Proteinuria - Online Doctor Chats

User :   My urine has been foamy for up to 3 months I think, the urine test showed no proteins, but the 24-hour urine test showed 350mg. I made a ultrasound and the kidneys look fine. I know I need to see a doctor but have no medical insurance for now. Any of your input on how to proceed is appreciated in advance.
User :   Hi - waiting for your input
Doctor :   Hi
User :   Hi
Doctor :   I am Dr....;
Doctor :   I rad your query
User :   nice to meeting you
Doctor :   And Ihave few questions?
User :   ok
Doctor :   DO you still have the foamy urine?
User :   yes
Doctor :   Other than that do you have any other complaints
User :   no
User :   I made a blood test
User :   and have high LDL
Doctor :   tell me the results like Blood urea and creatinine
Doctor :   Type all the info
User :   yes - I may need to translate some terms
User :   sugar? 121 mg
User :   cholesterol 257
User :   LDL 177
User :   those are bold thus above the normal
User :   urea is 27mg
Doctor :   ok
Doctor :   Cr
User :   creatinine is 0.98mg
Doctor :   Ok
Doctor :   So u have abnormallipid profile
Doctor :   That is need to be addressed
User :   what is it>
Doctor :   You have high cholesterol
User :   yes
Doctor :   You need physical exercise min 30 min daily and diet control
Doctor :   less fatty diet
User :   yes
Doctor :   try these for 6 months and repeat the lipid profile again
User :   ok
User :   should I have some tests for my kidney?
Doctor :   If the LDL still high you may need statin drugs which reduce cholesterol
User :   I read about proteinuria and I am not sure the proteins in urine denote another problem on any other organ
Doctor :   Yes the diabetes can cause proteinuria
Doctor :   But u do not have diabetes
Doctor :   May I know your age/weight?
User :   44 years old
User :   174 cm height
User :   87 kg
Doctor :   You are over weight
Doctor :   I suggest you get the HbA1 c test done
User :   ok
User :   how many kilos should I lose?
Doctor :   Which is also screening test for diantes
Doctor :   Roughly 15 kgs
Doctor :   Your other urinal parameter are normal
Doctor :   diantes =diabetes
User :   ok - so a connection may exist between abnormal lipids and proteinuria with nothing else involved?
Doctor :   I am also thinking in that line 'Actually patient with nephtotic syndrom have exceess cholesterol in the blood and also has lipids in urine
User :   ok
Doctor :   In addition they have high urinary proteins , greater than 3.5 gm/day
Doctor :   Becuase Ultrasound and Vlood urea and creatini e are normal
Doctor :   And two tests are abnormal
User :   ok
Doctor :   let us concentrate on the two issues
Doctor :   and then repeat the two tests after 6 months
User :   ok - so there is no need to panic
Doctor :   Right now there is no reason for panicking
User :   or do my will :)
User :   ok Doctor all understood
Doctor :   Even literature says even normal urine can cause foamy urine
Doctor :   If you want to reconfirm
Doctor :   repeat the 24 hr urine
User :   ok
Doctor :   and make sure it is less than 150mg
Doctor :   Hi
User :   hi
Doctor :   Yes I am here
Doctor :   So you better repeat the test
User :   ok - about the diet should it be a diet for diabetes?
User :   or just a no fat diet?
Doctor :   I recommed diabetes and less fat diet in your case
Doctor :   read about Metabolic X syndrome
User :   ok
User :   I'll do as suggested. Is there anything else to be added?
Doctor :   My approach is treating it as a precursor of diabetes
Doctor :   so I will treat as diabetes
Doctor :   Even i give diabtes medicine
Doctor :   These medicine will reduce weight
Doctor :   and control the metabolic imbalance like glucose and cholesterol abnormalities
User :   are there available in Greece?
Doctor :   Yes
Doctor :   Metformin is the druug availale on market
Doctor :   but you need prescription
User :   ok - noted.
Doctor :   Request your doctor
User :   I'll do
Doctor :   follow DIet+exercise+medicine
Doctor :   And repeat the tests
User :   ok
User :   thank you very much indeed Doctor
Doctor :   Yu welcome
User :   bye for now
Doctor :   Did I clarify your doubts
Doctor :   Bye
Doctor :   Thank you for consulting
User :   Oh yes indeed
User :   thank you too!
Doctor :   Good night
Doctor :   Bye
User :   Bye