What Causes Protein in Urine, and What Should I Do About It?

Update Date: 2024-05-22 Source: Network

Regular physical examination is necessary to detect proteinuria in time. For high-risk groups, such as patients with diabetes, hyperuricemia, and hypertension, urine tests should be performed at least every six months to a year. It is recommended to maintain a light diet with low salt and protein intake, and those with renal insufficiency should consume quality protein regularly. What causes proteinuria and how to deal with it? Let's take a look.

Causes of Proteinuria:

1. Transient proteinuria may occur after fever, high temperature, intense exercise, or a high-protein diet, which is considered physiological proteinuria.

2. Pathological proteinuria can be seen in various kidney and renal vascular diseases, as well as certain systemic diseases such as multiple myeloma.

3. Positional proteinuria is believed to be related to the nutcracker phenomenon (also known as left renal vein entrapment syndrome), which is caused by compression of the left renal vein between the aorta and the superior mesenteric artery.

Management of Proteinuria:

The main approach to managing proteinuria is to treat the underlying cause and provide symptomatic relief. Drug treatment may be chosen, with renin-angiotensin-aldosterone system (RAAS) inhibitors (ACEI/ARB) and traditional Chinese medicine syndrome differentiation treatment serving as the basis for proteinuria treatment. Depending on the severity of the condition and the type of kidney pathology, glucocorticoids and/or immunosuppressive agents may be prescribed.

Routine Care:

Regular physical examination is essential to detect proteinuria promptly. High-risk groups, such as patients with diabetes, hypertension, and hyperuricemia, should undergo urine tests at least every six months to a year.

Dietary Adjustment:

Maintaining a light diet with low salt and protein intake is recommended. Individuals with renal insufficiency should consume quality protein.

Other Considerations:

It is important to avoid the use of drugs that may cause kidney damage, such as analgesics, certain antibiotics, and herbal medicines with unknown ingredients.