Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Based on your symptoms, I would like to check for renal dysfunction and associated hypertension. Would you clarify a few things for me, please? • Are you male or female? • How old are you? • What are your height and weight? • Do you smoke or consume alcohol? • Do you have any other medical issues or take any medications? • Any family history of kidney disease, hypertension, and heart disease? • Have you have any surgeries? I recommend: • A physician and nephrologist consult • Ultrasound abdomen • Blood tests (complete blood count, kidney and liver function tests, blood glucose levels, lipid profile, and thyroid stimulating hormone levels) • Electrocardiogram and echocardiogram Based on this we can find out what is going on. Your urine tests indicate a kidney pathology which is probably associated with hypertension. Please see a doctor right away. The earlier the treatment, the better. Wish you a good health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prabhakar Laxman Jathar