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  1. Fuad
  2. General Nephrology Questions
  3. Friday, 26 October 2018
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Hello,

I'm a 34 year old male and a few years ago I did a urine test and the result came back showing the presence of protein in the urine. The doctor at the time said it was nothing to worry about and that I should just keep an eye on it. Almost 2 years later, still protein in the urine. I'm very concerned at this point because my latest tests show an extremely high ACR, and upper limit creatinine levels.

My ACR value was 129.6 mg/mmol creat.....while the normal range is <3
My creatinine level is 109
Creatine Kinase 280 U/L
My triglycerides are also very very high at around 6.

This test was done while fasting.

My nephrologist now has me on a regiment of Ramipril and has requested a kidney biopsy.

The rest of my bloodwork is good.
Responses (5)
Accepted Answer Pending Moderation
Hello,

Do you have any medical problems such as diabetes?

The level of protein in the urine is high enough to warrant a kidney biopsy in order to determine what is going on, assuming there is not something obvious present such as diabetes or years of uncontrolled hypertension. Ramipril, an ACE inhibitor, will be effective at lowering proteinuria in most cases.

Dr. Jordan Weinstein
  1. more than a month ago
  2. General Nephrology Questions
  3. # 1
Accepted Answer Pending Moderation
I do not have diabetes or hypertension. My blood pressure at the doctor's office was 135/90, which is slightly high. I don't have any other medical conditions that I'm aware of. I do however have some symptoms, tightness in the chest/heart area, shortness of breath, streaks in the urine, and lower energy levels, as well as some muscle twitching that's been going on for quite a while (about 3 months).

I had a chest x-ray done with no abnormal results there. Also did an ultrasound , also with no abnormal results.
  1. more than a month ago
  2. General Nephrology Questions
  3. # 2
Accepted Answer Pending Moderation
OK, well I'm glad you are getting this evaluated because your symptoms do sound concerning. Please ensure you discuss these symptoms with your doctor right away. If your chest discomfort and breathing symptoms have come on suddenly or are severe, she should be evaluated in the emergency department. It is difficult to evaluate you in this manner and this forum is intended for general help related to kidney conditions, not for emergency advice. I hope that is understood.

Dr. Jordan Weinstein
  1. more than a month ago
  2. General Nephrology Questions
  3. # 3
Accepted Answer Pending Moderation
Thanks Dr. Weinstein,

Of course I completely understand. None of these symptoms came about suddenly. I can go about my daily activities rather normally without any problems. They're mostly discomforts and I suspect they may have something to do with the kidney condition, which is what concerns me.

Thank you for taking the time to get back to me I really appreciate it.
  1. more than a month ago
  2. General Nephrology Questions
  3. # 4
Accepted Answer Pending Moderation
My pleasure, feel free to post follow-up as you get it. Happy to comment further.

Dr. Jordan Weinstein
  1. more than a month ago
  2. General Nephrology Questions
  3. # 5
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