What Are The Symptoms Of Protein In Urine

What Do My Test Results Mean

Nephrotic Syndrome & Proteinuria Part1: Symptoms

Test results may vary depending on your age, gender, health history, the method used for the test, and other things. Your test results may not mean you have a problem. Ask your healthcare provider what your test results mean for you.

Results are given in milligrams . Normal urine protein in adults is less than 150 mg within a 24-hour period.

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What Other Tests Might I Have Along With This Test

You may also have a urine albumin-to-creatinine ratio test. This measures the ratio of protein to waste in your urine. You may have an ultrasound of your kidneys. And you may have blood tests, such as antinuclear antibody or complement. These are done to check for conditions that cause kidney problems.

Protein In Urine: Symptoms & Effects

Protein in urine, also known as proteinuria, can be a concerning condition. A small amount of protein in human urine is normal, as the kidneys are responsible for flushing the body out using urine and holding on to important nutrients . However, a large amount can be an early sign of kidney disease and should not be ignored. When the kidneys are not functioning properly, they will not be able to properly filter the blood and will allow proteins to leak through. If proteinuria is allowed to get out of control, it can cause such severe damage, as such that patients may need dialysis or even a kidney transplant.

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What Can Be Done If The Urinalysis Reveals Proteinuria With Signs Of Bleeding And Inflammation

If the urinalysis reveals inflammation or bleeding, your veterinarian may recommend further testing to look for conditions such as bacterial infection, bladder stones, prostatic disease , vaginitis , and cancer, etc. Following treatment, a repeat urinalysis is recommended to determine if the inflammation, bleeding, and proteinuria have disappeared.

If I Have Proteinuria Will I Need Specific Treatment

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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:

  • Medicines.
  • 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.

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Protein In Urine Levels & Types Of Proteinuria

Urine and its composition are important in a number of medical diagnostic procedures. Proteins are found in urine at varying levels. A protein in urine normal range is used as a standard against which all results are compared. The level of proteins in urine may temporarily rise due to diet, physical exertion and disease. Presence of unusually high levels of protein in urine is called Proteinuria or Albuminuria.

What If Proteinuria Is Present Without Inflammation Or Bleeding

If proteinuria is present and there is no sign of inflammation or bleeding, then serious kidney disease may exist. The best test to determine the severity of the problem is the urine protein:creatinine ratio . A protein:creatinine ratio that remains persistently high is a reliable indicator of serious kidney disease and possibly kidney failure. Further investigation is recommended and could include doing blood tests to assess kidney function, testing for bacterial infection or infectious disease, performing an ultrasound of the kidneys and possibly doing a kidney biopsy. Once a diagnosis has been made, effective management of the problem may be possible.

Contributors: Malcolm Weir, DVM, MSc, MPH Kristiina Ruotsalo, DVM, DVSc, Dip ACVP Margo S. Tant BSc, DVM, DVSc

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What Are The Symptoms Of Nephrotic Syndrome

You may not know that you have nephrotic syndrome until you have routine blood and urine testsat a doctor’s appointment. The results of your tests can show that you have too much protein in your urine, not enough protein in your blood, or too much fat or cholesterol in your blood.Signs of nephrotic syndrome that you may notice are:

  • Swelling in your legs, feet, ankles and sometimes face and hands
  • Weight gain
  • Not feeling hungry

Why You Should Get Help For Mental Health

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When you are having trouble coping with difficult situations, you may not seek help. Why is this? If you are physically injured, you will see a doctor for help. But why is it difficult to seek help from a professional when you are having trouble with your mental health?Attitudes and beliefs about mental health differ across cultures. Some of these attitudes and beliefs can be negative and lead to stigma. Stigma is when a person is labeled by their illness and are no longer seen as an individual but as part of a stereotyped group. Negative attitudes and beliefs toward this group create prejudice. This may lead to negative actions and discrimination.Stigma around mental health can make you feel bad about yourself and prevent you from getting the help you need to feel better. Here are some common reasons you may not ask for help when you are struggling with your mental health:

  • It is hard to admit you cannot handle this on your own
  • You think you are being a bother
  • You feel weak and that you should be able to “tough it out”
  • You believe the problem will eventually just go away on its own
  • You believe this is just the way it is and there is nothing that can be done about it
  • You believe mental health professionals are for “crazy” people
  • You do not realize you are having a problem
  • You do not know where to go for help
  • Getting help from a professional costs too much
  • No transportation to get to appointments

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Can Too Much Protein Make You Sleepy

Feeling fatigued might have you reaching for coffee, but it could be the amount of protein in your system that’s causing your thoughts to wander. Brain fog, in general, is also a possibility from too much protein, as a sugar deficit for the brain can cause your brain to actually shrink, Immer explains.

Preventing Protein In Urine In Pregnancy

Most cases of protein in urine during pregnancy cant be prevented. Conditions such as preeclampsia are often inherited disorders. Underlying conditions that may cause protein in urine to increase, such as diabetes, lupus, and hypertension, may also be genetic or have complex medical and autoimmune causes.

