How can I manage my proteinuria?

Question

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.

Answer 1

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.