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PROTEIN IN URINE???
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Chriss00992 posted:
I'VE BEEN HAVING BLOOD IN MY URINE FOR AWHILE. WE FIRST CHECKED IT AND IT WAS AN INFECTION AND THE DOCTOR TREATED IT WITH ANTIBIOTICS. THEN THE BLOOD RETURNED. I HAVE THE FOLLOWING MEDICAL PROBLEMS: OVERWEIGHT, HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, DIABETES AND COPD. I AM TAKING THE FOLLOWING MEDICATIONS : LISINOPRIL, SIMVISTATIN, METFORMIN, AND METROPROPYL TARTATE. MY GRANDMOTHER DIED OF KIDNEY FAILURE AND MY DAD HAD A LIVER TRANSPLANT AND WAS ON DIALYSIS AND PASSED. I WAS WONDERING HOW DO I GET RID OF PROTEIN IN MY URINE. I SLEEP ALOT AND DON'T DRINK ALOT AND EAT 2 MEALS A DAY. I FIND IT VERY HARD TO DRINK WATER AND DECAFFEINATED DRINKS. I DO NOT DRINK ANYTHING WITH CAFFEINE IT. I WILL BE GOING FOR AN ULTRASOUND IN DECEMBER. SHOULD I BE WORRIED MY KIDNEYS ARE FAILING? CAN SOMEONE TELL ME WHAT TO DO TO GET RID OF THE PROTEIN IN MY URINE. THANKS, CHRISS
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John-SKPT responded:
The lisinpril that you are already taking is about the best drug that can be used to limit urine protein. The level can go up and down from month to month, but if it is mostly stable from year to year, then that's a good sign. If protein in urine is just from an infection, it should go away when the infection is gone. If it is coming as a side effect of high blood pressure and diabetes, then about the best thing that you can do is to keep the blood pressure controlled and keep blood glucose controlled. That will do more to stabilize the progression of kidney disease over the next decades, and the kidney function and the urine protein will be more stable. The urine protein may not ever get 'better' the goal is to prevent it from getting worse.
 
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wendy381970 responded:
I didn't realize that I had kidney problems until I got pregnant ,then I had protine in my urine and finally my Doc. did a kidney Bx. and I have a kidney diease and I'm on 3 blood pressure pills a day and my creatinine levels are great for 6 yrs. I have to do a 24 hr. urine a year and go to my Kidney Doc. every 6 months. :
 
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John-SKPT responded:
That sounds like a pretty standard protocol. I don't know if the kidney condition actually was caused by pregnancy--it can happen--or if it just became obvious at that time. The 24 hr urine test is a good one, very accurate data. Just be sure to get detailed instructions from the doc's office about how to collect and store the sample: and goofs in collecting the sample can dramatically reduce how accurate the test is supposed to be.
 
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v5158unique responded:
I found out that I have too much protein in my urine and I was wondering did you ever find a solution on how to get rid it? I don't want to be frighten by this, but I am very concerned because my left kidney has shrunk and it has a cyst and stone in it and I was told that the extra protein in my urine is the cause of the severe chest pains I keep having and I need to know how to get rid of it. Can someone please help me?
 
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v5158unique responded:
Please forgive me but I didn't see your response before I posted my last question, but can I take lisinpril even though I am having problems with my kidney already? My left kidney is shrunk and I have a cyst and stone in it. I was also told that the my blood pressure is so high because of the extra protein in my urine. What can I do in my situation? Can this cause my kidney to collapse? Can this cause problems to my right kidney? I know I have a lot of questions and please forgive me, I'm just really concern about and I don't know what to do. Thank you in advance for you suggestion.
 
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John-SKPT responded:
The standard thing to do first is to add either an angiotensin converting enzyme inhibitor (like lisinopril. but there are a lot of other drugs in that class) or else to add an ARB, angiotensin receptor blocker. If it turns out that you can't tolerate either class of drugs, then lowering BP as much as possible might slow down the increase in urine protein, but it might not reverse where it is now. If the left kidney is significantly shrunken, then that is a sign that some damage has already taken place and this lost function will not come back. So the goal now would be to preserve the degree of function that remains in the left and to prevent any damage to the right kidney. (There are a few cases of autoimmune diseases causing protein in urine, these are often treated with steroids, often it works, occasionally it does not.) The problem is that we don't really know the underlying cause of the protein in urine, with your history the high blood pressure is a probable cause, but there could be another factor added in. (I suspect that the high BP is the cause and the protein is the result, not the other way around.) There are some cases where there will be a level of protein in the urine but it can be stable, not increasing as time passes. These are less of a problem since they are mostly self-limiting. Probably you need to consult a nephrologist and have your case followed by that doc as time goes by.


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