I would advise that you do follow up with regard to monitoring your BP>> check this several times a week and check in seated position after 10 minutes rest.. check and keep a list or record... it is best to look at an average of say 10 to 15 numbers over time... the average should be 135/85 or less >> if it stays higher then you might need treatment>> the first step in this regard would be to reduce your salt (or sodium ) in your diet consumption....
The BP very much ties to kidney function. The kidneys have a key role in regulating the BP and conversely the BP remaining normal is important to the health of tyour kidneys ( as well as heart and blood vessel health)...
The foamy appearance of the urine is not generally regarded to be a sign of pathology... I would not stress this so much to be a key factor...
On the other hand it is normal that you would would not have much protein in the urine... small amount may be present but a high amount of protein in the urine would be abnormal...
If urine dipstick indicates more than minimal protein then you may indeed need further follow up on that>> A 24 hour urine to quantify the protein in urine may be needed in some cases...
Certain kidney diseases can lead to abnormal protein loss...
I hope this information helps >> Let me know if youhave further questions ? information / discussion >> I will be happy to get back with you!!
If my answers have been helpful and to your satisfaction then please remember to leave positive feedback. That would be very much appreciated! Thank you and Best Regards,
Anthony Bray MD
I still have foamy urine and decided to do another urine test this morning,the dip stick at the hospital showed no more protein and the lab test as well showed very little trace which contradicts the earlier two GP test which I did on Tuesday.
I did go for acupuncture trearment on Thursday and took some Chinese herbs from the TCM to cleanse the kidneys which could have resulted in the urine clearing up the proteins. However the urine is still a bit foamy.
BP is stable at 140/85,I am attaching the lab urine test which the doc commented does not show any thing serious but can of course opt for a kidney scan if still concerned.
Hello again >> To me it is most assuring that the urine does not show abnormal protein now. That would be the main potential concern from your history...
As for the foamy appearance of the urine I do not have patients specifically look for this although if there has been a dramatic change then it could be a sign of more contaminants such as protein in the urine. Some foam or bubbles of the urine is a common phenomenon and not necessarily a sign of any pathology ( ie > not indicating any disease of the kidney)
If you urinate into a toilet and the water in the bowl has any detergent lingering then this will create a lot of foam itself...
I agree that your BP is borderline elevated > goal is for your AVERAGE to be maintained at 135/85 ...
I would advise that you try to exercise regularly and to cut the salt /sodium content down in your diet adn continue to follow your BP over time... if it stays at or above that 140/90 then treatment to control it should be considered....
Consider that compared to AVG of 135/85 VS 155/95 >> this degree of difference over time ( years) would correspond with a double risk of heart atttack/stroke as you age...
Now the 140 /90 is not that far from 135/85 so many would elect not to treat that early but even at this 5 point elevation IF THIS IS AVERAGE for you and you fail to improve it with diet and exercise then a mild treatment for BP should be considered. HCTZ is an option that would be cheap, mild and usually no side effects for most who take this...
I hope that this helps! Let me know if you have further questions and I will be happy to get back with you!
no,there is no detergent in the bowl which of course I ensure,and yes it is a dramatic change in foaminess. Its not more of a bubble but more like Beer like foam.
So if the protein has subsided and not showing in the test done ,I cant understand the presence of the foam unless it is an on and off leak.
Hi Doc,its been 10 days and my foam in urine has not cleared.I went for a ultra scan and the kidney and bladder showed normal functions,
went for a full blood test and uric acid was high but all others creatinine etc all normal,
Redid urine full test and it showed trace in blood at level 2 which the doc says is normal and protein leakage at 1+ which is not in the danger zone
He might call for a 24 hr urine test if it does not clear in a weeks time.
I had a bruise on my left kidney after a session of hard massage 12 days ago and noticed the leak and foam in my urine 2 days later.
I exercise like 5 days a week walk and a jog
I also was on herb Tonkat Ali for one and a half months which I have temporarily stopped.
I also take supplements like Cinnamon, Omega 3,Cranberry,Vitamin C,brain tonic.
I am pretty worried and from your experiance how long will the foam clear off and the leak as well.
Should i lay off exercise for a while? Should I go on a vegetarian diet for a while?Are there any medications I can take to block the leakages?
Should I stop my acupunture therapy that I have just restarted as an alternative treatment.Please advise.
Yes > those added tests would be useful. The urine excretion of protein/albumin and others will vary from day to day to an extent. Physical exercise, infection, fever, marked hypertension, marked hyperglycemia ( high blood sugar) , congestive heart failure are possible reasons for this variation ( I am not saying that you have these conditions but that is the spectrum of factors >> up and down microalbumin in particular...)
The microalbumin measures a protein that may not be picked up reliably by the dipstick..
The Bence Jones protein ( here the tests combination of immunofixation and urine protein electrophoresis are done) >> these tests screen for abnormal protein PRODUCTION as it may be seen in certain conditions such as lymphoma, monoclonal gammapathy and others...
The quantitative protein helps to determine the health of the kidneys in part as well as screening for abnormal protein presence as would be the case in some conditions as mentioned above.
Kidney conditions such as IgA nephropathy would be potential to cause ongoing excess of protein in the urine ( this latter condition usually would cause episodes of blood in the urine as well and would have most likely led to abnormal finding of high creatinine...
Certain conditions leading to protein in the urine may benefit from treatment with an ACE inhibitor or A2 blocker for your BP>>
I hope that this information helps! Let me know if you have further questions and I will be happy to get back with you!!
Hi Doc bence jones was negative,24 hr urine test results as follows:
UR TV PROTEIN 2804ML
UR TOTAL PROTEIN 1.00G/L
UR 24 TOTAL PROTEIN 2.80 G/24
UR TV MICROALBUMIN 2804ML
UR MICROALBUMIN 77.73 MG/DL
UR MICROALBUMIN 2180H/MG/24HRS
Saw a renal specialist he put me on olmetec 20mg once a day x 30 days and says I am losing 2 gram protein a day and after medication if it does not come down to 1 gram possible biopsy might be needed.
I am 10 days on medication right now and the home read dipstick readings are much better fluctuating from Trace to 0.3g/l throughout the day.
BP is stable at 115/75-120/80 with the Olmetec as well
My question if with permanent medication it can stay at the 0.3g/l level am I in danger of progressing to Dialysis in the future?