Hello Doctor,
My mom is 54 years old and has pitting edema in both feet. Her doctor advised a 24-hour urine test, and the results showed a urine protein level of 1855 mg/day and uric acid at 1.1 mg/dl. Later, an RFT was done, showing blood urea at 11 mg/dl, creatinine at 0.6 mg/dl, sodium at 133 mEq/L, potassium at 4 mEq/L, and uric acid at 1.3 mg/dl. We consulted a physiologist, who said it wasn’t a major concern and prescribed some medications, including Vitamin D capsules. He mentioned that if we needed further clarification, we could consult a nephrologist. I’m not questioning the physiologist, but I’m worried about my mom’s health. Could these results indicate any kidney-related issues? Should we be consulting a nephrologist for further evaluation?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
Pitting edema in both feet, along with significant proteinuria (1855 mg/day), could indicate a possible kidney issue that requires further evaluation. While the renal function test (RFT) results appear within normal limits, the presence of high urine protein levels suggests the need for additional assessment.
1. A crucial next step would be to check serum albumin levels through a blood test. Low albumin can be associated with nephrotic syndrome or other kidney-related conditions that lead to protein loss in urine. Additionally, further investigations such as a urine protein-to-creatinine ratio (UPCR), lipid profile, and a detailed kidney function test may provide more clarity.
2. Given these findings, consulting a nephrologist would be advisable to determine the underlying cause of proteinuria and pitting edema. They might suggest further tests such as a kidney ultrasound, autoimmune markers, or even a kidney biopsy if needed. In the meantime, maintaining a low-sodium diet, monitoring blood pressure, and following the prescribed medications is recommended.
Thanks
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