What is the reason for high urinary protein in the physical examination report

The high urinary protein in the physical examination report may be related to physiological factors, urinary system infection, glomerular disease, diabetes nephropathy, hypertensive nephropathy and other reasons. The increase of urinary protein is usually manifested by the increase of urine foam, edema and other symptoms, which need to be combined with specific causes of intervention.

1. Physiological factors

Intense exercise, high protein diet, or fever may lead to temporary elevation of urinary protein. This type of situation does not require special treatment. After adjusting the diet structure and reducing physical exertion, urinary protein levels can recover on their own. It is recommended to avoid repetitive high-intensity exercise in a short period of time and control the daily protein intake at 1-1.2 grams per kilogram of body weight.

2. Urinary tract infections

Infections such as cystitis or pyelonephritis may damage the epithelial cells of the urinary tract, leading to leakage of urinary protein. Patients often experience symptoms such as frequent urination, urgency, and lower abdominal bloating. Antibiotics such as levofloxacin hydrochloride tablets and cefixime dispersible tablets can be used according to the doctor's advice, together with traditional Chinese patent medicines and simple preparations such as Sanjin tablets. After infection control, urinary protein levels can be reduced.

3. Glomerular diseases

Primary glomerulonephritis or nephrotic syndrome can disrupt the glomerular filtration barrier and result in persistent proteinuria. Typical manifestations include eyelid edema and lower limb depression edema. Commonly used in clinical practice are Huangkui capsules and Leigongteng polysaccharide tablets to regulate immunity, combined with valsartan capsules to control protein leakage. Regular monitoring of 24-hour urinary protein quantification is required.

4. diabetes Nephropathy

Long term hyperglycemia will damage the glomerular basement membrane, and the early manifestation is microalbuminuria. Patients need to strictly control their sugar levels, and can choose hypoglycemic drugs such as acarbose tablets and dapagliflozin tablets, combined with irbesartan tablets to reduce protein excretion. Suggest keeping glycated hemoglobin below 7% and incorporating daily urine protein testing into self-management.

5. Hypertensive nephropathy

Renal arteriosclerosis can lead to high pressure in the glomerulus, causing proteinuria accompanied by symptoms such as headache and blurred vision. Commonly used amlodipine besylate tablets and enalapril maleate tablets are used to lower blood pressure, while taking Bailing capsules to protect kidney function. Blood pressure should be maintained below 130/80 mmHg, and daily sodium intake should not exceed 5 grams. After discovering abnormal urine protein, it is necessary to recheck the morning urine routine to avoid excessive intake of animal organs and pickled foods. It is recommended to drink 1500-2000 milliliters of water daily to promote metabolism and ensure 7-8 hours of sleep. If urine protein is tested positive twice in a row, it is necessary to complete urine protein electrophoresis, renal function tests, and other examinations to determine the cause. Long term proteinuria patients should regularly monitor their blood pressure and blood sugar, and evaluate their kidney ultrasound every 3-6 months.