There is some evidence that you can lower your risk of developing preeclampsia by controlling your blood sugar and blood pressure, exercising regularly, decreasing salt and caffeine intake, and making sure to get enough sleep.

There are some indications that taking a baby aspirin daily can decrease your risk of developing preeclampsia by 15%. You should talk to your healthcare provider before taking baby aspirin.

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Types Of Renal Protein Excretion:

Chronic proteinuria:

These are conditions that exist even before pregnancy. A kidney problem causes chronic proteinuria.

Urea protein onset:

A proteinuria attack does not occur before pregnancy. It is mainly caused by a condition called preeclampsia, a pregnancy disorder that affects the blood vessels and organs of the body.

What Causes Protein In Urine

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Before we go on to the actual reasons why proteinuria can be a concern, its worth pointing out that protein in the urine can have causes that are unrelated to major health problems. Relatively benign reasons for proteinuria include:

  • Prolonged exposure to hot or cold temperatures
  • Heightened emotional stress
  • Heightened periods of physical stress

Therefore, proteinuria in and of itself is not an indicator of much. It takes looking at the protein levels alongside other symptoms and signs for your doctor to make their diagnoses. Three of the more common causes of proteinuria are outlined below.

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Diagnosis / Testing Of Proteinuria

Routine complete urine examination test uses a multireagent dipstick for screening of protein in the urine. It is low cost, widely available and provides rapid point of care information. These dipstick reagents have a pH-sensitive colorimetric indicator which changes color when proteins bind to it. Based on the color, amount of proteinuria is estimated in a semiquantitative way . These dipsticks predominantly detect albumin and likely to miss non albumin and small LMW proteins. Very dilute urine can give false negative result and very concentrated urine can give false positive result. Blood in the urine can also give a false positive result, which is generally seen in menstruating women if the urine sample is collected during days of menstrual bleeding.

Proteinuria repeatedly positive on dipstick needs to be quantified which can be done by 24-hour urine total protein or albumin quantification for which urine is to be collected over 24 hours.

What Is Pediatric Proteinuria

Proteinuria is an excess if protein in your child’s urine. If your child has proteinuria, its often not serious. But sometimes, it can indicate a more serious problem with the kidneys. You should watch for any signs that your childs fluids seem out of balance and check with a doctor.

If proteinuria indicates a kidney disease, your doctor will refer your child to a nephrologist, a doctor who specializes in treating kidney diseases.

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Who Is At Risk For Nephrotic Syndrome

Anyone can get nephrotic syndrome, but it is slightly more common in men than in women. In children, it happens most often between the ages of two and six. There are other factors that may increase your risk.You are more likely to get nephrotic syndrome if you:

  • Have a disease that affects the kidneys such as FSGS, lupus or diabetes
  • Take certain medicines like nonsteroidal anti-inflammatory drugs or antibiotics
  • Have an infection such as HIV, hepatitis B and C or malaria

How Do Doctors Treat Protein In The Urine

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Doctors treat the cause of protein in the urine:

  • If you have diabetes, your doctor will help create a treatment plan to keep it under control and slow down damage to your kidneys. They may recommend that you:
  • Check your blood sugar often
  • Take certain medicines
  • Follow a diabetes-friendly eating plan
  • Be active most days of the week
  • If you have high blood pressure, your doctor may prescribe a medicine to help lower your blood pressure and slow down damage to your kidneys. The types of medicine are:
  • Angiotensin-converting enzyme inhibitors, which are a group of medicines that lower blood pressure. They widen your blood vessels, help your kidneys get rid of extra water and lower the hormones that raise blood pressure.
  • Angiotensin receptor blockers , which are a group of medicines that lower blood pressure. They widen your blood vessels.
  • If you do not have diabetes or high blood pressure, your doctor may still prescribe an ACE inhibitor or an ARB to slow down damage to your kidneys.
  • Drinking water will not treat the cause of protein in your urine unless you are dehydrated. Drinking water will dilute your urine , but will not stop the cause of your kidneys leaking protein.

    If you have protein in your urine, talk with your doctor to choose the best treatment option for you.

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    Effects Of Protein In Urine

    Prolonged and uncontrolled proteinuria may lead to kidney damage or even kidney failure. There are many treatment options, however, which can help. The treatment is typically directly related to the disease which is causing the protein in the urine. For example, if the patient suffers from diabetes, they may be prescribed a different medication than a patient with high blood pressure. The best treatment plan will need to be decided to be a doctor.

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  • What Are The Symptoms Of Protein In Urine

    When a person first begins to have kidney problems, they may not notice any symptoms. This is why a urine test can be essential to detect protein in the urine, which may indicate early signs of kidney disease.

