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Bubbly Urine
I'm diabetic since 7 years & hypertensive since 3 years.Both of them are under well control.Recently noticing bubbly urine which often lessens or disappears by drinking more water.Test reports of urine acr,serum creatinine,blood urea & potassium done 6 months ago came absolutely fine & normal.Test report of USG (kub) done 1 year ago also came fine & normal.Also,no swelling in any part of the body. Experienced the same condition a year ago but the test reports of urine acr,24 hrs urinary protein,serum creatinine,blood urea & potassium done at that time came absolutely normal & a nephrologist confirmed that this is not due to proteinuria.Still taking telmisartan 40 mg for bp since many months.Also have stage 2 NAFLD.What might be the reason of such bubbly urine ?
Answers (3)
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A regular check on Urine microalbumin and creatinine ratio is required
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Dr. Sakthimaindan Karthigeyan
Diabetologist
2 yrs exp
Puducherry
Bubbly or foamy urine is not always due to protein in the urine. It can occur because of a strong urine stream, concentrated urine/dehydration, or simply the way urine mixes with the water in the toilet. The fact that it often decreases after drinking water makes these benign causes possible.
However, since you have had diabetes from childhood and hypertension for many years, kidney screening should be continued even when serum creatinine is normal. Early diabetic kidney disease can present with albuminuria before kidney function becomes abnormal.
If your previous urine ACR was normal, significant albuminuria is less likely, but because your last testing was 6 months ago, it would be reasonable to repeat it if the symptom is recurring.
Next Steps
Please repeat first-morning urine ACR + urine routine/microscopy + serum creatinine/eGFR. First-morning urine ACR is the preferred sample for assessing albuminuria.
Continue monitoring your HbA1c and BP regularly and continue telmisartan as prescribed. If the ACR and eGFR remain normal, the bubbly urine is more likely to be a benign phenomenon.
Health Tips
Maintain adequate hydration, but there is no need to excessively increase water intake just to eliminate the bubbles. Consult your physician/nephrologist if the foam becomes persistent or is associated with facial/leg swelling, blood in urine, reduced urine output, or worsening BP.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Infection
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.