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Doctor insights on: In Lupus Patients Do They Have Foul Smelling Urine

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I have lupus so my body does crazy things. I was seen yesterday for stomach cramps and back pain. They said it was a uti, they will call in abt when c&s comes back. Now, I have severe stomach cramps, diarrhea, foul smelling urine and diarrhea, as well as

I have lupus so my body does crazy things. I was seen yesterday for stomach cramps and back pain. They said it was a uti, they will call in abt when c&s comes back. Now, I have severe stomach cramps, diarrhea, foul smelling urine and diarrhea, as well as

Common illness: When you have a chronic disease, the question of whether it's an ordinary infection or a problem with your medication or your illness is troubling. Call your doctor and let her know you are worse, with new symptoms and to follow up on pending tests. Meanwhile, keep up with frequent water, soup, some crackers and rice to help with hydration. ...Read more

Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


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What does 2+ protein in urine mean in relation to lupus?

What does 2+ protein in urine mean in relation to lupus?

Need more info: It may mean nothing or it may be significant. You need 24 hour urine collections to quantitate to amount of protein excreted as well as a precise measurement of kidney function. You also need an examination of the urine sediment to look for abnormalities there. Speak with your rheumatologist. ...Read more

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Urine smells like viatmins and has particles in it. I'm not on any medication at all. I do have lupus. Upper quadarants on left and right hurt.

Warrants a visit: To your doctor, for evaluation of your kidneys, Urinalysis and other blood tests may be needed, meanwhile please push oral fluids to flush your urinary tract, and painkillers, but see your doctor ASAP, best wishes ...Read more

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For past year, my urine has showed moderate or 1+ blood but NO RBC. I have lupus but no organ involvement. Now shows moderate blood &trace ketones.??

For past year, my urine has showed moderate or 1+ blood but NO RBC. I have lupus but no organ involvement. Now shows moderate blood &trace ketones.??

First attack work up: Need complete work up of urinary tract from kidney to ureter to bladder. Workup usually involves kidney sonogram, tests of the ureter, bladder. Kidney stones are common. Kidney disease can be diagnosed, but may need actual kidney biopsy. ...Read more

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I have lupus. No organ involvement. My urine often shows 1+ or moderate blood but usually no RBC. What could be the cause of this? My doc isn't sure

I have lupus. No organ involvement. My urine often shows 1+ or moderate blood but usually no RBC. What could be the cause of this? My doc isn't sure

Nephropathy: Please have your physician get a renal ultrasound, test your kidney function, get a 24 hour urine evaluation and obtain a repeat urine analysis and bacterial culture. ...Read more

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Have mild lupus. Urine dip showed moderate blood. Otherwise normal. I have also very well controlled interstitial cystitis. Should assume it's from the IC?

Have mild lupus. Urine dip showed moderate blood. Otherwise normal. I have also very well controlled interstitial cystitis. Should assume it's from the IC?

Hematuria: Its to find out if the source of blood in urine is kidneys or bladder. You just ask for microscopic exam of urine. RBCs from kidney in the urine are deformed or form castes or rouleaux. It's not so if the source of those red blood cells is bladder. ...Read more

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Can I have lupus with blood in urine?

Can I have lupus with blood in urine?

Yes: Blood in urine can be many, many things, lupus being one of them. Lupus is not a common cause, would check with your doctor. ...Read more

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Ana positive 160 poss mtcd w/o lupus markers. What can cause 300 mg/dL lambda 200 lambda if no paraprotein? Check igd/e? Urine spot lambda bjp found

Ana positive 160 poss mtcd w/o lupus markers. What can cause 300 mg/dL lambda 200 lambda if no paraprotein? Check igd/e? Urine spot lambda bjp found

BJP: Bence Jones proteins, light chain, occur in multiple myeloma, lymphomas/chronic leukemias, monoclonal gammopathy of undetermined significance which can go on to myeloma at the rate of only 1%/yr -small risk), amylodosis, cryoglobunemia, Autoimmune disease can give false positive. Check IFE & bone marrow

http://www. Livestrong. Com/article/372234-about-multiple-myeloma-and-bence-jones-protein/ ...Read more

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Been having what I thought was blood in my urine so I took a dip stick test at DR's. Came back with small amount of bilirubin in it. Doctor told me my test results are normal. I feel tired a lot. Should I not be concerned? I have history of Lupus.

Been having what I thought was blood in my urine so I took a dip stick test at DR's. Came back with small amount of bilirubin in it. Doctor told me my test results are normal. I feel tired a lot. Should I not be concerned? I have history of Lupus.

Bilirubin in urine: Not knowing your entire clinical situation, I can offer that bilirubin in the urine might suggest an issue with the liver and/or surrounding structures. Some relevant blood testing and an ultrasound of the upper abdomen would be a helpful starting point to figure this out. ...Read more

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Do I have lupus? Posisitve ana with a titer of 1:40 homogenous plus a elevated crp level 1.2 also protein in the urine.

Do I have lupus? Posisitve ana with a titer of 1:40 homogenous plus a elevated crp level 1.2 also protein in the urine.

