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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Recurrent Lower Back Pain With Protein In Urine Indicate?

My husband has been suffering with back pain for the past 2-3 weeks now which keeps coming and going.. sometimes very painful in intensity. The pain has also moved. It was on the right middle to lower side of the back and is now on the the middle to lower left side. After taking him to urgent care they determined he had spilled protein present in his urine sample. Some history on his back includes 21 years ago he herniated his L2 disc also affecting his L1 disc; however this is totally different than the back pain he has known for the past 21 years which when it flares up affects his right leg and numbing directly in the center of his back. He is 51 years old and does not drink or smoke at all. Also, he did not injure his back recently to make us think it was something he did. Any light you may be able to shed on this would be great.
Thu, 17 Nov 2022
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General & Family Physician 's  Response
Hello,

Your husband is suffering from protein in urine and also back ache. He does not take alcohol. He has history of herniated L2 and that is affecting L1 also, he is also experiencing numbing. You are suggested to get him clinically examined by a urologist/GP, get Urinalysis (R/E and C/S) done. If proteinuria and infection is detected, he will be accordingly treated.

It may be indicative of kidney damage, damage to tiny structures called proximal tubules and may cause chronic kidney disease or acute kidney injury. Medical conditions like lupus or renal cell carcinoma, multiple myeloma, etc., can cause proteinuria. He should be treated at the earliest.

Get CT or MRI done to detect the herniation or any other complication that is causing pain and discomfort. He should get clinically examined by an orthopedics and treated. Numbing is an indication of nerve impingement, nerve compression or nerve damage. He should get Nerve conduction velocity test done & treated.

In the meantime, he can take naproxen , one sos when required to get rid of pain. He can take Nerv Up OD, once daily to help damaged nerve recover. He should stay away from addictions if any.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Could Recurrent Lower Back Pain With Protein In Urine Indicate?

Hello, Your husband is suffering from protein in urine and also back ache. He does not take alcohol. He has history of herniated L2 and that is affecting L1 also, he is also experiencing numbing. You are suggested to get him clinically examined by a urologist/GP, get Urinalysis (R/E and C/S) done. If proteinuria and infection is detected, he will be accordingly treated. It may be indicative of kidney damage, damage to tiny structures called proximal tubules and may cause chronic kidney disease or acute kidney injury. Medical conditions like lupus or renal cell carcinoma, multiple myeloma, etc., can cause proteinuria. He should be treated at the earliest. Get CT or MRI done to detect the herniation or any other complication that is causing pain and discomfort. He should get clinically examined by an orthopedics and treated. Numbing is an indication of nerve impingement, nerve compression or nerve damage. He should get Nerve conduction velocity test done & treated. In the meantime, he can take naproxen , one sos when required to get rid of pain. He can take Nerv Up OD, once daily to help damaged nerve recover. He should stay away from addictions if any. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician