Doctor insights on:
Proteinuria In Children
Proteinuria means the presence of excess of serum proteins in the urine. The excess protein in the urine often causes the urine to become foamy. Up to 150 mg a day of protein may be excreted by a normal person most of this being tamm-horsfall protein. Between 150-300 mg/day may be considered microalbuminuria and greater than 300mg/day is abnormal and ...Read more
Very: Several percent of folks have it just from standing up ("orthostatic"). Vaginal contamination, a urinary tract infection, and serious kidney disease can all cause proteinuria; mild proteinuria below the ability of the strips to detect may be important in deciding how to manage a diabetic. ...Read more
Diagnosis first: Protein is expensive, it not be lost to the urine at the filtration stage in the kidney. Treatments are geared to lower intraglomerular pressure. Treatment specifics, and whether a renal biopsy are indicated, depend on the degree, presence of comorbid diseases (e.g. Hypertension, diabetes, hepatitis, lupus). ...Read more
Proteinuria: The most common cause of proteinuria caused by medications is nsaids, others are, nicotine, penicillamine, lithium carbonate, gold and other heavy metals, antibiotics, or opiates (especially heroin. Proteinuria can be caused by other things and is a symptom, not a diagnosis. Please see your doctor to be evaluated for its cause and treatment and tell him of the medications you are taking. ...Read more
Protein in urine: Proteinuria means the presence of excess of serum proteins in the urine. The excess protein in the urine often causes the urine to become foamy. Up to 150 mg a day of protein may be excreted by a normal person most of this being tamm-horsfall protein. Between 150-300 mg/day may be considered microalbuminuria and greater than 300mg/day is abnormal and needs to be investigated. ...Read more
Proteinuria: Proteinuria (p) is an ominous sign in both diabetic and non-diabetic patients. You need to see a nephrologist (n) and have a 24 hour urine collection done for a creatinine clearance and protein. Once the results are back, a treatment plan can start. Patients with p have a higher incidence of stroke, kidney failure and heart attacks related to the severity of their p. See a n for meds to reduce p. ...Read more
Some antibiotics can cause Allergic Interstitial Nephritis and can manifest with proteinuria. But proteinuria is usually a manifestation of systemic diseases such as diabetes mellitus and hypertension or could be from a variety of kidney diseases. Proteinuria needs a full evaluation depending on the severity of it.
Bile, air, medication: Bilirubin causing bilirubinuria can cause foamy urine, also fistula (abnormal connection) between bowel and urinary tract can cause pneumaturia, occasionally a medication like pyridium (phenazopyridine). Most common cause is proteinuria, which if present, should be worked up and treated. ...Read more
Stops protein loss: Nephrin is a protein on the kidney and helps prevent protein loss in the kidney. Proteinuria is when the kidney spills excessive amounts of protein in the urine. Diabetes can damage the kidney and cause the kidney to spill excessive protein thus leading to severe kidney disease. Nephrin is important because it helps prevent excessive protein leak from occurring. ...Read more
Confirm: Transient proteinuria means intermittent proteinuria, may be associated with fever, acute illness, stress etc. Any proteinuria must be confirmed by repeating tests when the acute stress is resoved. Orthostatic proteinuria means proteinuria in the upright position due to hyperfiltration in the kidney this must be confirmed by measuring urine protein in lying and standing position. ...Read more
Depend: Every person is different. I do not think I can tell you a time frame but I can tell you what to do to prevent it from happening. Close bs follow up with HGB a1c less than 6, BP less than 130/80, use ace inhibitors, good healthy diet, exercise, and follow microalbuminuria in urine closely. ...Read more
13yr old with type 1 dm and proteinuria will these conditions make her eligible to apply for disability?
Maybe: Most people with type 1 dm lead relatively normal lives and become teachers, doctors, factoey workers and the like. Proteinuria varies in its importance from orthostatic (benign) to those with major kidney damage and progressive kidney failure. It is a bit early to write off a 13 year old as disabled with such a variable illness. With motivation & proper care the kid could do wonderful things. ...Read more
I am so afraid for the results of my urinalysis. I'm afraid I might have proteinuria. Pls help. What to do?
To be brave...: ... act brave. What if you have proteinuria? It's hardly the kiss of death. You say you are 22 years old and have your heart stented already. So you're no stranger to serious illness. You've If you have protein in your urine, chances are it's orthostatic, and if it's not, it will probably prove to be something manageable. ...Read more
I'm using acthar hp gel for proteinuria as prescribed from my nephologist. What other medicine is out better or to have in consideration.
Use of Acthar: Acthar (a) works to reduce the amount of proteinuria (p) to a more normal level. Studies have shown that a has lowered p in patients not responding to steroids, suggesting that a works differently in your kidneys than steroids. For patients whose p is not well controlled, a is a viable treatment option in certain patients. There is no other good drug as good as a for p in nephrotic syndrome. ...Read more
Proteinuria IgAN: Good question. Conventional approach is to commence an ACE Inhibitor and then titrate the dose upward slowly while measuring urine protein. Goal is to reduce proteinuria by at least 50%. Your BP program may require modification. Prednisone is also occasionally used for a flare of IgAN. ...Read more
Diabetic proteinuria: I am sorry to hear about your daughter. Diabetics get proteinuria (p) from diabetes as well as other causes. Have her see a pediatric nephrologist to have her urine collected for 24 hours, to assess her kidney function and the amount of her p. Blood will also be taken to see if she has any glomerular disease other than diabetes. The duration of her p is dependent on its cause. Good luck. ...Read more
The first thing is to have a 24 hour urine collection to see the amount of protein in the urine and to assess the kidney function of the patient. I would also do a renal ultrasound to assess the size of the kidneys.
Depending on the amount of proteinuria, I would send off blood for aso, anca 2, complement C3 and c4, hiv, hepatitis b antibodies, hb a1c and ana. A renal biopsy may be needed. ...Read more
Why is there selective proteinuria in nephritic and nonselective proteinuria in nephrotic syndrome?
Whoa: Who's your instructor? In nephrotic syndrome, the proteinuria may be selective (mostly albumin, as in most cases of minimal changed disease and any other cause of proteinuria in which the gbm is only modestly damaged) or nonselective (lots of globulin also, as see in the more severe nephrotic syndromes). ...Read more
Why is proteinuria (if BP and oedema apparently well controlled) an issue for cardiovascular health?
It's not: It's an issue for renal health (your kidneys). ...Read more
My urine has recently started to have bunches of bubbles (foamy like) in it when hits water. Is it proteinuria if so what I do about it.?
Mucus: Proteinuria is a fine foam. Bigger bubbles are extra mucus. Nobody knows why the latter becomes more or less abundant. Hopefully you get a yearly urinalysis at your physician's. Further, most proteinuria is orthostatic and harmless. I'm glad you're health-conscious and hope you'll get reassurance on your next annual physical. ...Read more
Type 1 diabetes and proteinuria is it ok to live a normal life with these two things? I'm am so worried for my 13yrdaughter who recently was diagnosis w this
40% of type 1 diabetics and 10% of type 2 diabetics go on to have renal dysfunction. The early marker for both is the presence of proteiinuria.
The rate of decline, and importance of glucose control are still within your control. Your physician can advise on strategies to preserve renal function like acei inhibitors or a2rb's. ...Read more
Protein is an expensive commodity for the body. The kidneys are entrusted to return protein back to the body during filtering, and not lose it to the urine. Losses > 150mg/day are indicative of a problem with the filtration mechanism of the kidney. A nephrologist should be consulted ...Read more
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