Lupus.: Unlikely, but you need a proper workup including quantification of proteinuria and presence of other lupus symptom. Your ANA level is slightly high which is nonspecific. You should see a nephrologist if you are concerned about LUPUS. ...Read more

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Sle pt w/ flare in july. Hosp. Had dark brown urine but dr said kidneys ok. Recently GFR is 43. Could this be from plaquenil/cellcept/pred or lupus?

Sle pt w/ flare in july. Hosp. Had dark brown urine but dr said kidneys ok. Recently GFR is 43. Could this be from plaquenil/cellcept/pred or lupus?

See Nephrologist: Early detection and treatment of sle kidney is very important to prevent damage to the kidneys. Creatinine may be normal at certain stages/ types of kidney disease in sle. It is best to be evaluated by a nephrologist. ...Read more

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Crp 0.4 but hs-crp showing 8.5 in the same week. Any explanation? Can spondylitis or lupus cause monoclonal light chain in urine lambda type? K/l 1.5

Crp 0.4 but hs-crp showing 8.5 in the same week. Any explanation? Can spondylitis or lupus cause monoclonal light chain in urine lambda type? K/l 1.5

Many issues: CRP is measured in mg/dL and hsCRP is measured in mg/L. if the later is converted to CRP, the two values would be 0.4 and 0.8 and that is not that great a difference. K/L ratio of 1.5 is normal. The autoimmune disorders you mentioned may have an oligoclonal pattern and could result in monoclonal lambda chain in urine, without there being any cancer. About 10% of people your age have a benign monoclonal gammopathy. ...Read more

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Is moderate amount of blood in urine with no bacteria an indication of lupus?

Is moderate amount of blood in urine with no bacteria an indication of lupus?

Not really: It indicates that you have hematuria. There are many things that can cause hematuria- from infection, inflammation, stones, problem with kidney itself-likenephritis, nephrotic syndrome, etc. You need to have more eval like a ct scan, and need to see a urologist or nephrologist depending on what is the cause/problem. ...Read more

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I have lupus recently I have been diagnosed with trace blood in urine. Would this more likely be a urology or nephrology issue?

I have lupus recently I have been diagnosed with trace blood in urine. Would this more likely be a urology or nephrology issue?

Nephrology: I would suggest seeing a nephrologist first and get a full work up if the kidneys are involved due to SLE. The nephrologist in most cases will determine if a urology input is needed. ...Read more

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Have lupus & moderate microscopic blood on the past 3 UAs this year. No RBC in urine. Trace ketones. Normal blood RBC count. MD didn't seem concerned.

Have lupus & moderate microscopic blood on the past 3 UAs this year. No RBC in urine. Trace ketones. Normal blood RBC count. MD didn't seem concerned.

Trust your doctor: S/he knows your case, and would interpret the findings in the context of the clinical situation and degree of control/symptoms, if any. Keep the the follow up and take your medicines as prescribed. Although a second opinion is your right, but you need to have full evaluation with good history and physical examination, not suitable on this platform, wish you all the best ...Read more

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I had a positive ANA test and many symptoms of Lupus. I have several old tests that show WBC/RBC, protien, in urine. ANA is neg now but still symptoms?

Follow it for now: Lab results may be in error, especially with the ANA, but in lupus there's almost always a high one at some time. You've listed "heart failure / condition" and as a young adult, you have a responsibility to find out exactly what's with your heart before we go looking for lupus. There is no magic bullet for lupus, and the real question is, "How much do we need before we treat? " ...Read more

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Having protein in urine due to lupus. Does drinking protein shakes (to gain muscle for exercise) affect the protein activity?

Having protein in urine due to lupus. Does drinking protein shakes (to gain muscle for exercise) affect the protein activity?

Doubtful: It is related to your disease activity. However if there is impairment in kidney function, you should limit the protein intake. ...Read more

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I have stable lupus. My urine often shows 1+ or moderate blood but no RBC. No my my menstrual cycle. My MD said he'll monitor. Possible causes?

I have stable lupus. My urine often shows 1+ or moderate blood but no RBC. No my my menstrual cycle. My MD said he'll monitor. Possible causes?

Nephritis: Lupus is known to cause inflammation in the kidney and that can result in blood in urine. It is good that you are under the care of a doctor. You may consult this site and address the matter with your doctor.
http://www. Lupus. Org/answers/entry/lupus-and-kidneys ...Read more

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Have lupus. Have had persistent moderate blood in urine (no RBC) for yrs with no known cause. Now have microscopic hematuria (+2-5), with trace protein?

LUPUS: It certainly sounds like prompt follow-up with one of your doctors would be in order; preferably your rheumatologist. If that follow up appointment is going to be delayed, then make an appointment with your primary care Doctor Who can initiate some further testing and evaluation. ...Read more

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Have lupus & moderate microscopic blood all UAs this year. No RBC in urine. Trace ketones. Normal blood RBC count. MD Just said he'd monitor. For what?

Have lupus & moderate microscopic blood all UAs this year. No RBC in urine. Trace ketones. Normal blood RBC count. MD Just said he'd monitor. For what?

Kidney: Involvement is unfortunately a common complication of Lupus and RESPONDS very nicely in MOST cases to corticosteroid Treatment (Cortisone) This is best done when the involvement is "caught" early on! THUS...THE MONITORING!

Hope this helps
BE WELL!
Dr Z ...Read more