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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constant Foamy Urine?

DEAR DOCT.

I AM WRITING ON BEHALF OF MY SON AGED 21.FROM HIS TEENS WE OBSERVED THAT HIS URINE IS VERY FOAMY. SOME 4YEARS BACK,HE FELL DOWN WITH FEVER WHEN THE GP ADVISED FOR BLOOD TEST FOR TC,DC,ESR & URINE FOR ROUTINE & CULTURE. THE TEST REVEALED TC COUNT WITH 88 NUTROPHIL COUNT. ROUTINE URINE SHOWED ++++ALBUMIN WITH PLENTY COUNTS OF RBC& PUS CELLS. FEVER WAS ASSOCIATED WITH SYNDROM OF PNEUMONIA.STRONG IV ANTI-BIOTICS WERE ADMINISTERED AND DIRUTICS USED TO PREVENT FLUID RETENTION. THERE WAS NO SWELLING ANY WHERE.USG OF WHOLE ABDOMEN SHOWED NORMAL READINGS.ANCA,ANF SHOED NA.HOWEVER HIS BP WAS A BIT HIGH .AFTER 7 DAYS FEVER AND COUGH SUBSIDED BUT FOAMY URINE CONTINUES WITH INTERMITTEN TESTS SHOWING ++,+ORTRACE.NOW IT IS TRACE AND CULTURE AT ON POINT SHOWED ANY GROWTH.24HR. PROTEIN URINE TEST WHICH WAS AT THE BEGINING WAS935 NOW STAYING WITHIN 345 TO 538. HE IS NOW ON LOSARTAN 50MG OD FOR LAST2 YEARS. BP IS ABSOLUTELY NORMAL BUT URINE IS FOAMY. IT INCREASES WITH ANY SORT OF INFECTION AND THEN DECREASES BUT NEVER BECOMES NIL REPORT OF URINE TEST.DOCTOR SAYS IT IS IGID . PLEASE ADVICE WHETHER THE TREARMENT AND DIAGNOSIS IS CORRECT AND WHETHER YOU SUGGEST ANY OTHER MEDICINE OR TESTS.
Tue, 19 Jun 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

* As per my clinical experience, this is definitely underlying renal disorder for which I would like to comment further with all reports as an attachment including renal biopsy and other blood, urine parameters.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Constant Foamy Urine?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As per my clinical experience, this is definitely underlying renal disorder for which I would like to comment further with all reports as an attachment including renal biopsy and other blood, urine parameters. Hope I have answered your query. Let me know if I can assist you further.