Hello,

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. Since your dipstick reading detected ++ protein, it might be a good idea to confirm the quantity of protein using either a 24 hr urine for protein (or more commonly now) a protein or albumin to creatinine ratio on a random/spot urine. Once quantified, your healthcare provider might decide to investigate the cause of it further.

Dr. Jordan Weinstein