80 from June 2018 onwards and told me that it will help kidney to work fine. I had a blood and Urine test today i.e. 15.08.2018. The report says that protein level have been increase from last time so increasing dosage from 40 to 80 mg is not helping. I believe there is something wrong with my kidney. I talked to my doctor here and they said that if protein level is 750 or above or it increase by 5 every year than I should see the kidney specialist. I think they are waiting to happen something and then they will start the treatment. I feel prevention is better rather than waiting to fail. My own or regular doctor is a general physician. Can you please suggest what should I do? How to find the actual cause of protein in urine? Which test can find it out? I have attached the blood and Urine report here. The reports are as per Danish laboratory standard but it is understandable.

I am unable to accept any records or attached reports. The treatment of low levels of protein in the urine is to control blood pressure and use agents that are either ACE-inhibitors or ARB agents. The Telmisartan that you are … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney Biopsy, Kidney-Related Health Questions, Proteinuria

I a 48 year old caucasian male, diagnosed with Stage 3 CKD in 2017, biopsy confirmed IgAN in January of this year, was started on Prednisone and SoluMedrol for 6 months. With two more weeks of Prednisone treatment. For the first time in 18 months I have no Hemoglobin or RBC in my urine. However, my creatinine level has remained around 1.6 and my GFR is 47, it was 46 at the beginning of treatment in January. Is the resolving of hematuria (given no appreciable improvement in GFR) reason to celebrate? Or with no improvement in GFR has Prednisone not worked for me? I have not had an issue spilling protein, until I convinced my nephrologist to allow me to suspend Lisinopril for 2 months. Once I restarted the 10mg of Lisinopril my protein spillage resolved. I have read that hematuria and proteinuria are bad prognostic predictors for progression of IgAN towards ESRD. I remain hopeful with these resolved, however am confused why my eGFR or creatinine are not also showing improvement.

In the case of glomerulonephritis and in the specific case of Immunoglobulin A nephropathy (IgA nephropathy), once glomeruli have been destroyed by disease, it may not be possible to repair old ones and it is NOT possible to build new … Continue reading

Posted in Ask the Doctor, GFR, Glomerulonephritis, Hematuria, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Proteinuria

I have proteinuria (1mg) during urine dip test. High blood pressure for which I am taking Losartan. I also have high uric acid and sometimes experience Gout attacks. I am also over weight. How can I treat proteinuria?

The Losartan that you are taking is an Angiotensin Receptor Blocker (ARB) and helps to decrease protein in the urine (proteinuria). Your blood pressure should be well controlled with a reading less than 130/80. If you are doing all of … Continue reading

Posted in Ask the Doctor, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Proteinuria

Hello, I have been recently diagnosed with F.S.G.S. My Doctor is always very positive about everything avoiding straightforward answers (which is common in my side of the world). Protein in the urine has become 1700 mg / l (24 hour test) Creatinine has become 1.4. Both figures are more than few months ago. How can I understand better my FSGS stage? Are these figures indicative and relevant? Is there any particular way to know the progress (I mean deterioration) of my health situation (disease)?

Focal segmental glomerulosclerosis (FSGS) is a scarring disease of the kidney. There are many causes but treatments have not been very effective. The diagnosis is based on findings on a kidney biopsy and there are at least six different classifications … Continue reading

Posted in Ask the Doctor, FSGS, GFR, Kidney Failure, Kidney-Related Health Questions, Proteinuria, Serum Creatinine, Transplantation

My proteinuria is 0.12 g/day. Is this normal or abnormal. I want to know about precautions.

The normal amount of protein in the urine (proteinuria) is less than 0.2 grams per day. For detection of chronic kidney disease (CKD), we recommend annual testing for kidney disease by have a blood test for creatinine and calculating an … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Proteinuria, Serum Creatinine

Hello sir, I have a kidney problem. I have had proteinuria for a few years now. My question is what are the consequences of proteinuria and I want to go abroad for study. As I am having a problem in my kidney, can I be eligible for foreign study? Thank you.

I am not aware of the criteria used to select individuals for foreign study. Excess protein in the urine (proteinuria) commonly suggests some form of kidney disease. I do not know what this would mean as far as being selected … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Proteinuria

Do you have any insight on Loin Pain Hematuria and its correlations with IGa Nephropathy?

Loin Pain Hematuria syndrome is a collection of symptoms that include microscopic and rare macroscopic blood in the urine (hematuria) associated with bouts of flank and back pain but the kidney is normal on biopsy. With IgA nephropathy, blood can … Continue reading

Posted in Ask the Doctor, Hematuria, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions, Proteinuria

I recently went to my GP for livedo reticularis in my legs that wouldn’t go away and was actually painful for a couple days with very cold feet. That with some other symptoms had me wondering about an auto immune condition. She has referred me to rheumatology but that isn’t until next month. I did however have an ANA done while I wait for my apt and it was negative. My GP did a CBC,CMP and urine. The only things abnormal are that I’m mildly anemic and I had 1+ protein in my urine. My serum Bun and creatinine were fine. Out of curiosity I have been checking it at home with urine dipsticks and almost every day I have had anywhere from trace protein to 3+. It’s usually in the 1-2+ range. I think only two mornings out of the last three weeks it has been negative. I fully plan on just bringing this up at my next apt but I did want to ask if I should be more concerned about this. Can energy drinks have this effect? I do unfortunately drink about 3 per day because I am so exhausted and work long shifts. My blood pressure is always fine when I check it.

I do not think energy drinks would be associated with increased protein in the urine.  I am unable to make a specific diagnosis based on the information that you present.  You may need further testing to see determine the precise … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Proteinuria

Is there any treatment for proteinuria?

Excess protein in the urine (proteinuria) has many causes. The first thing to do is to make a specific diagnosis as to the cause of the proteinuria. In some cases, this may require a kidney biopsy. Once the cause of … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney-Related Health Questions, Nephrologist, Proteinuria