What Are The Symptoms Of Protein In The Urine
When your kidneys have only mild damage and you have only small levels of protein in your urine, you will not notice any symptoms.
When your kidneys have more severe damage and you have high levels of protein in your urine, you may start to notice symptoms such as:
- Foamy, frothy or bubbly urine
- Swelling in your hands, feet, belly or face
- Urinating more often
How Often Will They Check My Urine For Protein
Many doctors will check your urine at every visit by dipping a chemical strip into your sample to give them an instant indication as to whether there is protein in your urine. Other doctors will check your urine less frequently at the beginning of your pregnancy, and monitor it more closely toward the end.
You will be asked to give a urine sample in a sterile cup. Make sure to use sterile wipes to wipe front to back before urinating to prevent contamination with any bacteria and to get more accurate results. Another helpful tip that increases accuracy is to first release some urine and start to collect it in the sterile cup midstream. This process will be especially difficult in your third trimester so make sure to take your time!
They may also send the sample off to a lab for a more thorough evaluation than the instant test strips provide.
If Youre Worried
What Does High Protein In Urine Mean During Pregnancy
A very high amount of protein in anyone’s urine, formally called proteinuria, can be a sign of kidney problems. In pregnancy specifically, it’s an indication of preeclampsia when combined with high blood pressure after 20 weeks’ gestation. Because preeclampsia can be very serious, a high amount of protein in the urine during pregnancy can be a real cause for concern. But first we need to back up. Not every trace of protein in urine during pregnancy is cause for concern.
Everyone has some amount of protein in their urine and the normal range of protein levels in urine during pregnancy are generally higher, from 150 milligrams per day to 300. So a pregnant person will generally have more protein in their urine than someone not carrying a baby. During pregnancy, a value above 300 mg per day is considered high.
Dr. Abernathy said in those cases, or if the woman’s protein levels are high before 20 weeks, she’d probably chalk it up to a previously undiagnosed issue. She’d keep an eye on it, but it wouldn’t necessarily be a cause for concern.
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What Do My Test Results Mean
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.
How To Treat Proteinuria
Being diagnosed with proteinuria is disheartening. It is however not life threatening. With proper management, proteinuria will go away. You will need to implement some lifestyle changes. These will include better diet management. You will also be asked to stop smoking, drinking alcohol, and lose excess weight.
Medication may be given in the course of treating your proteinuria. Only use drugs prescribed by your doctor and approved for treatment of proteinuria. Follow the dosage of such medication faithfully.
A number of health problems can lead to proteinuria. They include high blood pressure, infections, drugs, diabetes and mediation, tumors such as multiple myeloma and kidney disease, Mild proteinuria is not indicative of a serious disorder. Nevertheless, elevated amounts of protein in your urine are not considered normal. Persistently high protein levels in urine outside the protein in urine normal range is often a sign of improperly functioning kidneys.
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How Is Proteinuria Diagnosed
Proteinuria is diagnosed through a urine test. The patient provides a urine sample, which is examined in a lab. Doctors use a dipstick a thin plastic stick with chemicals on the tip to test part of the sample right away. If too much of any substance is in the urine, the chemical tip changes color.
The remainder of the urine is then examined under a microscope. Doctors look for substances that dont belong in urine. These substances include red and white blood cells, bacteria and crystals that can grow and develop into kidney stones.
Why Your Doctor May Test For High Protein In Urine
Proteinuria, or protein in the urine, occurs when your kidneys arent functioning normally, allowing protein to leave your body through your urine. Kidneys with normal function filter toxins out of the blood, while keeping nutrients like protein circulating. Having too much protein in your urine can mean that your kidneys are filtering too much protein out of your bloodprotein that your body needs to build muscles and maintain strong bones.
How Is It Managed
Early-stage proteinuria has no signs or symptoms. As protein levels increase, you may notice swelling of your hands or legs and your urine may become foamy. If you are getting treatment that increases your risk of having proteinuria, your care provider may give you medicine to help reduce the amount of protein lost before it starts.
