I m having mild foam in urine since many months now recently i notices the foam is like flakes type or sometimes thick but it just 3-4 cm patch single or 2 patches types so is it ckd?? i m taking less water since childhood i have a history of kidney stone and recently i m facing mild burning while urinating so plz guide me should i do urine acr now or should i first increase my water intake if yes then how much and then do the test?? i m so worried bcz i m just 26 my weight is 35 kg
Recently i did my routine urine test i attached the photo so i don't think its uti and also if i go to urinate 10 times in a day in that 5 times urine looks normal and other 5 times that white patches or foam or flakes type is seen in urine i m not sure what is it plz guide me
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यूरिन में प्रोटीन (Protein: Trace): टेस्ट में प्रोटीन 'ट्रेस' (बहुत ही मामूली मात्रा) आया है। यूरिन में झाग आने का एक मुख्य कारण प्रोटीन का होना होता है।
पस सेल्स और आरबीसी (Pus cells 2-3, RBC 1): ये दोनों आंकड़े पूरी तरह से सामान्य रेंज में हैं। यह दर्शाता है कि मरीज को कोई गंभीर या तीव्र यूरिन इन्फेक्शन (Severe UTI) नहीं है, जैसा कि मरीज ने भी खुद अंदाजा लगाया है।
कम पानी पीना और पथरी का इतिहास: मरीज ने बताया है कि वह बचपन से कम पानी पीती हैं और उन्हें किडनी स्टोन (गुर्दे की पथरी) की शिकायत रही है। कम पानी पीने से यूरिन गाढ़ा (concentrated) हो जाता है, जिससे भी झाग या फ्लेक्स दिखाई दे सकते हैं।
वजन कम होना: 25 साल की उम्र में 35 किलो वजन होना काफी कम है, जो शरीर में पोषण की कमी या किसी अन्य अंदरूनी शारीरिक तनाव को दर्शा सकता है।
2. संभावित कारण (Differential Diagnosis)
मरीज के लक्षणों और रिपोर्ट के आधार पर इसके 3 मुख्य संभावित कारण हो सकते हैं:
तीव्र डिहाइड्रेशन और गाढ़ा यूरिन (Concentrated Urine due to Dehydration): लगातार कम पानी पीने के कारण यूरिन में अपशिष्ट पदार्थों की सांद्रता बढ़ जाती है। इसके कारण यूरिन पास करते समय तेज गति से गिरने पर झाग (foam) बनता है और हल्की जलन हो सकती है।
शुरुआती किडनी तनाव या प्रोटीन्यूरिया (Transient/Early Proteinuria): यूरिन में 'ट्रेस' प्रोटीन आना किडनी पर अस्थायी खिंचाव या शुरुआती बदलाव को दिखा सकता है। हालांकि, केवल एक रूटीन टेस्ट से सीकेडी (CKD) का निदान नहीं किया जा सकता।
किडनी स्टोन या क्रिस्टलूरिया (Kidney Stones/Crystaluria): पुरानी पथरी के इतिहास के कारण यूरिन में छोटे-छोटे मिनरल क्रिस्टल्स (जो फ्लेक्स या सफेद पैच जैसे दिख सकते हैं) निकल रहे हो सकते हैं, जो यूरिन मार्ग में हल्की जलन पैदा करते हैं।
Next Steps
बिल्कुल न घबराएं। कम वजन (35kg) और यूरिन में प्रोटीन ट्रेस होने के कारण उन्हें इन दोनों नए टेस्ट्स (Urine ACR और KFT) की रिपोर्ट्स के साथ एक नेफ्रोलॉजिस्ट (गुर्दा रोग विशेषज्ञ) या एक अच्छे फिजिशियन से मिलना चाहिए। डॉक्टर यह सुनिश्चित करेंगे कि यह केवल कम पानी पीने की वजह से है या इसके लिए किसी हल्की दवा की जरूरत है।
क्या आपको इसके अलावा चेहरे या पैरों में सूजन (swelling/edema), या रात में बार-बार यूरिन के लिए उठना पड़ता है?
