{"id":32065,"date":"2024-03-25T14:12:17","date_gmt":"2024-03-25T13:12:17","guid":{"rendered":"https:\/\/test.nefrocenter.it\/proteinuria\/"},"modified":"2024-03-25T14:12:17","modified_gmt":"2024-03-25T13:12:17","slug":"proteinuria","status":"publish","type":"post","link":"https:\/\/test.nefrocenter.it\/en\/proteinuria\/","title":{"rendered":"Proteinuria"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Proteinuria is a condition characterized by the presence of <\/span><b>abnormal amounts of protein in the urine<\/b><span style=\"font-weight: 400;\">. Under normal conditions, the kidneys do an excellent job of filtering, keeping proteins in the blood and reabsorbing them if they happen to end up in the urine. When this process does not work properly, proteins &#8220;take the wrong path&#8221; and are found in excess in the urine. This is when the condition called proteinuria occurs.<\/span><\/p>\n<h2><b>What happens in the kidneys with proteinuria<\/b><\/h2>\n<p><span style=\"font-weight: 400;\"><a href=\"\/en\/where-the-kidneys-are-and-what-they-do\/\">The kidneys are complex organs responsible for several vital functions<\/a>, including the filtration of the blood. Let us imagine them, then, as a two-level filtering system that filters through the glomeruli and the renal tubules. The <\/span><b>Glomeruli <\/b><span style=\"font-weight: 400;\">are tiny capillaries that act as the first filter, keeping back proteins and other large substances. The <\/span><b>Renal tubules<\/b><span style=\"font-weight: 400;\"> then complete the filtering process, reabsorbing useful proteins and sending them back into the blood.<\/span><\/p>\n<h3><b>The causes of proteinuria<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The causes can be different and of varying severity. <a href=\"\/en\/kidney-stones\/\">Kidney stones are not among them<\/a>. For this reason, at the first signs, it is essential to see a nephrologist. The specialists of the <a href=\"\/en\/\">Nefrocenter group<\/a>&nbsp; are experts in the treatment and care of kidney diseases and, in addition to the specialized centers, they also work at the <a href=\"http:\/\/www.rah.it\">Rome American Hospital in Roma<\/a>. The causes of proteinuria can be divided into three different categories: glomerular, tubular and transient.<\/span><\/p>\n<h4><b>Glomerular causes<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Glomerular causes include glomerulonephritis, nephrotic syndrome, diabetes and high blood pressure. What they are and how they affect the work of the kidneys:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Glomerulonephritis:<\/b><span style=\"font-weight: 400;\"> inflammation of the glomeruli, often caused by autoimmune reactions or infections.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Nephrotic syndrome:<\/b><span style=\"font-weight: 400;\"> characterized by massive proteinuria, edema and hypoalbuminemia.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Diabetes mellitus:<\/b><span style=\"font-weight: 400;\"> if not controlled, it can damage the glomeruli.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>High blood pressure:<\/b><span style=\"font-weight: 400;\"> it can damage the blood vessels of the kidneys.<\/span><\/li>\n<\/ul>\n<h4><b>Tubular causes<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">They fall into two main categories: acute tubular damage and tubulointerstitial diseases.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Acute tubular damage:<\/b><span style=\"font-weight: 400;\"> caused by medications, toxins or infections.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tubulointerstitial diseases:<\/b><span style=\"font-weight: 400;\"> a group of diseases that affect the tubules and the interstitial tissue of the kidneys.<\/span><\/li>\n<\/ul>\n<h4><b>Transient causes<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Proteinuria can also occur transiently and without any damage to the kidneys. In fact, it can also be caused by particular conditions of our body.&nbsp;<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Fever<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Intense physical exercise<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Dehydration<\/li>\n<\/ul>\n<h3><b>Symptoms of proteinuria<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">In most cases, proteinuria has no obvious symptoms. It is often discovered by chance during a urine test. In some cases, the following may be present:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Edema (swelling) in the hands, feet and ankles.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Foamy urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea and vomiting<\/span><\/li>\n<\/ul>\n<h3><b>Types<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">There are two different types of proteinuria. <\/span><b>Microalbuminuria<\/b><span style=\"font-weight: 400;\"> occurs when only a small amount of albumin (a specific protein) is present in the urine. By contrast, <\/span><b>Macroproteinuria<\/b><span style=\"font-weight: 400;\"> is characterized by the presence of a high amount of protein.<\/span><\/p>\n<h3><b>Tests to have<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">There are mainly two tests to check kidney function: urine tests and blood tests, which can be done in the <a href=\"http:\/\/www.nefrocenterlab.it\">Nefrocenter laboratories<\/a>. If the nephrologist wants to investigate further, they may request additional tests such as a kidney ultrasound and a biopsy.&nbsp; As for the biopsy, at the <a href=\"http:\/\/www.rah.it\">Rome American Hospital<\/a> you can have the procedure and receive accurate results in the shortest possible time. The basic tests to have are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Urine test:<\/b><span style=\"font-weight: 400;\"> to quantify the proteinuria and identify the presence of other abnormalities.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Blood test:<\/b><span style=\"font-weight: 400;\"> to assess kidney function and the presence of other diseases.<\/span><\/li>\n<\/ul>\n<p><b>Treatments for proteinuria<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The treatment that the nephrologist recommends depends on the cause. If it is triggered by high blood pressure or diabetes, they will prescribe therapy for the underlying disease with antihypertensive medications. This should be combined with a low-sodium, low-protein diet.<\/span><\/p>\n<p><b>The diet<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The diet to follow is based on three main factors. The<\/span><b> reduction of salt <\/b><span style=\"font-weight: 400;\">to lower blood pressure and edema<\/span><b>, the reduction of protein <\/b><span style=\"font-weight: 400;\">to reduce the workload of the kidneys<\/span> <span style=\"font-weight: 400;\">and the<\/span><b> right intake of calories and nutrients <\/b><span style=\"font-weight: 400;\">to maintain good health. These should be combined with appropriate lifestyle habits, with regular physical activity, control of body weight and giving up smoking. It is also essential to drink the right amount of water for your kidneys.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Proteinuria is a condition characterized by the presence of abnormal amounts of protein in the urine. Under normal conditions, the kidneys do an excellent job of filtering, keeping proteins in the blood and reabsorbing them if they happen to end up in the urine. When this process does not work properly, proteins &#8220;take the wrong [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":19276,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1394],"tags":[],"area_medica":[1373],"voce_indice":[],"class_list":["post-32065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nephrology","area_medica-nephrology"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Proteinuria - Gruppo NefroCenter<\/title>\n<meta name=\"description\" content=\"Proteinuria is a condition characterized by abnormal amounts of protein in the urine. 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