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  2. General Nephrology Questions
  3. Wednesday, 09 January 2019
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Greeting.
I am a male, 30 years old, always thin, around 65kgs,and tall around 185cm.

I am dealing with urine problem for one year.
And I am looking for confirmation that everything is okay or it is not okay.

I will start from the beggining.

February 2018 - weird right testicle feeling, like dull ache in testicle chords.

March 2018 - urologist ultrasound of kidneys and other urinary organs were clean, and palpation of testicles were great.

Later March 2018 - burning or hurting urination, som days constant urination, other days everything normal, trsticle dull acge goes on and off.

April 2018 - testicles ultrasound woth kidney ultrasound were clear.

May 2018 - testicle dull ache slowly disappeared, even today happens rare, little weird pain or burning while urinating persist in some days, in others were fine.

June 2018 - internist ultrasound were fine, blood works were fine, urine had 30mg/dl proteines. I was given ciprox for 2 weeks for possible UTI.

Late June 2018 - still urinating frequently in times, in other times urinating normaly. Urologist visit, again ultrasound clean no urine test, just Azithromycin, even thought i never had sexual intercourse in life, doctor stated it can cure almost all other bacteries too.
At this point creatinine in blood was 80ummol/L.

August 2018 - better after this medic, rare frwquent urinating, tests show no proteines in urine.

September 2018 - frequent urinating almost disappeared, this time i read for foamy urine on net, and first time checked is mine foamy, it was foamy.
Imidiatelly did checks...
Blood test was good.
Urine shows 100mg/dl around 25 september.
Sent on proteinogram...
Albumim 50 g/L
Globulin 23
Creatinine in blood 82ummol/L


Week later repeated urine test and 30mg/dl proteines were found
Again repeated test one more week later proteines were negative.
...
December 2018 - urine test negative proteins and 6 alkaline
Again urine test week later, 30mg/dl proteines and 7 ph.
Went to nephrologyst, who stated this is probably not anything clinical and his diagnosys were like that and to check standing urine spot and laying urine spot in march 2019, and in case over 100mg/dl is found in any, than 24h utine test should be done and again proteinogram.

Later this week I was thinking why would doctor wait if this happens all year, its not something that will just go away, or he is waitting will it go worse...

Anyway, i decide by myself that is best to do 24h urine, so it was done and two times.
Both time i hold urine in fridge as i read on net its best to do that way before bringing it to labs.

15 december - 50,75mg/1,75L(24h)
23 december - 65,67mg/1,99L(24h)

I dont feel any other symptom except foamy urine right now.
In morning its the most foamy, covers surface imidiatelly when start pissing directly to water, and half or more of it will stay even after 5 minutes.
Durring day it is less, usually covers sides of toilet with bublles after 5 minutes.

After flushing small amount circle will stay on top of water.
If i drink lot of just water, it makes me pee more, and this time it will be the least foamy.

I drink a lot of coffee.

I really want to know am I healthy or not, I am a full year on ultrasounds, blood checks, urine checks, and doctors just saying repeat this time, repeat this time.

Isnt it enough 1y. of testing to know is person fine or not.
As I was missing this 24h urine only, i did it too and twice, i dont know what to do else, i am not hypohondar, i just care because i read foam is dangerous.
Responses (1)
Accepted Answer Pending Moderation
Hello,

I will answer your question about urine foam directly. It is normal for some foam (bubbles) to appear in the urine. However, in cases where urine protein levels are elevated, the content of foam might increase. With that said, your 24 hr urine protein levels (if done correctly) are under 100 mg which is a normal quantity. Therefore, I do not believe there is a concern related to increased urinary protein causing foamy urine. It is very likely normal in your case. While I cannot speak to all of the other symptoms you described (testicular sensation etc), the issue about foamy urine is likely of no concern in your case.

I can only base my opinion on the information provided and your health-care provider might arrive at different conclusions once you have provided an entire history and had a physical examination performed. As always, this forum provides general medical information only and is limited to educational use only. Please discuss the above remarks with your health-care provider.

Dr. Jordan Weinstein
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