Health Tips
चूंकि उम्र कम है और वजन भी 35 किलो ही है, इसलिए उन्हें दिनभर में कम से कम 2.5 से 3 लीटर (10-12 गिलास) पानी नियमित रूप से पीना चाहिए।
Urine ACR टेस्ट कब करें?: उन्हें पानी बढ़ाने के लिए टेस्ट रोकने की जरूरत नहीं है। यूरिन में प्रोटीन की सटीक मात्रा जानने के लिए Urine ACR (Albumin to Creatinine Ratio) टेस्ट और साथ में KFT (Kidney Function Test - Serum Creatinine) एक-दो दिनों के भीतर ही करवा लेना चाहिए। यह टेस्ट सुबह के पहले यूरिन (First morning void) से कराना सबसे बेहतर होता है। इससे सीकेडी (CKD) का डर पूरी तरह साफ हो जाएगा।
साफ-सफाई और खानपान: यूरिन में जलन से बचने के लिए साफ-सफाई का ध्यान रखें। ज्यादा मिर्च-मसाले और चाय-कॉफी से परहेज करें क्योंकि ये यूरिन ब्लैडर में जलन बढ़ाते हैं।
please Check for eGFR as well with spot protinurea test check for FBS and HbA1c
And do an usg abdomen and pelvis to understand any other co morbidities
Male, Age - 25 years
Complaints of -
* Foamy urine since many months
* Mild burning sensation while urinatin g
* History of Kidney Stones
Now the thing is ....
* Proteinuria may be functional or pathological....
* Functional proteinuria seen in conditions like severe fever, strenuous exercise, Congestive Heart Failure etc...,
* Three pathological mechanisms will occur in Proteinuria ---
* One is - Damage in the Glomerulus pouch specifically seen in some conditions like DIABETIC NEPHROPATHY etc.,
* Two is - Impaired Absorption capacity to the Tubules seen in conditions like TUBULAR INTERSTITIUM....
* Three is - over production of abnormal proteins in the body seen in some conditions like RABHDOMYLOSIS....
In Ayurveda -
* Pathological mechanisms associated with many diseases.... According to that pathology, treatment is to be started.
* If it is diabetic oriented... Treat Diabetes....
* If it is disturbance in Tubules absorption capacity --- Correcting that pathology... Whether it is due to infection or due to any other auto immune diseases....
* So in this way, treatments are to be planned....
* Only urine examination report doesnt know how ur kidneys are functioning.....
* Serum creatinine, GFR rate, to be done to know whether it is pathological or functional.
* In Ayurveda.... Doshic predominance is Kapha vata predominant, Mutravahasroto vikara, Basti Dosha, Agni to be corrected....
Kidney stones could be because of hyperparathyroidism
Which needs proper evaluation. Also foamy urine could be related to it. Please seek proper consultation for this for doing proper HAIP Root Cause Analysis. Start Following HAIP DIET
The foam may be the least important part of this story. The reason behind recurrent stones, urinary changes and such low body weight may tell us much more.
Along with appropriate kidney evaluation, an Ayurveda-integrated approach can look at recurrent stone tendency, diet, hydration, digestion/metabolic factors and overall health together, rather than treating an isolated urine finding alone.
Next Steps
Consider urine ACR, serum creatinine/eGFR and blood pressure assessment. With recurrent stones, evaluating the cause and type of stone tendency may also be useful.
Health Tips
Don’t deliberately drink excessive water just before testing to make the urine appear clearer. Seek prompt medical evaluation if you develop fever, significant flank pain, blood in urine, reduced urine output or worsening burning.
From the information you have shared, I do not think this points towards chronic kidney disease (CKD) based on foamy urine alone. Foamy urine can occur for many reasons, including concentrated urine due to low water intake, rapid urination, urinary crystals (especially if you have had kidney stones before), or occasionally protein in the urine. Since your routine urine test was reportedly normal, that is reassuring, but persistent symptoms should still be evaluated.
Next Steps
I would advise you to first increase your water intake unless your doctor has asked you to restrict fluids. Aim for about 2–2.5 liters of water per day (adjust according to your activity level and weather) and continue this for 5–7 days.
After you are well hydrated, get the following tests:
• Urine Albumin-to-Creatinine Ratio (ACR) using the first morning urine sample.
• Serum creatinine with eGFR to assess kidney function.
• Repeat urine routine and microscopy if the burning sensation or foamy urine continues.
• If the burning persists or worsens, a urine culture may also be required to rule out infection.
• Since you have a history of kidney stones, if your symptoms continue despite good hydration, I would also recommend a kidney ultrasound (KUB) after consulting urologist.
Health Tips
At this stage, please don't panic. Foamy urine by itself does not mean you have CKD.
