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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Extremely high protein count in urine samples. Suffering from anaemia, excessive sweating. What else could it be?

My husband s physician is concerned about his extremely high protein count in urine samples taken over 3-4days time period. Other very prominent (some long-term) symptoms include anemia (his diet is good - he was surprised at anemia diagnosis; little tolerance to heat, e.g., mowing grass for 15 or so minutes causes EXTREME sweating, body becomes very hot with MAJOR fatigue lasting for hours (until body cools down) - this has been happening for several years; near zero energy level - lethargy is CONSTANT; skin coloring is dull , i.e., not extreme paleness but not much color to skin; very ill-tempered if energy must be exerted (routine household chores, e.g., mowing grass, vacuuming, everyday chores; history of excess alcohol/drug use for 30+ years (drinking/drug use has ceased for 2-3 years); has developed cough which lasts approximately 15-20 minutes after very little exertion; extreme reaction to slightest emotional upset; has had severe and sometimes debilitating pain down his left leg for several years (his description - I do not know if the pain is a muscle-type pain or stabbing-type pain); his mouth stays really irritated, burning sensation (this has apparently been a symptom for several years; has chronic joint/muscle pain. Was referred to nephrologist last week after his physician discovered extremely high protein level in urine - when I asked what did your doc say levels were, his reply was I think she said 260 or maybe 360 (he does not care to know details ) but did make appointment with nephrologist which tells me he is concerned. His memory has decline somewhat which causes him extreme irritation (he has expressed some concern because his father s father had Alzheimer s disease.) He is 66 y/o, not overweight; sees a cardiologist yearly as precaution since his father died of cardiac arrest at approximately age 76 (I do not know his exact age when death occurred). My husband does not share what he and his cardiologist discuss. Questions for you, please - what other symptoms/complaints should I, as his spouse, notice or ask him about? We see our physician together - I, at his request, sometimes remind him of the symptoms he wants to talk to physician about. Are there specific symptoms/questions I should remind him to ask physician in order to enable her to better diagnosis or make referrals? Thank you for your suggestions and helpful information.
Fri, 22 Nov 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
I would come up with these possibilities for such type of high protein in urine with anemia , these includes.
1 Chronic renal failure , as you mentioned in your query that he is having high amount of protein in urine with anemia .In my so many cases I have noted that the color of patient become pale , exertion breathing , fatigue, sweating .Basically anemia is responsible for all these symptoms but the causes of anemia may be chronic renal failure. Diagnosis can be confirmed by serum creatinine and blood urea examination . Also get in M R I of both kidneys.
2 CHF i.e. congestive heart failure all these symptoms may be due to C H F . Diagnosis can be confirmed by physical as well clinical examination by a physician . EKG and echo are also advised .
3 Hypo proteinaemia , deficiency of protein may be the next reason . A s you mentioned that high amount of protein is passing in the urine .
In my opinion consult a physician and get his opinion regarding further course of action to rule out kidney involvement.
Good luck for your husband.
Dr. HET
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Extremely high protein count in urine samples. Suffering from anaemia, excessive sweating. What else could it be?

Hello, Thanks for the query to H.C.M. Forum. I would come up with these possibilities for such type of high protein in urine with anemia , these includes. 1 Chronic renal failure , as you mentioned in your query that he is having high amount of protein in urine with anemia .In my so many cases I have noted that the color of patient become pale , exertion breathing , fatigue, sweating .Basically anemia is responsible for all these symptoms but the causes of anemia may be chronic renal failure. Diagnosis can be confirmed by serum creatinine and blood urea examination . Also get in M R I of both kidneys. 2 CHF i.e. congestive heart failure all these symptoms may be due to C H F . Diagnosis can be confirmed by physical as well clinical examination by a physician . EKG and echo are also advised . 3 Hypo proteinaemia , deficiency of protein may be the next reason . A s you mentioned that high amount of protein is passing in the urine . In my opinion consult a physician and get his opinion regarding further course of action to rule out kidney involvement. Good luck for your husband. Dr. HET