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Child has albumin in urine. What diet is recommended?

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General & Family Physician
Practicing since : 2009
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My son is 2 and half year old. He has albamin in urin .please tell what diet he has to take and what is the cause for this problem.kindly reply.
Posted Wed, 5 Jun 2013 in Kidney Conditions
Answered by Dr. Luchuo Engelbert Bain 1 hour later
Hi and thanks for the query,
Albumin is a protein that normally should not be found in urine, or if present, should be in very minimal amounts. Presence of albumin in urine usually deserves a formal exclusion of a kidney disease. Evaluation of the possible kidney disease shall depend on the clinical presentation and past medical history. It is important to note whether the child urinates normally, any notion of fevers or not, notion of swelling in the face and the relationship of this swelling, if present, to the hours of the day, history of a throat infection and presence or absence of blood in the urine.

Acute streptococcal infections of the throat and tonsils, glomerulonephritis, nephrotic syndrome, nephritic syndrome, IGA nephropathy are common diseases that could cause massive proteins in urine. Other diseases like Type I diabetes should also be borne in mind, but the complications in this case are usually late. Measuring the child s blood pressure and checking for red blood cells in the urine is also very important in the evaluation process. Serum electrolytes should be checked and an abdominal ultrasound to check the size and structure of the kidneys could be an option in due course.

It is very important to do a proper urine exam and culture . Common conditions could cause an increase in urine albumine: exercise, fever, changes in body position and quality of sample collection and measurement errors. In the absence of red blood cells and apparent clinical signs suspicious of renal disease, doing the urine albumin test again is often considered.

However, while waiting for proper confirmation or disagreement with the test, a low protein diet should be considered.

It is imperative whenever we have persistent abundant proteins in urine to exclude the possibility of a kidney disease, acute or chronic kidney failure. I strongly suggest you consult your pediatric nephrologist or general nephrologist for a proper clinical evaluation and management.

Thanks and best regards. Do not hesitate further questions if need be.

Best regards,
Luchuo, MD.
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