How Is A Urine Test Done
A simple urine test can be done in your doctor’s office. You will be asked to pee into a clean cup called a specimen cup. Only a small amount of your urine is needed to do the test. Some of the urine is tested right away with a dipstick a thin, plastic strip that is placed in the urine. The rest is examined under a microscope.
How Does Eating Diet And Nutrition Affect Nephrotic Syndrome
Eating, diet, and nutrition have not been shown to play a role in causing or preventing nephrotic syndrome. However, if you have developed nephrotic syndrome, your health care professional may recommend that you
- limit intake of sodium and fluids to help control swelling
- reduce the amount of fat and cholesterol in your diet to help control your blood cholesterol levels
What Is The Treatment For Proteinuria
If you are diagnosed with kidney disease or your kidney functioning is declining, you will be referred by your doctor to a nephrologist, a doctor specializing in diseases of the kidneys. He or she will recommend treatment, which can include medication and changes in your diet and lifestyle. Treatment is tailored depending on what medical conditions are contributing to the proteinuria.
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Protein In Urine Causes Symptoms & Treatments
When your kidneys are not working as well as they should, protein can leak through your kidneys filters and into your urine . Protein in your urine is called proteinuria or albuminuria. It is a sign that your kidneys are damaged.
How Will I Know If I Have Protein In My Urine
The only way to know if you have protein in your urine is to have a urine test. The test will measure the levels of protein in your urine.The name of the urine test that measures the level of albumin in your urine is called the urine albumin-to-creatinine ratio . A UACR compares the level of albumin to the level of creatinine . A normal UACR is less than 30mg/g. If your UACR is 30 mg/g or higher, it can be a sign of kidney disease, and you should ask your doctor if you should have other tests for kidney disease.
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What Type Of Diet Should You Follow To Lower Protein In Urine
People with high amounts of protein in their urine, or proteinuria, may be in the early stages of, or at risk for, chronic kidney disease and should follow a diet that limits their protein intake, according to Davita. Those in the early stages of CKD can generally slow progression by reducing their daily intake of protein to 0.8 grams per kilogram of body weight.
The recommendation for individuals with high risk factors or symptoms of CKD is a diet that follows similar guidelines to the dietary approaches to stop hypertension, or DASH, eating plan, states Davita. Guidelines include reducing red meat to no more than 6 ounces per day and sodium intake to between 1,500 and 2,300 milligrams per day. People should limit alcohol intake as well as dairy foods that are high in saturated fat such as milk, cream cheese, yogurt, sour cream and frozen deserts.
Diet guidelines emphasize healthy food choices such as fresh vegetables and fruits that are high in fiber, as well as whole-grain products such as breads and high-fiber cereal, explains Davita. It’s important to achieve a healthy weight by adjusting calorie intake based on a proper ratio of fresh produce and healthy fats. Foods that are baked or grilled are better than fried, and vegetables should be prepared without any sauces or cheese. Processed foods may have hidden amounts of phosphorus, and people should limit or avoid them on a healthy diet.
Protein In Urine Treatment
You will probably not need treatment if you have temporary or mild proteinuria. But if you have proteinuria that lasts a long time, then youll need to treat the underlying condition.
Possible treatment includes:
- Changes to your diet. If high levels of protein are caused by kidney disease, diabetes, or high blood pressure, your doctor will give you specific diet changes.
- Weight loss. Some conditions that impair kidney function can be managed by losing weight.
- Blood pressure medication. If you have hypertension, lowering your blood pressure may help treat proteinuria.
- Diabetes medication. You may need medication or insulin therapy to control high blood sugar levels.
- Dialysis. If you suffer from glomerulonephritis and kidney failure, dialysis is used to manage high blood pressure and fluids.
The team of board-certified urologists at Urology of Greater Atlanta offer state-of-the-art diagnostics and innovative treatments for many different conditions such as finding blood in the urine.
In that case, your doctor might suggest a cystoscopy, in which a tiny camera is inserted into the urethra to pinpoint exactly where the blood is entering the stream. Or if an infection is found, they may prescribe antibiotics to treat it.
If you have concerns about your urine, dont delay Urology of Greater Atlanta today or book an appointment online for expert care. Their offices are found throughout Greater Atlanta, including Stockbridge.
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Treating Symptoms And Complications
Treatment varies according to symptoms, causes, and the extent of kidney damage. Symptoms of nephrotic syndrome are most often treated with these medicines3
- an angiotensin-converting enzyme inhibitor or an angiotensin II receptor blocker . ACEs and ARBs can help reduce protein loss and also lower blood pressure, which is often high in people with nephrotic syndrome.
- a diuretic , which reduces swelling by helping the kidneys remove fluid from the blood.
People with nephrotic syndrome should receive the pneumococcal vaccine, along with yearly flu shots, to prevent viral and bacterial infections.
How To Lower Creatinine Levels Without Dialysis
The symptoms of high creatinine can vary depending on the cause. When you have CKD or declining kidney function, you must do health measures to prevent further kidney damage and slow down CKD progression.
