Proteinuria

Protein in Urine (Proteinuria) - Diagnosis and Treatment

Proteinuria is leakage of protein from the blood into the urine. The kidneys make urine by filtering the blood.

When the blood is filtered through the kidney ,no protein is filtered as the size of protein is large and cannot pass through the kidney filter.. However,  in kidney disease,the filter is damaged which can cause the   protein  to leak into the urine. The filter in the kidney is called a glomerulus, and many of the kidney diseases that cause protein leak are called glomerulonephritis. Treatment for proteinuria is possible.

Protein in Urine

Protein in Urine Symptoms

Normally you may not notice protein leak in urine ,but when the protein leak is heavy you may notice frothy urine, that may require you to get a Treatment of Proteinuria. The simple test with a dipstick (small plastic strip with an indicator paper attached) can detect very small amounts of protein, so a positive test may not always mean there is any serious problem with the kidneys. If the amount of protein in the urine is very high, it can cause water to build up in the body, that’s when you need to consult a doctor for the Treatment of Proteinuria. The extra water can cause ankle swelling, or  swelling  around the eye or the whole body

Causes of Protein in Urine

Protein in the urine is a early marker of most of the of kidney diseases, Treatment of proteinuria will be needed to find out the the cause of proteinuria

These are the most common:-

  • High blood pressure
  • Infection
  • Reflux nephropathy
  • Diabetes
  • Glomerulonephritis
  • Minimal change nephritis 

How is the cause of protienuria diagnosed?

Simple urine test is very sensitive, but cannot measure exactly how much protein is leaking in the urine .To get an exact measurement ,a urine sample is needed in which the laboratory measures the levels of protein and creatinine in the urine (‘protein-creatinine ratio’ or PCR for short).

The doctor will  need  to talk to the patient about any symptoms the patient may have including the medication history, before proceeding towards the Treatment of Proteinuria.

You will need to undergo other blood tests and also an ultrasound examination of the kidneys.

Protein in Urine Causes

Sometimes, to make a firm diagnosis of the cause of proteinuria, it is necessary to perform a kidney biopsy. This is done under ultrasound guidance and a tiny fragment of kidney is taken out using a needle, and is examined under a microscope to confirm the cause of protein leak, establishing if you’ll need to undergo Treatment of Proteinuria .

What are the complications of protienuria?

Many people with protienuria turn out to have minor kidney disease with no problems in long term, but some kidney disease can progress to kidney failure. Complications depend on the exact cause of proteinuria

The higher the protein leak the worse the kidney damage

Majority of the  Kidney disease commonly cause high blood pressure. This increase the risk of further kidney disease, and also the risk of heart attack and stroke. Drugs will be  needed control the blood pressure  and the protein leak

Very high protein levels in the urine can cause  high levels of cholesterol (a type of fat)  in the blood. If the cholesterol level is high over a period of years there is an increased risk of heart attack.

Dr Kavitha Gone Bright Kidney Centre Nephrologist in Hyderabad

Dr Kavitha Gone

MRCP (UK), FRCP (UK)
CCT (Nephrology, Dialysis and Renal Transplant) (UK)
Senior Consultant Nephrologist and Transplant Physician

Dr.Kavitha Gone is a consultant Nephrologist with 15 yrs experience in the field of Nephrology. She has worked as a consultant Nephrologist in a large teaching hospital in U.K. with a haemodialysis population of approximately 470, a PD population of approximately 100 and transplant unit performing 120-150 transplants per year. She has extensive experience in managing Acute Kidney Injury in Intensive care units . Her sub speciality interest are Haemodialysis ,Peritoneal dialysis, Vascular Access and Renal Transplantation.

Book An Appointment

June 2021
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Protein in Urine (Proteinuria) - Diagnosis and Treatment

Proteinuria is leakage of protein from the blood into the urine. The kidneys make urine by filtering the blood.

When the blood is filtered through the kidney ,no protein is filtered as the size of protein is large and cannot pass through the kidney filter.. However,  in kidney disease,the filter is damaged which can cause the   protein  to leak into the urine. The filter in the kidney is called a glomerulus, and many of the kidney diseases that cause protein leak are called glomerulonephritis.

proteinuria

Protein in Urine Symptoms

Normally you may not notice protein leak in urine ,but when the protein leak is heavy you may notice frothy urine. The simple test with a dipstick (small plastic strip with an indicator paper attached) can detect very small amounts of protein, so a positive test may not always mean there is any serious problem with the kidneys. If the amount of protein in the urine is very high, it can causes water to build up in the body. The extra water can cause ankle swelling, or  swelling  around the eye or the whole body

Causes of Protein in Urine

Protein in the urine is  a  early marker of  most of the  of kidney diseases, further  tests  will be  needed to find out the  the cause of proteinuria

These are the most common:-

  • High blood pressure
  • Infection
  • Reflux nephropathy
  • Diabetes
  • Glomerulonephritis
  • Minimal change nephritis 

How is the cause of protienuria diagnosed?

Simple urine test is very sensitive, but cannot measure exactly how much protein is leaking in the urine .To get an exact measurement ,a urine sample is needed in which the laboratory measures the levels of protein and creatinine in the urine (‘protien-creatinine ratio’ or PCR for short).

The doctor will  need  to talk to the patient about any symptoms the patient may have including the medication history.

You will need to undergo other blood tests and also an ultrasound examination of the kidneys.

Sometimes, to make a firm diagnostics of the cause of protienuria, it is necessary to perform a kidney biopsy. This is done under ultra sound guidance and tiny fragment of kidney is taken out using a needle, and is examined under a microscope to conform the cause of protein leak.

What are the complications of protienuria?

Many people with protienuria turn out to have minor kidney disease with no problems in long term, but some kidney disease can progress to kidney failure. Complications depend on the exact cause of proteinuria

The higher the protein leak the worse the kidney damage

Majority of the  Kidney disease commonly cause high blood pressure. This increase the risk of further kidney disease, and also the risk of heart attack and stroke. Drugs will be  needed control the blood pressure  and the protein leak

Very high protein levels in the urine can cause  high levels of cholesterol (a type of fat)  in the blood. If the cholesterol level is high over a period of years there is an increased risk of heart attack.

Dr Kavitha Gone Bright Kidney Centre Nephrologist in Hyderabad

Dr Kavitha Gone

MRCP (UK), FRCP (UK)
CCT (Nephrology, Dialysis and Renal Transplant) (UK)
Senior Consultant Nephrologist and Transplant Physician

Dr.Kavitha Gone is a consultant Nephrologist with 15 yrs experience in the field of Nephrology. She has worked as a consultant Nephrologist in a large teaching hospital in U.K. with a haemodialysis population of approximately 470, a PD population of approximately 100 and transplant unit performing 120-150 transplants per year. She has extensive experience in managing Acute Kidney Injury in Intensive care units . Her sub speciality interest are Haemodialysis ,Peritoneal dialysis, Vascular Access and Renal Transplantation.

Book An Appointment

June 2021
Mon Tue Wed Thu Fri Sat Sun
31123456
78910111213
14151617181920
21222324252627
2829301234

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