What could cause elevated protein levels in the urine?

Question

Hi doctor,

I am a 66 year male, who is diabetic and hypertensive from the last 15 years. I am on Tazloc H, Cresar AM, Metformin, and Amaryl. Routine urine exam showed proteins 30 mg/L, micro albumin 94.97 mg/L, and pus cells 4 to 5 cells. What is the inference and advise?

Answer 1

Hi,

Welcome to icliniq.com.

I will advise you to check UPCR (urine protein to creatinine ratio) and evaluate fundus for diabetic retinopathy or hypertension retinopathy. Thanks.

Answer 2

Hi,

Welcome back to icliniq.com.

From the reports (attachments removed to protect patient's identity), it seems that kidney function is normal. Protein more than 300 mg/day is worrisome. To rule out the effect of diabetes on kidneys, check your retina because 70 % (percent) of retinopathy have nephropathy. And if the retina is normal, there are fewer chances of affection of kidney due to DM (diabetes mellitus).

I will advise you to do 24-hour urine protein for better prediction, ultrasound KUB (kidney, ureter, and bladder), and renal artery Doppler.

Revert with the above information, and feel free to ask any query.

Answer 3

Hi,

Welcome back to icliniq.com.

I saw your reports (attachments removed to protect the patient's identity).

UACR (urine albumin-to-creatinine ratio) is normal.

Target HbA1c upto 7.5%.

Take the tablet Febustat 40 mg if liver function and serum uric acid level are normal.

If you have any symptoms, get the fundus checked.