In cases of kidney failure, dialysis may become necessary on top of the medications to help your kidneys filter toxins and waste buildup.
Nevertheless, if you are still in the early stages of CKD, these tips below can help lower your creatinine levels.
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Reducing Protein In Blood Naturally
Albumin is synthesized by the liver and helps in binding blood constituents to prevent it from getting loss into the tissues. A rise in the level of albumin in blood is caused by alcohol, dehydration, leukemia, etc. If left in its high level, it can lead to serious life-threatening diseases.
- Exercise. This should be done in a regular basis. For those that already have problems with their heart and blood pressure, a doctor should provide a list of the kinds of exercises that can be done.
- Eating healthy. Avoiding food that are rich in sugar, fat, and salt is one of the best ways to reduce albumin levels. Maintain a diet that is rich in fiber and other nutrients like fruits and vegetables.
- Sleeping adequately. This helps the body function normally.
- Avoid certain drugs that can increase albumin in blood. Examples of these include androgens, anabolic steroids, and too much insulin.
Consume More Omega 3 Fatty Acids
A study conducted on rats and published 2003 indicates that flaxseeds reduce proteins in urine. They also found that flaxseeds didn’t cause kidney damage as compared to other proteins.
There are no human studies published yet on this. But flaxseeds and other omega 3 fatty acids lower your blood pressure which us good for proteinuria.
So eat omega 3 fatty acids rich fishes such as mackerel, salmon, tuna and others.
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What Causes Protein In The Urine
Healthy kidneys remove extra fluid and waste from your blood and transform it into urine. Healthy kidneys do not remove proteins and other important nutrients, which pass through and return to your blood. But when your kidneys are damaged, they may let this protein leak into your urine. This causes high levels of protein in your urine. Anyone can have protein in their urine. You may be more likely to have protein in your urine if you have one or more of the risk factors for kidney disease. There are health problems that can cause long-lasting protein in the urine, and some that can cause short-term protein in the urine.
What Are The Signs Of Proteinuria
Large amounts of protein in your urine may cause it to look foamy in the toilet. Also, the loss of protein from your body means your blood can no longer soak up enough fluid, and you may notice swelling in your hands, feet, abdomen, or face. These are signs of very large protein loss: a condition called nephrotic syndrome.
Most people who have proteinuria will not notice any related signs or symptoms. Laboratory testing is the only way to find out how much protein you have in your urine.
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If I Have Proteinuria Will I Need Specific Treatment
If proteinuria is confirmed, your doctor will do other tests and examinations to find out the cause. This may include referral to a kidney specialist who will help to develop your kidney care plan. Your treatment may include:
- Lifestyle changes such as losing excess weight, exercising and stopping smoking.
- Sometimes changes in your diet.
If you have diabetes, high blood pressure or both, the first goal of treatment will be to control your blood glucose and blood pressure.
Causes Of High Creatinine Levels
Although high levels of creatinine are indicative of potential kidney problems, other possible reasons could elevate your creatinine levels. These reasons may be one-time occurrences, such as dehydration or intake of large amounts of supplement creatine or protein.
Other causes of high creatinine may suggest a health condition. These conditions can impair kidney functions or indicate kidney disease.
A few of these conditions include:
- Kidney infection
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How Is Protein In Urine Diagnosed
Testing for protein in urine is typically done via a test called a urinalysis. This simple urine test can detect protein levels in the urine and can be conducted in a doctors office. After your urine sample is collected, it is tested with a dipstick. When your urine has large amounts of protein, the strip of paper will change color. Technicians may also examine the sample via microscope.
If a urinalysis detects protein in the urine, your doctor will likely order an additional urine test or tests to determine if you have kidney disease. Your doctor may also conduct blood tests to measure your glomerular filtration rate , which can tell them how well your kidneys are filtering out waste, as well as other blood tests if needed to help identify the cause of the proteinuria. Additional tests may include an ultrasound, CT scan, or kidney biopsy.
When your urine is tested for protein, the test compares the amounts of albumin and creatinine, an amino acid, in your urine. A urine albumin-to-creatinine ratio higher than 30 milligrams per gram observed more than twice over a three-month period may indicate kidney disease.
If you get an abnormal result that detects protein in urine, your doctor will also probably want to check your cholesterol levels, blood sugar, and blood pressure to determine what conditions might be contributing to proteinuria.
If I Have Albuminuria Does It Mean I Have Kidney Disease
It may be an early sign of kidney disease, but your doctor will check you again to make sure albuminuria is not caused by something else, like not drinking enough water. If your doctor suspects that you have kidney disease, the urine test for albumin will be repeated. Three positive results over three months or more is a sign of kidney disease.
You will also be given a simple blood test to estimateGFR. GFR stands for glomerular filtration rate. Your GFR number tells you how well your kidneys are working.
You may also be given:
Imaging tests. . This produces a picture of your kidneys and urinary tract. It can show whether your kidneys have kidney stones or other problems.
A kidney biopsy. This can help find out what caused your kidney disease and how much damage to the kidneys has happened.
