DEAR DR. ROACH: My partner had many tests for bacteria in his urine. Three months ago, he had no protein in the urine; 2 months ago, the number of protein was 20; one month ago, the number was 100. His urologist is not concerned. My sis, who had amyloidosis that eventually took her life, constantly stated, “You dont wish to see protein in your urine.” Could there be a nonserious factor for all this protein? His kidney function is exceptional for a 76-year-old. Should the protein be investigated?– R.S.ANSWER: I agree with your impulses that protein in the urine ought to be examined. While none of the 40 kinds of amyloidosis prevail, your sister was right that protein in the urine might represent a major condition. Nephrologists are the professionals in assessment of unusual protein in the urine.Usually, the primary step in evaluation is determining how much protein there actually is. The definitive test is a collection of all urine for 24 hours. Depending upon the quantity of protein, different conditions can be looked for. Unsuspected diabetes, autoimmune diseases and some cancers all might trigger protein in the urine. Its great news that your spouses kidney function is excellent; nevertheless, there are still kidney-related conditions that cause protein in the urine however that may not have actually triggered irregular kidney function results on a blood test. In my experience as a general physician, percentages of protein in the urine are only rarely serious. Its not uncommon, especially when an individual has actually been fasting for a lab draw. It can cause the urine dipstick to check out positive for protein when there is only a little amount of protein in the urine if the urine is concentrated. DEAR DR. ROACH: Im a retired nurse anesthetist. Having spent my whole their adult years in medicine, I retired at 70 years old. The reason? Periodic memory loss.At 74 years old, last year, I signed up or an Alzheimers illness research program. I think in these programs for numerous reasons. I was shocked to learn that I have plaque in my brain with no family history.I dream you would encourage more people to volunteer, if for no other factor than they could get cutting-edge treatment free of charge. What much better method to help your household, pals, and society at large? For free?Studies are being done all over the country. Volunteer and belong to the remedy.– C.C.ANSWER: Thank you for writing. Really couple of people sign up for medical trials, but they are necessary for scientific advancement. Nearly every column I compose, I base my answer on the outcomes of controlled clinical trials.For my own patients who are thinking about enrolling in a trial– I work at a significant research study center with lots of other research study venters close by– I stress not the possibility of a miracle cure or even cutting-edge therapy, however the advantage to society through the advancement of understanding. Couple of clinical trials result in brand-new treatments being authorized, however numerous trials require to be performed in order to have a chance to make the next huge advance. Selflessness, in my opinion, is the best factor for taking part in a medical trial. * * * Dr. Roach regrets that he is unable to answer individual letters, but will integrate them in the column whenever possible. Readers might email concerns to ToYourGoodHealth@med.cornell.edu or send out mail to 628 Virginia Dr., Orlando, FL 32803. (c) 2021 North America Syndicate Inc.All Rights Reserved
3 months ago, he had no protein in the urine; two months back, the number of protein was 20; one month back, the number was 100. Nephrologists are the experts in assessment of unusual protein in the urine.Usually, the very first step in assessment is identifying how much protein there actually is. Unsuspected diabetes, autoimmune illness and some cancers all may cause protein in the urine. Its really good news that your other halfs kidney function is exceptional; nevertheless, there are still kidney-related conditions that cause protein in the urine but that may not have triggered unusual kidney function results on a blood test. If the urine is focused, it can cause the urine dipstick to read favorable for protein when there is just a little quantity of protein in the urine.