If you have high blood pressure, diabetes or kidney disease, it is important to make sure you are following the diet given to you and to take all medications prescribed to protect your kidneys. If you develop proteinuria, your care provider may suggest a diet that is low in sodium and protein. You may also be sent to a registered dietitian for guidance.
You Have An Autoimmune Disease
Autoimmune conditions also put stress and strain on the kidneys, potentially causing enough damage to disrupt the filtering process.
Similar to , autoimmune conditions can lead to protein in the urine via the patients own immune system mistakenly attacking the patients own kidney filters, says Liss, who notes that these conditions can be exclusive to the kidneys or systemic, like lupus.
Symptoms of autoimmune conditions vary, but have several things in common , so if you see foamy urine and you havent felt like yourself for a while, its worth checking with your doctor.
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Who Should Be Tested For Protein In The Urine
If you are part of a group that is considered high risk for kidney disease, your doctor will test your urine for protein as part of your regular preventative care. People who are at risk for kidney disease include:
- Those who are 65 or older.
- Those who have a family history of kidney disease.
- Those who have high blood pressure or diabetes.
- Members of certain ethnic groups, including Hispanics, Native Americans, Asians and African Americans.
What Happens During A Protein In Urine Test
A protein in urine test can be done in the home as well as in a lab. If in a lab, you will receive instructions to provide a “clean catch” sample. The clean catch method includes the following steps:
If at home, you will use a test kit. The kit will include a package of strips for testing and instructions on how to provide a clean catch sample. Talk to your health care provider if you have any questions.
Your health care provider may also request you collect all your urine during a 24-hour period. This “24-hour urine sample test” is used because the amounts of substances in urine, including protein, can vary throughout the day. Collecting several samples in a day may provide a more accurate picture of your urine content.
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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.
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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What Is Excess Protein In The Urine
A diagnosis of proteinuria, or excess protein in the urine, may be alarming for cat owners, but a plan can be made with your veterinarian for your cat’s long-term care and quality of life. A diet change is often required to ensure your cat’s renal health.
Though it is easily diagnosed with a simple laboratory test, excess protein in the urine in cats can have a variety of causes that range from acute and treatable to chronic and merely manageable. Protein is filtered from the blood and the gastrointestinal system by the kidneys when they are fully functioning, and excess protein in the urine can indicate a potential renal problem.
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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
- 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.
Causes Of Protein In The Urine
Your kidneys, when working properly, filter waste products from your blood. They return protein and other materials that your body needs to function.
Some conditions and diseases can cause the level ofprotein in your urine to rise. Short term conditions that cause protein in the urine can include strenuous exercise, fever, heat or cold exposure and emotional distress. Long term conditions and diseases that can lead to protein in the urine include high blood pressure, kidney infection or disease, heart disease, diabetes, lupus and malaria.If a urine test reveals protein in your urine, your doctor may recommendfurther testing to determine the cause. Test may include a 24-hour urine collection to determine whether the protein in your urine is cause for concern. Your doctor may also follow up with an ultrasound or CT scan to look for issues like kidney stones or a biopsy to see what has caused damage to your kidneys.
What Testing Will Your Doctor Order
The initial test of your urine at your doctors office is called a dipstick test. A strip is inserted into your urine and chemical patches react by changing color depending on the amount of protein detected. The range of results goes from + to ++++ or low to high .
If your result is above normal, your doctor may give you a 24-hour urine protein test to monitor your levels more closely over a longer period. Your urine is collected throughout a days time and is analyzed. Morning urine is usually excluded from the test. A high result is considered abnormal and a possible sign of kidney or other health issues.
If only trace amounts are observed, your doctor may or may not order further testing. Or your doctor may use other signs and symptoms to move forward.
Trace amounts of protein can enter the urine if theyre too small to be filtered by the kidneys. In most cases, though, the protein molecules are usually too large to be filtered out.
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How Can I Reduce Foamy Urine
Your treatment will depend on what caused your urine to be foamy.
If youre dehydrated, drinking more water on a regular basis will help.