How To Reduce Albumin In Urine
- Maintaining the levels of blood glucose. Eating a special diet low in sugar and salt can help while insulin therapy and drug therapy can be used for patients that have diabetes.
- Manage blood pressure. Medicines that can be used here include those that inhibits angiotensin-converting enzyme, receptor blockers for angiotensin, and diuretics. Modification of diet can also help which would include cutting out intake of processed, salty, fatty, and fried foods. Regular exercise is also recommended.
Take note that albumin in urine would also indicate that there is an increase in level of albumin in blood. So in order to prevent this to happen and avoid deadly diseases, total lifestyle change may be needed for those that are not living a healthy one.
What Is Proteinuria In Children
Proteinuria means theres protein in your childs urine. All children have a little protein in their urine. But too much may signal a problem with your childs kidneys. Kidneys are organs that filter out waste, extra fluid, and salt. These wastes leave the body through urine.
Sometimes older children can have orthostatic proteinuria. Orthostatic means upright. Its called orthostatic proteinuria because protein goes into the urine only when the child is standing up. Children who have this condition have no kidney damage. But for some unknown reason, they lose protein into the urine during the day when they are active. At night, while they sleep, their kidneys dont release protein into the urine.
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How Can I Reduce Protein In My Urine Naturally
Proteinuria is a medical condition that is characterized by abnormally high protein in urine. Usually, a specific type of protein is present in bloodstream which is called Albumin. This essential protein keeps electrolytes in the blood and stops their leakage. Along with that, it ensures the circulation of electrolytes throughout body.
proteinuria may occur due to some temporary medical conditions like stress, fever, dehydration, exposure to cold, etc. However, proteinuria is a primary sign of kidney problem. So, early diagnosis and a proper treatment can help you manage proteinuria effectively.
Protein In The Urine Linked To Life Expectancy
New York, NY Pee in a cup and you might get a clue as to how much longer you will live. A new report published online today in the National Kidney Foundation’s American Journal of Kidney Diseases shows a strong correlation between levels of protein in the urine, or proteinuria, and mortality.
“Our report shows that both men and women with higher levels of proteinuria had substantially reduced life expectancy in comparison to people with relatively low levels of proteinuria,” said the report’s lead author, Dr. Tanvir Chowdhury Turin of the University of Calgary.
According to the National Kidney Foundation, healthy people have very little protein in the urine since the kidneys act as filters to keep protein in the body. Proteinuria is an early indication that the kidneys have been damaged in some way, allowing protein to leak out.
The study analysis was based on lab values from over 810,000 patients in Alberta, Canada who had undergone proteinuria testing in an outpatient setting.
Across the board, results showed that mild or heavy amounts of proteinuria was tied to shorter life spans in men and women between 30 and 85 years of age. For example, the life expectancies of 40-year-old men and women with no proteinuria were 15.2 and 17.4 years longer, respectively, than those with heavy proteinuria. Proteinuria-free men and women also outlived those with mild proteinuria by 8.2 years and 10.5 years, respectively.
Importance of Screening
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What Causes Proteinuria
Your kidneys keep you healthy by filtering blood. They have small blood vessels called glomeruli. These structures remove waste, which enters the urine, and reabsorb protein that stays in the blood.
But if your kidneys arent functioning properly, the protein can leak into your urine. The result is high protein levels in the urine, known as proteinuria.
There are different types of proteinuria, including:
- glomerular proteinuria
- overflow proteinuria
- post renal proteinuria
In addition, albuminuria is a type of proteinuria where the excess protein is albumin. Its related to glomerular proteinuria. Glomerular proteinuria is the type being discussed below.
Proteinuria may be related to temporary conditions, like dehydration, or more serious kidney damage. Lets explore the possible causes of proteinuria, along with its symptoms and treatment.
If you have proteinuria, take note of your other symptoms. This will help a doctor identify the underlying cause.
What Is Creatinine
Creatinine is a waste product produced mainly by muscle activities from the breakdown of the compound called creatine. Creatine is a metabolite from creatine phosphate from muscle and protein metabolism, which the body uses to supply energy to the muscles. As the muscles use energy, the tissue that comprises the muscles break down naturally, releasing the creatinine into the bloodstream. Creatinine can build up in the blood from a high protein intake, intense workout, medication or supplement dosage, or if a person has a kidney problem.
Healthy kidneys filter creatinine from the blood and excrete it from the body through urine. However, impaired kidneys couldn’t filter creatinine and other waste materials properly from the body, thereby causing waste buildup.
Doctors typically use a creatinine test to determine kidney function. However, checking the presence of creatinine alone in your blood isn’t the best way to evaluate your kidney health since your creatinine level is dependent on your age, race, gender, and body size.
The best way to determine your kidney function is through Glomerular Filtration Rate . GFR is a calculation of your creatinine level, age, gender, race, and weight. Your GFR number will help your doctor determine if you have kidney disease. If your GFR number is below 60 for three months you may have kidney disease. Moreover, you may have kidney disease if your GFR number is above 60 with signs of kidney damage .
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