The fact that your urine appears normal at other times and your routine urine test was reportedly normal is reassuring.
Also, avoid getting the urine ACR test during menstruation, fever, after heavy exercise, or if you have an active urinary infection, as these conditions can affect the result.
Please consult a physician or nephrologist promptly if you notice:
✓Swelling of the face or legs
✓Blood in the urine
✓Persistent severe burning or fever
✓Decreased urine output
✓High blood pressure
✓Persistent protein detected in urine or abnormal kidney function tests.
You dont have to panic as reports show you protein urea so treatment be planned for future complications
Consult at Ayurcentral begur10am to 1:30pm from monday to Saturday
Hello. Concentrated urine due to low water intake often leads to mild burning and transient foamy appearance or sediment. Given your age (26), CKD is very unlikely, so please do not worry.
Next Steps
Key Guidance:
Hydration: Gradually increase your water intake to about 2 to 2.5 liters per day.
Diet: Incorporate fresh fruits, salads, and fresh lemon water daily, as citrates in lemon help inhibit kidney stone formation.
Investigations: You can increase your hydration for 3 to 5 days first. If mild burning or foam persists despite good hydration, you may get a Routine Urine Analysis and Urine ACR / Spot PCR done, along with a consultation with a local physician/urologist for evaluation.
First, I want to reassure you that your urine report does not suggest chronic kidney disease by itself. I understand that seeing foamy urine for months is worrying, but this report is not enough to conclude that your kidneys are damaged."
Your report shows only a trace amount of protein. This can happen temporarily if you are dehydrated, your urine is very concentrated, you've exercised recently, or for other harmless reasons. Your urine does not show blood, sugar, or a significant number of pus cells, which is reassuring.
Before we start any medicine, I'd like to find out exactly what's causing it. I recommend increasing your water intake over the next few days, unless another doctor has told you to restrict fluids. Then we'll do a urine Albumin-to-Creatinine Ratio (ACR), kidney function tests (serum creatinine and eGFR), and an ultrasound of your kidneys because of your history of stones."
If these tests come back normal, we can be much more confident that this is not chronic kidney disease. If they show a problem, we'll identify it early and treat it appropriately.
Please don't panic. Most people with occasional foamy urine do not have kidney failure. The important thing is not to ignore it, but also not to assume the worst without the right tests.
Next Steps
i would recommend you to consult online so that I can help you better and explain so that you don't get confused and worried.
Health Tips
Avoid holding urine.
Reduce excess salt and processed foods.
If prone to calcium oxalate stones, avoid excessive spinach, beetroot, nuts, and tea while maintaining normal dietary calcium.
Seek urgent medical care if there is fever, severe flank pain, blood in urine, or swelling of the legs or face
The presence of occasional mild foam or small white patches in the urine does not necessarily mean chronic kidney disease (CKD). Foam can occur for several harmless reasons, such as concentrated urine due to low water intake, passing urine with a strong stream, or mild dehydration. Since you mentioned that you have been drinking very little water since childhood, this alone can make urine appear more concentrated and foamy.
Your urine report showing trace protein is not sufficient to diagnose kidney disease. Trace protein can be seen temporarily with dehydration, exercise, fever, or concentrated urine. However, since you also have a history of kidney stones, mild burning during urination, and are underweight (35 kg), these symptoms should not be ignored. The fact that your urine appears normal some of the time and foamy at other times also makes persistent kidney disease less likely, but it does warrant proper evaluation if the symptoms continue.
Next Steps
Since you also have a history of kidney stones, a comprehensive review of your urinary health is advisable. For a detailed evaluation, individualized dietary guidance, and holistic management, you may connect with us at 9 3 1 5 6 6 1 5 6 5. We will assess your symptoms comprehensively and guide you regarding the most appropriate management plan.
Health Tips
Drink adequate water throughout the day instead of consuming large amounts at once. Reduce excessive salt intake, avoid sugary beverages, and maintain a balanced diet. Because you have a low body weight, ensure you consume adequate calories and protein under professional guidance. Do not hold your urine for prolonged periods, and seek prompt medical attention if you develop visible blood in the urine, severe flank pain, fever, persistent burning, swelling of the legs or face, or a marked reduction in urine output. Most importantly, occasional mild foam in the urine is common and, by itself, is not enough to diagnose chronic kidney disease, so try not to panic while ensuring appropriate follow-up if the symptoms persist. Thank you
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.
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.
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