Questions To Ask Your Doctor
If you find out you have nephrotic syndrome, talk with your doctor about the cause of your symptoms and what treatment is best for you. Here are some questions you may want to ask:
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.
Risks Of Protein In Urine While Pregnant
The risks of protein in urine during pregnancy depend on what is causing the elevated levels. Some of the causes are less serious than others, or easier to treat and resolve.
Most of the causes of protein in urine in early pregnancy do not have serious risks. If protein is found in your urine before 20 weeks, it is less likely to be a concerning symptom, says Maggie Bolton, CNM, ARNP, clinical director of Quilted Health. However, it should still be evaluated.
Increased protein in urine after 20 weeks is where there may be serious risks to you or your baby, especially if coupled with elevated blood pressure, and symptoms like blurred vision, swelling, and shortness of breath. In this case, you may have preeclampsia, and you will need to be monitored and treated.
Preeclampsia is a progressive disorder which can affect many body systems, Bolton describes. It is caused by the placenta and the pregnant persons vascular system and in most cases, it resolves quickly after the birth. Your provider will want to monitor you very closely, and may even recommend induction depending on the severity of the condition.
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Pycnogenol Added To Ace Inhibitors A Type Of Blood Pressure Medication
A natural treatment added to the ACE inhibitor ramipril improved blood pressure, kidney function, protein in urine, and blood glucose over ramipril alone. What are ACE inhibitors? ACE inhibitors are a group of medicines that are used in the treatment of high blood pressure and heart failure. ACE inhibitor stands for angiotensin-converting enzyme inhibitor which include captopril, enalapril, fosinopril, imidapril, lisinopril, moexipril, perindopril, quinapril, and ramipril. Ace inhibitors work by reducing angiotensin converting enzyme which lowers blood pressure by dilating and relaxing blood vessels.
Cesarone MR et al also reported that adding Pycnogenol found that albumin levels in the urine decreased significantly in the Pycnogenol group compared to ramipril alone . Pycnogenol was noted to improve systolic and diastolic flow by 12% and 8%, respectively.
Soy For Proteinuria Diet
Soy protein may offer numerous benefits for damaged kidneys. Animal proteins are high quality but hard on the kidneys and you may need to limit them in your diet. Vegetable proteins are less taxing and soy fits the bill as a high-quality vegetable protein. It might also help reduce proteinuria, according to a study published in 2003 in “Kidney International” which had patients follow a commonly recommended renal diet consisting of 70 percent animal protein and 30 percent plant protein followed by a diet consisting of 35 percent soy protein and 30 percent other vegetable proteins. Researchers found the addition of soy to the diet appeared to reduce proteinuria and improve renal function overall. However, you’ll need to choose the right soy products, according to registered dietitian Joan Brookshyer, writing for the American Association of Kidney Patients, who notes that many soy-based meat and cheese substitutes can be high in sodium, another nutrient you may need to limit in your diet. Read packages carefully.
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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.
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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Abnormally High Level Of Protein In The Urine Could Indicate Kidney Disease
Proteinuria could indicate CKD. Where does protein in the urine come from? The protein is there in the blood. It exists as different types . Your muscles are primarily made of protein. The antibodies that circulate in your system fighting infection are protein. Hence protein is essential, but you normally shouldn’t be peeing it out into the urine.
Symptoms Of Protein In Urine While Pregnant
Unless you are dealing with a urinary tract infection, most of the time that you have protein in your urine during pregnancy, you will not have many obvious symptoms. However, if you are experiencing preeclampsia, you may have some noticeable symptoms, along with an elevated amount of protein in your urine.
Early signs of preeclampsia may include retaining more water than usual, increased blood pressure, along with protein in your urine. You may notice rapid weight gain along with swelling. Other signs of preeclampsia may progress to headaches, blurry vision, stomach pain concentrated on your right side, dark spots in your vision, and shortness of breath.
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Protein In Urine Symptoms
Most people who have proteinuria wonât notice any signs, especially in early or mild cases. Over time, as it gets worse, you might have symptoms including:
- Foamy or bubbly pee
- A family history of kidney disease
- African American, Native American, Hispanic, or Pacific Islander descent
Some people get more protein into their urine while standing than while lying down. This condition is called orthostatic proteinuria.
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.
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Harmful Metabolic Consequences Of High
In addition to having potential implications of kidney function and structure, high-protein diets may also lead to other metabolic complications.
High dietary intake of protein may lead to higher levels of urea and other nitrogenous waste products. Indeed, several studies have shown that high versus standard dietary protein intake is associated with higher BUN concentrations., For example, in a crossover study of 24 healthy young men who consumed a diet with a high level of protein or a diet with a normal level of protein over a 7-day period for each diet , BUN concentrations were significantly higher during the period of higher protein intake than during the period of normal protein intake. Conversely, other studies have shown a proportional reduction in urea generation with dietary protein restriction. One theory holds that high circulating BUN levels, by enhancing protein carbamylation and generating reactive oxygen species, lead to increased oxidative stress, inflammation, endothelial dysfunction, and cardiovascular disease.
Other Conditions That Cause Protein In Urine
There are several conditions that can lead to elevated protein levels in the urine. The most common are:
- Certain medications
- Pale skin
- Dry, itchy skin
Treatment for proteinuria depends on the underlying cause of the condition. If it is caused by diabetes or high blood pressure, these can be managed with medications. If acute kidney failure is causing proteinuria, a medical professional should treat the illness directly.
