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How can I manage my proteinuria?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

As part of a routine annual checkup, protein in urine was recently detected.

I am hypertensive, 150/80 mm Hg, and overweight. Currently, I am on Cilacar M 25/10 (Cilnidipine 10 mg and Metoprolol 25 mg) daily morning for hypertension for three years.

Kidney USG is normal with grade 1 fatty liver. Please suggest to me the BP medicine which takes care of the urine albumin issue. A local doctor suggested to consult expert doctor on the addition of ARB in place of Metoprolol. Please advise.

Thanks.

Answered by Dr. Murugan Sivalingam

Education:

MBBS

Professional Bio:

Dr. Murugan Sivalingam is a highly experienced nephrologist and internal medicine specialist dedicated to delivering comprehensive kidney care and managing complex medical conditions. He combines advanced expertise with compassionate patient care, focusing on personalized treatment plans and improving overall health outcomes.      

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern.

The protein in the urine is likely to be related to hypertension. The treatment would be to control the blood pressure and weight reduction. Being overweight also increases the risk of protein leak in the urine. The degree of proteinuria is minimal at present. You can continue with the same treatment at present. It would be important to take the BP (blood pressure) medicines regularly.

You should not take pain medicines and alternative treatment as these can increase the protein leak in the urine. Though the laboratory has done most of the tests, the potassium level was not tested, as some of the medicines taken for protein leak can increase potassium levels.

You should avoid food items with high salt, such as processed food and fried items. You also need to do regular physical activity. I would advise you to repeat the tests as advised below after three months and arrange a review with a nephrologist in your place. After three months, get sodium, potassium, creatinine, bicarbonate, urine routine, urine spot protein and urine spot creatinine checked.

I hope this information will help you.

Thanks.

Medically reviewed by iCliniq medical review team
Published At April 16, 2026
Reviewed At April 16, 2026

Education:

MBBS

Professional Bio:

Dr. Murugan Sivalingam is a highly experienced nephrologist and internal medicine specialist dedicated to delivering comprehensive kidney care and managing complex medical conditions. He combines advanced expertise with compassionate patient care, focusing on personalized treatment plans and improving overall health outcomes.      

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Murugan Sivalingam is a highly experienced nephrologist and internal medicine specialist dedicated to delivering comprehensive kidney care and managing complex medical conditions. He combines advanced expertise with compassionate patient care, focusing on personalized treatment plans and improving overall health outcomes.      

This doctor is not available for online consultations on the platform anymore.

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