Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
126 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Is vegetable protein advisable for a person with hypertension and protein in urine?

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7011 Questions

default
Posted on Mon, 19 Sep 2016 in Hypertension and Heart Disease
Question: I have chronic HTN and have been on Cozaar 25 mg daily last 10 yesrs or so after several different antihypertensive meds. Last couple of yesrs GFR is coming down, like 49, 51 and 41. I had UTI last month
and urine test showed protein in urine, although GFR > 60 for change. Then last week UTI occurred again
and I am to have ultra sound of kidneys next Wednesday. I may see a nephrologist depending on ultrasound
result of next week. Anything better than Cozzar for me who has HTN, CRF(3A ?) and protein urea. My diet
is high protein (milk, yogurt, cottage cheese) and low carb. Should I switch to vegetable protein from animal
protein ? Thank you,
XXXX
doctor
Answered by Dr. Ilir Sharka 39 minutes later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello dear XXXX!

I passed carefully through your medical history and would like to explain that as the renal function plays a crucial role in blood pressure and overall blood circulation homeostasis, it is necessary to make some arrangements in your actual anti-hypertensive scheme.

Cozaar may interfere with your decreasing renal function; also, in around 10%-15% of cases, UTI has been a confirmed adverse effect of Cozaar use.

For the above reasons, it is recommended changing Cozaar for a safer anti-hypertensive drug, such as a calcium channel blocker (Amlodipine, Lercanidipine, etc.) or a thiazide diuretic drug.

You are right about a more controlled rich-protein foods in your diet.

But, before coming to restrictions, I would advise to wait for a professional review of all the possible etiological causes of renal function impairment.

There are several reversible causes of renal impairment; once treated and avoided, renal function may return to normal ranges without the need for any chronic renal specific treatment.

You need to discuss with your attending doctor (nephrologist or internist) on the above mentioned issues.

Hope to have been helpful to you!

In case of any further uncertainties, feel free to ask me again.

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,  
Lab Tests

Recent questions on  Ultra sound

doctor1 MD

I had a ultra sound done on me a month ago what they found was a thinckening of my right scrotum and spermatic cord, I have bad pain in the...

doctor1 MD

i am a 43 yr. old man, for two months i've had pain in my left groin area. i have been on 3 different types of antibiotics and steroids along with...

doctor1 MD

During the Follicular phase: menstral output is dark brown, I become, dizzy, vomit, leg/chest/back pain,next day feel like I ve had a stroke (...

doctor1 MD

To overcome the problem of endometriosis my daughter underwent hysterectomy at the age of 39 last year. One overy was also removed. Now as she was...

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my...

doctor1 MD

I m freaking myself out that I have bladder cancer! I ve had frequent urination for about two months. Now I m having dull pains and cramps on my...

doctor1 MD

I’ve had a month of upper left rib pain , right near the left breast area. Had ultra sound chest X-ray, both normal, but spleen a bit enlarged...