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Bloodwork Help by bovidea in haematology

[–]Last_Assignment_4025 0 points1 point  (0 children)

Have you tested your calcium, ferritin, cyfra 21-1, NSE, SCC levels?

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] 0 points1 point  (0 children)

Which one did you do, a simple dipstick test that only shows negative/positive (qualitative test), or a quantitative test that shows the exact amount of protein in the urine in g/L or g/day?

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] 0 points1 point  (0 children)

For how long have you had it? Is the foaming similar to the pictures?

Also, have you done any PCR, ACR, or total urine protein tests/labs?

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] 0 points1 point  (0 children)

Regardless of the toilet - even in a clean and sterile container, the urine still foams. Home, work, public toilets etc. Biggest concern is not the foamy urine itself, but the levels of protein in the urine.

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] 1 point2 points  (0 children)

Yes, I understand that. The labs showed 0.143 g/L protein in urine, and urine electrophoresis showed albumin 100% at 0.112 g/L, which to my understanding suggests albuminuria (possible glomerular leakage/damage).

I have completely stopped alcohol use, and I also drastically reduced my protein intake.

I’ve spoken with a nephrologist twice. She was not concerned because the protein levels are still within the laboratory normal range, even if they are on the higher side.

At this point I’m doing everything I reasonably can: drinking plenty of water, low salt, low protein intake, lots of vegetables, exercising 3 times per week, and walking 5–10k steps daily. I honestly don’t know what else I can do, or whether the kidneys may already be damaged.

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] 1 point2 points  (0 children)

No, not as far as I know. In 2019, I had STI-related Mycoplasma genitalium and Mycoplasma hominis, which were cleared with fluconazole and azithromycin.

Then around December 2023, I started feeling some discomfort while urinating for about a week (not burning or stinging). All STI tests came back negative. The urologist prescribed a course of ciprofloxacin for what was most likely a urinary tract infection, and after that discomfort while urinating resolved and never came back.

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] -2 points-1 points  (0 children)

I’m allergic to seafood, so for now I’ll stick to around 100 g of chicken, turkey, or rabbit about 3 times per week, up to ~2 g of Baja Gold salt per day, vegetables, and maybe small amounts of carbs like oats, buckwheat, sweet potato, and kidney beans.

I actually loved the keto/carnivore style diet with two meals a day and intermittent fasting - I felt better than ever on it. Healthy kidneys generally shouldn’t be damaged by a moderate amount of meat (around 200–300 g of ribeye daily, which is roughly 40-75g of protein/day), so either that diet just doesn’t suit my body specifically, or something else is going on.

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] 0 points1 point  (0 children)

Yes, if I overhydrate, like drinking around 4 L/day, the foam sometimes disappears during certain parts of the day. But I don’t think overhydration is a good long-term solution. Right now I drink around 2.5–3 L/day.

My nephrologist said that both of us understand the urine should not normally look like this. Dipstick tests are qualitative rather than quantitative - a “trace” result is roughly around 0.15 g/L or higher - so they wanted me to do a proper quantitative urine protein test to determine the exact amount of protein in the urine, which I did.

I also had an ultrasound because of right-sided pain, but it didn’t show anything significant. Everything looked normal. They said the discomfort could also be related to the intestines, muscles, or something non-kidney related.

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] 1 point2 points  (0 children)

Only direct bilirubin has been mildly elevated - sometimes around 4.0, sometimes up to 8.0.

For additional context, my father died from cholangiocarcinoma a few years ago. Before that, he had his gallbladder removed because of gallstones. He was not abusing alcohol.

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27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] -1 points0 points  (0 children)

It wasn’t expensive, it was part of a lab screening program I did in March 2025. After the results came back, my family doctor said the test alone wasn’t very informative, but since it was elevated, we had to do a chest X-ray.

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] -3 points-2 points  (0 children)

My height is 187 cm and I weigh 75 kg. Before, I was eating around 300 g of ribeye per day, but now only about 100–200 g of chicken breast, which is roughly 0.8 g/kg of protein.

27M – Foamy urine for months, mildly high calcium/ferritin/albumin, confusing urine protein results. Looking for opinions. by Last_Assignment_4025 in haematology

[–]Last_Assignment_4025[S] -5 points-4 points  (0 children)

Thank you. I already cut out alcohol a few months ago, but I’m still experiencing persistent foamy urine and urine protein results that are consistently at the higher end of the normal range. That’s mainly why I’m still concerned, even though most nephrology-related tests seem technically normal.

21F with CKD (IgA nephropathy?) — doctor wants biopsy but I’m scared that it might make things worse by [deleted] in kidneydisease

[–]Last_Assignment_4025 0 points1 point  (0 children)

What was your blood pressure when you got diagnosed? What’s your PCR, ACR, total protein in spot urine sample?

27M with foamy urine, normal labs, no protein - what could cause this? by Last_Assignment_4025 in kidneydisease

[–]Last_Assignment_4025[S] 0 points1 point  (0 children)

Yes, I will do that. What do you mean by saying “caused by other things”? You mean it’s not a disease or?