If you have CKD, your treatment will depend on how advanced the disease is. Treating CKD can slow disease progression and make it less likely youll end up with kidney failure.
Treatment may include:
Protein In Urine Treatment
Proteinuria a sign of another illness. So treatment depends on figuring out what caused it. You might not need treatment if proteinuria is mild or lasts only a short time. But itâs crucial to treat kidney disease before it leads to kidney failure.
Your doctor might prescribe medication, especially if you have diabetes and/or high blood pressure. Most people will take one of two types of blood pressure medicine:
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Protein In Urine Normal Range
The protein in urine normal range is calculated in milligrams per deciliter. Protein in urine normal range is set at 20 mg/dL as the upper limit. The sample for urinalysis is collected randomly or at a time agreed on with your doctor. For better diagnostics, a doctor may order samples to be collected over a period of a day for the 24-hour proteinuria test. The 24 hour urine protein normal range is 80mg/dl in the lower limit.
From random samples and simple testing, it is possible to tell if there are proteins in urine. Though it does not give accurate measurements of the levels of each protein type, the protein in urine 1+ reporting system for proteinuria tests is still in wide use.
There are two tests for identifying proteinuria. They are the 24-hour urine test and the Spot urinalysis. One collects samples over a period of 24 hours while the other utilizes a randomly collected sample. If a randomly collected sample shows a problem with the levels of protein in your urine, your doctor may want you to have the 24-hour urine test.
Results from testing for proteinuria are classified into 24-hour urine analysis results and spot urine results. A further reading centred on the ration of albumin to creatinine is made from analyzing your urine in the laboratory. The 24 hour urine protein creatinine ratio must not exceed 0.15.
Treatment Of Excess Protein In The Urine In Cats
To treat proteinuria, veterinarians must first treat the underlying cause for the condition. If an infection is present, antibiotics will be prescribed. Nonsteroidal anti-inflammatory drugs may also be prescribed in conjunction to treat inflammation. An uncontrolled disease such as diabetes or hypertension may cause proteinuria, and controlling the disease with medication is the best way to treat proteinuria in these instances.
Hospitalization with intravenous fluids may be recommended if the proteinuria is due to renal disease. Many cats with renal disease become so dehydrated that they do not want to eat and their other systems begin to shut down, so fluids are often used to increase hydration and replenish the body’s electrolytes while also flushing the kidneys to cleanse them. Some cats will be prescribed subcutaneous fluids to be administered at home to continue to hydrate and cleanse the body.
Whether the cause for proteinuria is as simple as a high-protein diet or as complicated as renal cancer, a diet change may be recommended. A veterinarian may suggest a prescription diet that is designed for increased kidney function.
Why Is Protein In Urine
Dear Dr. Donohue: Many months ago I wrote to you about protein in the urine. Will you please address the subject?
I am a 59-year-old female and have had diabetes for two years. I try to control things with diet. So far, I have not had to take medicine. My last hemoglobin A1C was 5.7, and my fasting blood sugar is 117 mg/dL .
My urine has protein in it. Are my kidneys in danger? I take Diovan for high blood pressure. Is there a better high blood pressure medicine for urine protein? — K.V.
Dear K.V.: Urine should be protein-free. The kidney has millions of tiny sieves that strain the blood. Waste products pass through the sieves into the urine. Substances essential to health remain the blood. Proteins are one of those essential substances. They’re too large to pass through the fine filters of kidney sieves.
When protein is found in the urine, the logical assumption is that holes have developed in the kidney sieves.
Diabetes can give rise to kidney damage, allowing proteins to pass into urine.
Your diabetes is not at all bad. Your hemoglobin A1C indicates excellent blood sugars for the past months. Your fasting blood sugar is also good. Diabetes is not a likely cause of your urinary protein.
High blood pressure is another cause of kidney damage and proteinuria, as this finding is called.
I assume your blood pressure is under equally good control. You don’t need to change your medicine.
Blood tests that gauge kidney function are BUN and creatinine.