What to do if i have 4, 000+ protein in my urine and have very little swelling. what's going on with my kidneys?

Nephrologist asap: 4000+ protein in your urine is very elevated by all measures and indicates that your kidney is compromised. You do need to see a nephrologist as soon as possible or your PCP in other to get your kidneys evaluated and at a minimum your electrolytes need to be checked.

Proteinuria: go to this web site for causes of proteinuria http://www.webmd.com/a-to-z-guides/proteinuria-protein-in-urine. You need to get a work up to sort out which is the cause. You cannot ignore this finding. Hypertension and diabetes are the most common causes.

Proteinuria Rx: Treatment of proteinuria (P) depends on its cause. Some glomuerlonephritis (G) cases are treated with steroids and other agents to reduce P. Patients with diabetic nephropathy causing P are treated with ace-i, arb's and non-dhp calcium channel blockers. These also reduce BP which ameliorates P. See a nephrologist for some blood work to see if you have diabetes or G causing your P. Good luck.