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What Causes Back Pain, Dark Urine And High Level Of Protein In Urine?

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Posted on Mon, 2 May 2016
Question: This am voided dark urine, saw md he did a urine test and said there was high level of protein, now have pain in the back moving to flank then to front on a scale of 1 10 about a 5.

doctor
Answered by Dr. Michelle Gibson James (54 minutes later)
Brief Answer:
infection most common cause

Detailed Answer:
HI, thanks for using healthcare magic

Protein in the urine (proteinuria) can have different possible causes.

(a)Most commonly can be due to infection, which would also cause pain. In this case, the urine may have also shown leucocytes or nitrites.
Infections can be easily treated with antibiotics.

(b)if you have chronic illnesses like diabetes or high blood pressure- these can cause proteinuria

(c)autoimmune diseases

(d)multiple myeloma

(e)disease where abnormal products stored in the body

(f)other kidney diseases affecting a part of the kidneys called the glomerulus

(g)orthostatic- physical activity or a lot of standing before can cause this problem

(h)trauma , stones

To determine exact cause, your doctor may suggest: (1) urine sent to lab for microscopy where they look under the microscope to see if a specific cause can be found- if infection suspected, none of the other tests would be done

(2)24 hour urine collection to determine exactly how much urine is loss over a 24 period
(3)blood tests would also be needed- protein in blood , cholesterol, creatinine (checks kidney function)
(4)imaging of the urinary tract

Summary: infection is the most common cause, this can be easily treated with antibiotics
Cause can be determined by further tests- urine to lab, blood test, 24 hour urine

If a stone suspected, would need an ultrasound

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (18 hours later)
Went to ED due to pain, was observed, urine test done showed hematuria --given a strainer and passed kidney stone with in a few hours. How to prevent, any further testing suggested?
doctor
Answered by Dr. Michelle Gibson James (5 hours later)
Brief Answer:
need to increase fluid intake

Detailed Answer:
HI

Sorry about the delayed reply

There are different types of kidney stones.

PREVENTION
(a)One of the most important aspects in preventing further formation would be to increase your daily fluid intake, this decreases the chance of the urine becoming saturated and stones forming.
At least 8 glasses or more should be used unless you have a medical reason cannot use a lot of fluids eg heart failure

(b)avoid excess salt and protein intake

(c) your doctor may also suggest a 24 hour urine analysis test though this may sometimes only be done if a stone recurs.

the most common reasons for stones are increased calcium in urine or increased uric acid in urine or increase oxalate in urine or low citrate levels or decrease urine amount.

A 24 hour sample can determine which of these is the case

This would also for adjustment of diet, medication, nutrients etc

As mentioned may be done if recurs

(d) an ultrasound is sometimes suggested to take a look at the kidneys

Please feel free to ask anything else
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Causes Back Pain, Dark Urine And High Level Of Protein In Urine?

Brief Answer: infection most common cause Detailed Answer: HI, thanks for using healthcare magic Protein in the urine (proteinuria) can have different possible causes. (a)Most commonly can be due to infection, which would also cause pain. In this case, the urine may have also shown leucocytes or nitrites. Infections can be easily treated with antibiotics. (b)if you have chronic illnesses like diabetes or high blood pressure- these can cause proteinuria (c)autoimmune diseases (d)multiple myeloma (e)disease where abnormal products stored in the body (f)other kidney diseases affecting a part of the kidneys called the glomerulus (g)orthostatic- physical activity or a lot of standing before can cause this problem (h)trauma , stones To determine exact cause, your doctor may suggest: (1) urine sent to lab for microscopy where they look under the microscope to see if a specific cause can be found- if infection suspected, none of the other tests would be done (2)24 hour urine collection to determine exactly how much urine is loss over a 24 period (3)blood tests would also be needed- protein in blood , cholesterol, creatinine (checks kidney function) (4)imaging of the urinary tract Summary: infection is the most common cause, this can be easily treated with antibiotics Cause can be determined by further tests- urine to lab, blood test, 24 hour urine If a stone suspected, would need an ultrasound I hope this helps, feel free to ask any other questions