    In addition to proteinuria, symptoms of kidney disease can include:

    • Foamy or frothy urine
    • Vomiting
    • Trouble concentrating

    If you are pregnant, protein in urine can also be a sign of preeclampsia, a very dangerous condition that can cause high blood pressure and lead to hospitalization. Additional signs of preeclampsia can include headaches, vision changes, abdominal pain, nausea, decreased urine output, and shortness of breath.

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    How Will I Know If I Have Diabetic Kidney Disease

    At first, you will not have any symptoms when diabetes has damaged your kidneys. Since kidney damage happens over time, there are no symptoms until later stages.

    The only way to know if you have diabetic kidney disease is for doctors to do tests for kidney disease. Doctors use blood and urine tests to check how well your kidneys are filtering your blood. The earliest sign of diabetic kidney disease is a urine test that shows protein in your urine.

    If you have diabetes, you should have blood and urine tests for kidney disease at least once a year.

    What Causes Proteinuria

    How serious is proteinuria?

    In many cases, proteinuria is caused by relatively benign or temporary medical conditions.

    These include dehydration, inflammation and low blood pressure. Intense exercise or activity, emotional stress, aspirin therapy and exposure to cold can also trigger proteinuria. In addition, a kidney stone in the urinary tract can cause proteinuria.

    Occasionally, proteinuria is an early indication of chronic kidney disease, a gradual loss of kidney function that may eventually require dialysis or a kidney transplant. Diabetes and high-blood pressure can damage kidneys and are the number-one and number-two causes of kidney disease.

    Other potentially kidney-harming diseases and medical conditions, which can lead to proteinuria, include:

    • Immune disorders like lupus and Goodpastures syndrome
    • Acute inflammation of the kidney
    • Puffiness around the eyes, especially in the morning
    • Foamy or bubbly urine

    These are also symptoms of chronic kidney disease. Anyone experiencing these symptoms, especially foamy urine and swelling, should see a doctor immediately.

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    How Is The Test Used

    Urine protein testing is used to detect excess protein in the urine . A semi-quantitative test such as a dipstick urine protein may be used to screen for the presence of protein in the urine as part of a routine urinalysis.

    A urine protein test may be used to screen for, help evaluate, and monitor kidney function and to help detect and diagnose early kidney damage and/or disease. However, the test can also help screen for several other conditions that can cause proteinuria.

    If slight to moderate amounts of protein are detected, then a repeat urinalysis and dipstick protein may be performed at a later time to see if there is still protein in the urine or if it has become undetectable.

    If there is a large amount of protein in the first sample, repeat testing will be ordered. If increased levels of urine protein are observed in follow-up specimens, then a 24-hour urine protein may be ordered along with certain blood tests. Since the dipstick method primarily measures the protein albumin, and if follow-up, repeat urine samples are positive, a 24-hour urine test also may be ordered to obtain more detailed information.

    Either a 24-hour urine protein or a random protein to creatinine ratio may be used to monitor a person with known kidney disease or damage. A dipstick urine protein and/or a protein to creatinine ratio may be used to screen people on a regular basis when they are taking a medication that may affect their kidney function.

    Testing For Urine Protein

    If your kidneys are functioning normally, you should have almost no detectable protein in your urine 2.Several common laboratory tests are used to check for proteinuria, including urine dipsticks for quick screening purposes, automated instruments for a more sensitive measurement of total protein and 24 hour urine collections to look for protein loss over time 12. Although results can vary somewhat between different laboratories, the amount of protein in a random sample of urine is normally less than 8 mg/dL and for a 24-hour collection, less than 150 mg total, according to MedlinePlus 2.

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    What Else Causes Protein In Urine

    Proteinuria causes are linked to other conditions. Diabetes and high blood pressure are the two leading causes of chronic kidney disease , and kidney damage from those two conditions can result in proteinuria. Lupus, arthritis and other immune system disorders can also cause proteinuria. Protein in the urine can even be a warning sign of pre-eclampsia during pregnancy.

    Talk To Your Social Worker

    Protein In The Urine: Chronic Kidney Disease

    Social workers can provide strategies to help you manage the challenges you are facing in your life. If your dialysis clinic has a social worker, they are the person you can turn to when you are struggling with mental health. Social workers are trained to connect you with the proper resources in your area. They are there to help you. Social workers also help communicate your mental health needs with your doctor.

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    When To Seek Medical Attention

    If you suspect that something is off, it’s important to talk with your healthcare provider sooner rather than later. There are many signs and symptoms to be aware of if you have protein in your urine during pregnancy, says Dr. Wetter. Most of these signs and symptoms are associated with preeclampsia as this diagnosis is generally what we are most concerned about developing.

    Signs of preeclampsia to look for include elevated blood pressure detected at home or at your healthcare providers office, sudden weight gain, swelling in your extremities or face, nausea or vomiting, vision changes, upper right adnominal pain, and severe headaches.

    Many times, patients have related to me that they just started feeling off without a specific symptom, therefore I implore women to listen to their bodies and if they feel something is wrong, to call their healthcare provider, Dr. Wetter advises.

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