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Tuesday, May 25, 2010

How can I understand the situation on this urine test result?

If the urine test result is showing that urine albumin is605.1 mg/g, how can I understand the situation on this urine test result? Can anyone who is familar with urine test can tell me the situation??
Answer:
In general, this test result is showing protein (albumin) in your urine. Signs of albumin in the urine of a diabetic patient is often viewed as potential kidney disease, meaning that it is suspected the diabetes has affected the functioning of the kidneys. Your doctor may order additional testing of urine and blood, including a 24-hour urine collection (if this is not a reading from a 24-hour collection already). I've been through this process a few times myself, as my kidneys succumbed to diabetes and to harsh antibiotics used to treat CMV pneumonia, and I've had two separate transplants. Hope this helps!
You will need a doctor to interpret this result for you. It can be something temporary or it can be an indication that something is wrong. Here is an excerpt from a good website that explains how one result can mean very many things.
------------------------------...
Urine albuminNormal Values:
The normal values for a spot check is approximately 0 to 8 mg/dl, or less than 30 mg/d of albumin (the major circulating serum protein).For a 24 hour test, the normal is150mg/24 hr under normal circumstances.Note: mg/dl = milligrams per deciliter; mg/24 hr = milligrams per 24 hours; mg/d = milligrams per day
What abnormal results mean:
Abnormal results may mean an increase in urine protein, and this may indicate: * Amyloidosis
* Bacterial pyelonephritis
* Bladder tumor
* Congestive heart failure (inadequately perfusing the kidneys)
* Diabetic nephropathy
* Glomerulonephritis
* Goodpasture's syndrome
* Heavy metal poisoning
* Lupus erythematosus
* Malignant hypertension
* Multiple myeloma
* Nephrotic syndrome
* Nephrotoxic drug therapy
* Polycystic kidney disease
* PreeclampsiaAdditional conditions under which the test may be performed: * Acute nephritic syndrome
* Complicated UTI (pyelonephritis)
* Eclampsia
* Hemolytic-uremic syndrome (HUS)
* Interstitial nephritis
* Medullary cystic disease
* Membranoproliferative GN I
* Membranoproliferative GN II
* Membranous nephropathy
* Necrotizing vasculitis
* Post-streptococcal GN
* Rapidly progressive (crescentic) glomerulonephritis
* Reflux nephropathy
* Renal vein thrombosis
* Rocky mountain spotted fever
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What the risks are:
There are no risks.
====================
Special considerations:
Interfering factors: * Severe emotional stress
* Strenuous exercise
* Radiopaque contrast media within 3 days
* Urine contaminated with vaginal secretionsDrugs that can increase measurements include acetazolamide, aminoglycosides, amphotericin B, cephalosporins, colistin, griseofulvin, lithium, methicillin, nafcillin, nephrotoxic drugs (such as arsenicals, gold salts), oxacillin, penicillamine, penicillin G, phenazopyridine, polymyxin B, salicylates, sulfonamides, tolbutamide, and viomycin.
This type of testing is used to detect protein in the urine, to help evaluate and monitor kidney function, and to help detect and diagnose early kidney damage and disease. A dipstick urine protein is performed routinely as part of a urinalysis. It is used to screen the general population for the presence of protein in the urine. If slight to moderate amounts of protein are detected, then another urinalysis and dipstick protein may be performed at a later time to see if there is still protein in the urine or if it has dropped back to undetectable levels. If there is a large amount of protein in the first sample and/or the urine persists in the second sample, then the doctor may order a 24-hour urine protein as a follow-up test. Since the dipstick primarily measures albumin, the 24-hour urine protein test also may be ordered if a doctor suspects that proteins other than albumins are being released.
Ask your doctor for a Liver Panel, will include Albumin and other liver panels like ALT, AST, to see if your liver is also releasing this type of protein.
I would highly recommend for your to follow up with your doctor and to do additional blood work or perhaps he/she can refer you to an urologyst or gastroentrerologyst.

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