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How Often Do I Need To Have A Test For Albuminuria
People who are at increased risk for kidney disease should have this test as part of routine checkups by a healthcare provider. Those at increased risk include:
People with diabetes
People with high blood pressure
People with a family history of kidney failure
People who are 65 years or older
Certain ethnic groups including African Americans, Hispanics, Asians, American Indians
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
- 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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Does A Diet Too High Protein Hurt Your Kidneys
Dr. Kamyar Kalantar-Zadeh, MD, MPH, PhDa nephrologist and lead researcher of the JASN studysays, High-protein intake overburdens the functional units of the kidneys that filter and clean blood.
Especially for low-carb living, eggs at breakfast, chicken for lunch, or a juicy sirloin for dinner are considered to be disciplined diet choices. But clinical professionals like Dr. Kalantar-Zadeh advise pumping the brakes on protein intake to reduce strain on your kidneys. As Dr. Kalantar-Zadeh explains, When we eat excess protein, more toxic waste products need to be removed by the kidneys, causing them to be overworked. Otherwise, these waste products accumulate in the blood, leading to chronic kidney disease .
To put this another way, Brittany Lubeck, RD, a registered dietitian, explains: Protein is a rather complex substance that takes your digestive system longer to break down and your kidneys longer to filter.
Excess protein harms your kidneys, but the type of protein you eat matters, too. Animal protein sources contain higher amounts of purineschemical compounds broken down by the body to form uric acid . Having too many waste products in your blood means the kidneys will have to work overtime to flush them out of your system.
Youre practicing good nutrition, but theres always more to learnread Dietitians Just Shared 6 Tips to Help Your Gut Absorb Vitamin D.
What Is The Best Cure For High Protein In Urine
Ayurvedic treatment for protein in urine may seem an outdated treatment but let us tell you that its the most effective cure for proteinuria. This holistic medical treatment mainly focusses on the internal body imbalances and correcting them naturally. In short, this natural treatment believes in working on the core of the body to correct any internal imbalance and stimulating bodys overall functionality. As a result, Ayurvedic treatment eradicates the complications of protein loss in urine and by curing the causative factors responsible for the problem. Consequently, Ayurvedic treatment for protein in urine cures your problem effectively by fixing the deep causes. In this program, herbal formulations, ancient therapies, a personalized diet and some lifestyle changes are the main elements of the treatment. Consequently, this natural treatment offers a lasting and risk-free cure to protein in urine and helps a patient live a normal life.
OPT for a reputed Ayurvedic kidney hospital like Kidney and Ayurveda to acquire the best. Overcome protein loss in urine problem with the help of Ayurvedic treatment.
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What Do High Levels Of Protein In The Kidneys Mean
The irony is that as you eat more protein for its health benefits, excessive amounts accumulate in your blood and eventually your kidneys. Too much protein in your kidneys can cause protein to leak through your kidneys filters and into your urinea condition called proteinuria, which can be a sign of damaged kidneys, according to information published by the American Kidney Fund.
Its normal to have a small amount of protein in your urine, but too much can be a sign of a more severe condition. For example, the JASN study indicated that excess protein in your kidneys over time can lead to CKD, kidney stones, and high blood pressure.
Can I Get Nephrotic Syndrome Even After I Have A Transplant
Yes, you can get nephrotic syndrome even after your transplant. Remember, nephrotic syndrome is not a single disease. It is caused by different diseases that affect your kidneys. If you get a kidney transplant but do not treat the disease that is affecting your kidneys, the disease may continue to harm your new kidney.
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Is A Low Protein Diet The Answer
Even though it makes intuitive sense, and even though excess protein in the urine is directly associated with hyperfiltration, at this time the effect of protein restriction on renal function is uncertain. For now, suffice it to say that a moderate protein diet with about 0.8 grams per kilo body weight of protein per day, might be beneficial but going on a low protein diet may not be of benefit.
Treatment Of Protein In Urine
The treatment of proteinuria depends on the cause of the problem. If what generates it is a secondary disease, you should treat it so that the presence of protein in the urine ceases.
Most commonly, doctors prescribe medications of two types when the underlying disease is diabetes or hypertension. The first are the angiotensin-converting enzyme inhibitors, we know them as ACE, for their acronym in English. The second are the angiotensin receptor blockers, or ARB.
Both medications are usually prescribed when the underlying disease is diabetes or hypertension. However, even if these health problems are not present, doctors also order such drugs to prevent kidney damage. In any case, the presence of proteins in the urine is always a reason for medical consultation.
Dont forget to what too much protein in urine means and how to treat it with your friends and family on your social networks!
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What Are The Complications Of Nephrotic Syndrome
When you have nephrotic syndrome, an important protein called albumin leaks into your urine instead of getting filtered by the kidneys as it should. Albumin helps your body get rid of extra fluid. When you do not have enough albumin in your blood, fluid can build up in your body, causing swelling in your legs, feet and ankles. You can also have other problems such as blood clots and infections.
With nephrotic syndrome, cholesterol also builds up in your blood. When you have too much cholesterol in your blood, clumps form inside your veins and arteries, which can cause a heart attack or a stroke.
Nephrotic syndrome can also cause other serious health problems such as:
Benign Causes Of Proteinuria
Several conditions cause protein to appear in your urine without indicating a serious problem 2. A variety of medications can interfere with accurate protein measurements, including many common antibiotics, lithium, salicylates or any drug that damages the kidneys. Orthostatic proteinuria also occurs in young adults, characterized by protein appearing in the urine when the person is up and walking during the day, but not found in urine from overnight while lying down 2. This condition usually disappears by age 30.
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