What Causes Elevated Protein Level In Urine?

Posted on Mon, 13 Apr 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 13 Apr 2015 Answered on

Tue, 5 May 2015 Last reviewed on

Question : I have been done Kidney transplant patient 6 months back. Observed 511 mg protein in Urine in 24 hrs. Doctor advised telvas 40. Is this ok. Will It help in stopping excess protein in Urine

Answered by Dr. Rakesh Madhyastha (14 minutes later)

Brief Answer:
Need more info

Detailed Answer:
Hello

Thanks for the query

Your doctor has done the right thing but putting you on an Angiotensin receptor blocker ( Telvas). However I need to know a few more details in order to help you

1. What immunosuppression are currently on? ( for example Tacrolimus/MMF/steroids)
2. What was your basic kindney disease? For example diabetes, etc
3. What was your protein loss before the transplant?
4. Is your hypertension and sugars under good control?

Please get back to me, I am awaiting your reply

Regards

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

Follow up: Dr. Rakesh Madhyastha (5 hours later)

1. the medicines i am consuming 7 other details are in the attached files.
2. Granulomotous Tubolointerstitial Nephritis
3. It was within limits
4. yes. bp is around normal & non diabetic

Answered by Dr. Rakesh Madhyastha (7 hours later)

Brief Answer:
Renal Biopsy

Detailed Answer:
Hello

Thanks for getting back with the details.

It is good that you have been put on Telvas for the proteinuria. Here are my suggestions

1. If your serum creatinine on discharge was below 1.2 then I recommend that a renal biopsy of the transplant kindney is done to know why your serum creat is on the higher side
2. Get a tacrolimus level done, in our institute we aim for tacrolimus to be around 5, 6 months post transplant
3. Rest everything is fine, there is nothing to worry as of now. You are on correct treatment

Regards

Above answer was peer-reviewed by : Dr. Yogesh D