Category Archives: 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

I am a 29 y/o female (also a RN). I’ve been seeing a nephrologist for proteinuria and microscopic hematuria since March 2017. My spot Protein/creatinine ratio has increased from 300 to 620 mg since March. I began taking Lisinopril this summer and I am now titrated up to 10 mg/day. My p/c ratio has increased 200 mg since being on the med. Doctor said to decrease sodium intake (diet is admittedly poor) and increased the dose to 10 mg this last visit. Should renal biopsy be considered? I’m worried since protein levels continue to increase even with the ACEI.

I generally do not advocate kidney biopsy if your kidney function is otherwise normal (ie a normal estimated glomerular filtration rate -eGFR) and you have no blood in your urine. If the protein in the urine (proteinuria) is low grade … Continue reading

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

My son, 31 years old, has been diagnosed with membranous nephropathy in June. He had PE which he still has some clots. The doctors have him on an auto immune suppression drug and a steroid, which lowers his immune system and has had bouts with cellulitis in the last 5 weeks. Right now he is in the hospital with cellulitis. They have taken him off his diuretic and one of the antibiotics because of the damage it is doing to the kidneys. I’m at a loss. Do you have any insight about this and what can be done for him?

Membranous nephropathy (membranous glomerulonephritis) is a kidney disease that causes significant losses of protein into the urine (proteinuria) that leads to nephrotic syndrome. The nephrotic syndrome leads to fluid retention in the body with prominent swelling that results in swollen … Continue reading

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

Hello Doctor, The problem I am mentioning here is for my father. He is 62 years old and has both high blood pressure and diabetics. For the past couple of years, he is noticing foamy and bubbly urine and reached out to many hospitals in Hyderabad, India and went through many tests. All the tests showed he had protein loss, however all the doctors asked him to ignore it. For last 1 year, we are seeing increase of protein in his urine and he went to 24 hours urine examination test and results are shockingly high. Can you please help me with how to move forward with this? Test results : Urinary Protein show as 3780 Creatinine shows as 1148 Urine volume 2800 Protien / Creatinine ratio 3.29 Thank you!

The problem you are describing is one of protein in the urine (proteinuria) that is known as nephrotic syndrome. In most cases, the only way to make a specific diagnosis is to perform a kidney biopsy. There are many causes … Continue reading

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

I have been suffering IgA nephropathy about 30years. I am now 49 years woman. My disease is not severe, just protein and hematuria in my urine. I have ACE medicine, for keeping my blood pressure solid because I have no high pressure. I have read studies where it’s said, that they have found diet without gluten (maybe dairy and red meat too) has been useful and protein has decreased and the glomerulus has gotten better. Is it worth it to leave gluten and maybe dairy and red meat out on diet to help my kidneys?

There are many theories about the cause of IgA nephropathy that include dietary causes such as gluten and other foods in the diet (as you mention). These remain theories because no study has yet shown that adjusting the diet in … Continue reading

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

I have urine analysis report of Protein: 2+. RBC: 2-4cells/hpf. Squamous epithelium cells:2-4. Cast: Present. Blood: 1+. Specific Gravity: 1.025. F G C: 1-2/ipf . Urine PH: 5.5. Glucose : Negative. Ketone: Negative

The urine analysis that you present has more protein than normal in the urine (proteinuria). I suggest that you consult with your physician about further testing in regards to kidney disease. Advertisements

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Proteinuria

Hi. I have a proteinuria. Can you tell me about the diet which I can take in order to treat my disease. Regards.

Protein in the urine (proteinuria) does not tell me the cause of your kidney disease. Different forms of kidney disease may be treated very differently. If your kidney disease is relatively mild and your estimated glomerular filtration rate (eGFR) is … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, GFR, Kidney-Related Health Questions, Proteinuria

Hi – I have a non-specific chronic glomerular nephritis. My creatinine and BUN are within the normal range, but I have high proteinuria. My last 24 hr count totaled around 800 mg for proteinuria. I take enalapril and losartan. I am a 30 yr old with good health otherwise. I’m a runner and have signed up for my first marathon. I’m running 30-40 miles a week for training, which is higher than ever for me. Is this a bad idea with kidney disease? Should I just limit myself to lower mileage weeks/races? I don’t want to do further damage to my already slowly diminishing kidney function.

Physical activity, including marathon running, should not pose any threat to your kidneys as long as you maintain adequate hydration. As you train, you should weigh yourself before and after running. Adequate hydration would mean that you lose a small … Continue reading

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

Hi, My gfr has been low since 2012, with 50,70,60, and now 51. My doctor had me do the 24 hour collection. The gfr 51 L creatinine 1.1 and cr clr 69L. I do not know what cr clr is. His letter to me said, nothing significant. I’ve been reading and got a little concerned. Sometime’s my urine is foamy. What would be your recommendation? Thank you.

The creatinine clearance (Cr Clr) is another estimation of the glomerular filtration rate (eGFR).  It is just another way of trying to estimate kidney function.  A normal eGFR is greater than 60 milliliters per minute per 1.73 meters squared.  Hence, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Proteinuria, Risk factors