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Protein in urine, anxiety and panic attack, muscle and joint pain, dipstick is negative - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
Doctor :   Hi
User :   hello
User :   I have questions about protein in my urin.
Doctor :   Yes, please proceed,
User :   I got a physical with my doctor and he said that i had a trace of protein in my urin, did not go into details and said it prob is no big deal.
Doctor :   Have you got a urine test done ?
User :   Yes. last week- then i called for results of that and blood work
Doctor :   My i know what test and what was the report that time ?
User :   ]Because i have not felt well i went out and got my own urin strips and tested my self- last night i was negative but today it showed +30?
User :   it was last thursday at 9am
Doctor :   Ok, May i know you age and gender ?
User :   30 male
Doctor :   Ok, do you have any other illness or on any medications ?
User :   not yet- but i have had anxiety and pannock in the past.
User :   its a long story i will tell you.
Doctor :   Ok,
User :   i have had muscle and joint pain and have bn shaky as of late although my head seems very clear unlike when i had pannock attacks. so i wanted to go in and check why my muscles hurt, and joints also. I also bn having muscle spasms all over my body. any explanation?
User :   what do these test results mean and represent?
Doctor :   increase muscle break down can also give positive for proteins in the urine
Doctor :   Th dipstick positive may say there are protein in the urine but do not specify which type of protein
User :   What do you mean.? Wouldnt that also show up in the blood work?
User :   yes thats correct.
Doctor :   Yes, it may show as increased serum creatinine , well that takes time to present in the blood til then the creatinine will be excreted in excess in the urine
Doctor :   hence i would suggest you to get a 24 hour urine quantitative and qualitative test on proteinuria
User :   what do you mean by muscle break down.
User :   why would it be negative last night and posative tonight? does that mean anything?
Doctor :   Muscle breakdown means due death of the muscle cells , and that can be seen in heavy exertion for a brief period of time or inflammatory illnesses in the muscles
Doctor :   yes, the food consumed , work done will influence the proteinuria
User :   is it common for it to be +30 / after exercise or food.
Doctor :   yes, the dip sticks are non reliable in quantitative analysis , whether positive or negative is what we have to consider
User :   if it is not seriouse it should go back to negative correct? if its something then it will stay possative?
Doctor :   yes, you are right
Doctor :   but do it with a new set of dipsticks
User :   what do you mean. I have a bottle of 100> and the one from last night and tonight were bothe from that bottle.
Doctor :   ok, i just wanted to avoid manufacturing defects which can be a cause some times
User :   how long should it take to go back to negative if it was high due to exercise or foods?
Doctor :   the next day reading should be normal
User :   is +30 a common possative and how often is +30 normal?
User :   it is common for it to switch from day to day?
Doctor :   i would say +30 copu be encountered in about 5 to10% of normals
Doctor :   could*
User :   anything seriouse would show up everytime i do test correct?
Doctor :   yes,
User :   if iy goes back to normal tomorrow it should be ok?
Doctor :   yes,
User :   sorry im really nervouse because i have not felt good and there are no answers for it>
Doctor :   better test for two days
User :   what do you mean
User :   and why do you test for 2 days
Doctor :   i meant to test for two times , as one was negative and one was positive , it would require two tests on separate days to rule out the proteinuria in you strongly
User :   ok. so what if tomoorow i test and its negative but then i test for 3 more days and its possitive then negative again after that. Is that possible or normal?
Doctor :   Then in that case it would better to get the test done in a laboratory , where they using either chemical or chromotographic method to identify and estimate the protein in urine
User :   i just dont understand.
Doctor :   The dipstick method is crude and less reliable method, and there are high false positive results .
User :   so if i exercise everyday is it tru that it would be possative everyday?
Doctor :   The laboratory uses higher techniques and machines to estimate the protein in the urine , the values of which can be relied on for diagnosis
Doctor :   no, both food and the exercise influence the protein breakdown
User :   ok so if i tested positive in the lab last week, then negative in lab last night, and positive in lab tonight? what would you say?
Doctor :   then you may be needing a 24 hour urine protein analysis along with Kidney function test to get insights into the cause
User :   what does a 24hr urine pro analysis intail?
Doctor :   here 24 hour urine has to be collected, i mean from 9am on one day to 9am of the next.
User :   o even if im negative on tomorrows lab test i should still get checked or its ok>
User :   ?
Doctor :   the urine sample is examined for specific gravity , protein content both qualitative and quantitative , microscopic examination for any casts , cells etc
Doctor :   no , once the lab test shows negative you need to worry
Doctor :   and there will be a need for a retest
User :   if it shows negative i need to worry?
Doctor :   I am sorry , i meant need not worry
User :   and no need to retest or should restest if negative?
Doctor :   no need to test again if negative
User :   ok just so im clear: all major concerns would show positive on every test correct?
Doctor :   yes,
User :   ok since i showed positive last friday in lab when should i get another lab reading?
Doctor :   you can get any time again
User :   ok
User :   ok so as lomg as next test is negative im good even if its posative again 3 days later and then back to narmal the next day after that?
Doctor :   yes,
Doctor :   get the lab test done , that would be more convincing
User :   is that the same as when you go to doctors and you pee in cup for them? is that considerd lab test?
Doctor :   Not to the doctors , doctors do the dipstick most of times .You have to go to the lab ( diagnostic center )
User :   ok
User :   or can i just go
Doctor :   No , you can ask for it
User :   ok thanks for your help
Doctor :   you are welcome
Doctor :   Thanks for consulting me
Doctor :   Bye for now
Doctor :   Take care
Doctor :   Wish you good health
User :   thanks
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