How is proteinuria treated?

Treatment for proteinuria begins with seeking medical care from your health care provider. To determine if you have proteinuria, your health care provider will ask you to provide a urine sample for laboratory testing.

Treatment for proteinuria depends on the underlying cause. However, the goal of treatment is to reduce the levels of protein in the urine. Several approaches are successful and include hypertensive therapy and, in the case of diabetic kidney disease, therapy to maintain normal blood glucose levels.

Treatments for proteinuria

Treatments that are used to control proteinuria or its underlying causes include:

  • Angiotensin-converting enzyme inhibitor (ACE) or angiotensin receptor blocker (ARB) medications to lower blood pressure and protect kidney function
  • Dietician consultation and a healthy meal plan
  • Diuretics
  • Insulin or other medications to help control blood sugar levels in people with diabetes
  • Low-protein diet
  • Low-sodium diet
  • Treatment of any underlying chronic conditions

What are the potential complications of proteinuria?

You can help minimize your risk of serious complications by following the treatment plan you and your health care professional design specifically for you. Complications of proteinuria include:

  • Adverse effects of proteinuria treatment
  • Elevated cholesterol
  • Hypercoagulable state (too much blood clotting)
  • Kidney damage
  • Kidney failure and need for dialysis

References:

  1. Proteinuria. National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC). http://kidney.niddk.nih.gov/kudiseases/pubs/proteinuria/.
  2. Protein - urine. Medline Plus, a service of the National Library of Medicine National Institutes of Health. http://www.nlm.nih.gov/medlineplus/ency/article/003580.htm.
  3. Collins RD. Differential Diagnosis in Primary Care, 5th ed. Philadelphia: Lippincott, Williams & Williams, 2012.
  4. Bope ET, Kellerman RD (Eds.) Conn’s Current Therapy. Philadelphia: Saunders, 2013.
  5. Domino FJ (Ed.) Five Minute Clinical Consult. Philadelphia: Lippincott Williams & Wilkins, 2013.
INTRODUCTION

What is proteinuria?

Proteinuria is an abnormal condition in which the kidney releases too much protein into the urine. Proteinuria is also known as albuminuria, due to the presence of one type of protein, albumin, in the urine. It is often caused by dysfunctional kidneys, high blood pressure, or diabetes. Proteinuria is a sign of chronic disease of or damage to the kidneys.

Proteins circulate wi... Read more about proteinuriaintroduction

SYMPTOMS

What are the symptoms of proteinuria?

You may not experience symptoms of proteinuria; however, as the condition changes, a number of symptoms may result. The symptoms can vary in intensity among individuals.

Common symptoms of proteinuria

Any of these common symptoms of proteinuria can be severe:

CAUSES

What causes proteinuria?

Proteinuria is the result of protein in the blood passing through the kidneys and into the urine. Diabetes and high blood pressure are common causes of proteinuria. Acute illness or dehydration can result in a transient increase in a urine protein measurement.

Renal causes of proteinuria

Proteinuria can be caused by a number of conditions or disorders of the kidney incl... Read more about proteinuriacauses

Medical Reviewer: William C. Lloyd III, MD, FACS Last Annual Review Date: Sep 20, 2013 Copyright: © Copyright 2014 Health Grades, Inc. All rights reserved. May not be reproduced or reprinted without permission from Health Grades, Inc. Use of this information is governed by the HealthGrades User Agreement.

This Article is Filed Under: Kidneys and the Urinary System


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